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Deli P, Moisoglou I, Galanis P, Toska A, Fradelos EC, Tsiachri M, Yfantis A, Katsiroumpa A, Konstantinidis T, Sarafis P, Saridi M. Parents' attitudes, perceptions and coping strategies regarding school bullying. Int J Adolesc Med Health 2024; 0:ijamh-2024-0032. [PMID: 38712821 DOI: 10.1515/ijamh-2024-0032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2024] [Accepted: 04/17/2024] [Indexed: 05/08/2024]
Abstract
OBJECTIVES The aim of this study was to record parents' knowledge and attitudes towards bullying experienced by their children and to explore the strategies they choose to manage bullying incidents. METHODS A cross-sectional study was conducted. The study population consisted of parents of children who have experienced bullying in a primary or secondary school classroom. The "Parents' Strategies to Cope with Bullying" questionnaire was used to collect data. Regarding parents' coping with bullying, the strategy "Support and advice to the child" scored the highest and the strategy "Social support and information" the next highest. RESULTS Of the parents, 44.3 % had received some information/education regarding the phenomenon of bullying with the most important source of information being reading. According to the results of multivariate linear regression, mothers more often applied the strategy "social support and information" (Coefficient b=0.9, 95 % CI for b=0.7 to 1.1, p<0.001) and parents with lower educational level more often applied the strategy "avoidance" (Coefficient b=-0.5, 95 % CI for b=-0.8 to -0.2, p=0.004). CONCLUSIONS School bullying remains a major worldwide phenomenon over time. Although parents choose to support their children, they do not receive information and training on how to manage bullying from a formal institution, making the need for such programs imperative.
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Affiliation(s)
- Panagiota Deli
- Local Health Unit (TOMY), 68992 Hellenic Open University , Lamia, Greece
| | | | - Petros Galanis
- Clinical Epidemiology Laboratory, Faculty of Nursing, 69065 National and Kapodistrian University of Athens , Athens, Greece
| | - Aikaterini Toska
- Department of Nursing, 68992 University of Thessaly, Hellenic Open University , Larissa, Greece
| | - Evangelos C Fradelos
- Department of Nursing, 68992 University of Thessaly, Hellenic Open University , Larissa, Greece
| | | | | | - Aglaia Katsiroumpa
- Clinical Epidemiology Laboratory, Faculty of Nursing, 69065 National and Kapodistrian University of Athens , Athens, Greece
| | | | | | - Maria Saridi
- Department of Nursing, 68992 University of Thessaly, Hellenic Open University , Larissa, Greece
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Fradelos EC, Alikari V, Artemi S, Missouridou E, Mangoulia P, Kyranou M, Saridi M, Toska A, Tsaras K, Tzavella F. A Mixed-Method Study on the Assessment of Factors Influencing Nurses' Provision of Spiritual Care. Healthcare (Basel) 2024; 12:854. [PMID: 38667616 PMCID: PMC11050414 DOI: 10.3390/healthcare12080854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2024] [Revised: 04/11/2024] [Accepted: 04/16/2024] [Indexed: 04/28/2024] Open
Abstract
The purpose of this study was to explore factors that influence nurses' beliefs about offering spiritual care. STUDY DESIGN A mixed-method study design, incorporating both quantitative (questionnaire) and qualitative research, was used for this study (focus group discussion). METHODS The questionnaires were completed by a convenience sample of nurses and their assistants working in two public hospitals. These questionnaires included the Greek versions of the FACIT-Sp-12, SCIPS, NEO-FFI, and the Spiritual Climate Scale, as well as a specially designed questionnaire to gather demographic, socioeconomic, and professional information about the study population (SCS). Three nurses and two nursing assistants who worked in public hospitals and were chosen through purposive sampling made up the sample for the qualitative study. In utilizing inductive content analysis methodology, a qualitative analysis was carried out. RESULTS Greek nurses frequently offer spiritual care to their patients, primarily existential spiritual care. It was discovered that the spiritual climate, the nurses' positive coherence, and their educational level all exert a favorable effect on total spiritual care. Three categories and seven subcategories were used to describe the participants' prior experiences with spiritual care. CONCLUSIONS Greek nurses frequently offer spiritual care to their patients, and both internal and external factors influence their attitudes in this regard.
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Affiliation(s)
- Evangelos C. Fradelos
- Laboratory of Clinical Nursing, Department of Nursing, University of Thessaly, 41500 Larissa, Greece; (M.S.); (A.T.)
| | - Victoria Alikari
- Department of Nursing, University of West Attica, 12244 Egaleo, Greece; (V.A.); (E.M.)
| | | | - Evdokia Missouridou
- Department of Nursing, University of West Attica, 12244 Egaleo, Greece; (V.A.); (E.M.)
| | | | - Maria Kyranou
- Department of Nursing, Cyprus University of Technology, Limassol 3036, Cyprus;
| | - Maria Saridi
- Laboratory of Clinical Nursing, Department of Nursing, University of Thessaly, 41500 Larissa, Greece; (M.S.); (A.T.)
| | - Aikaterini Toska
- Laboratory of Clinical Nursing, Department of Nursing, University of Thessaly, 41500 Larissa, Greece; (M.S.); (A.T.)
| | | | - Foteini Tzavella
- Department of Nursing, University of Peloponnese, 22131 Tripoli, Greece;
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Toska A, Latsou D, Paraskeuopoulou C, Fradelos E, Albani E, Milionis C, Geitona M, Papagiannis D, Saridi M. Knowledge and beliefs of Greek parents towards HPV infection and vaccination - are they willing to vaccinate their sons? Int J Adolesc Med Health 2024; 36:61-68. [PMID: 38353174 DOI: 10.1515/ijamh-2023-0144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2023] [Accepted: 01/17/2024] [Indexed: 03/02/2024]
Abstract
OBJECTIVES Human papillomavirus (HPV) stands as one of the prevalent sexually transmitted infections (STIs) and serves as the primary factor behind nearly all instances of cervical cancer, along with various other non-cancerous conditions like genital warts. Our objective was to explore the knowledge and beliefs of Greek parents regarding HPV infection and the vaccination of boys against HPV. METHODS A cross-sectional study took place at a university hospital located in the Peloponnese region of Greece, from January to June 2021. The study employed convenience sampling as its methodology, and data gathering involved the distribution of self-administered questionnaires to parents who had at least one son between the ages of 9 and 18 years. RESULTS The final sample consisted of 120 individuals. 65.8 % of parents have been informed about HPV vaccination, knew that the HPV vaccine provides immunity against genital warts (50 %), and that minimum of two doses is necessary (46.7 %). 30.8 % intended to vaccinate their boys against HPV if the vaccine were available for males. The most important reasons for vaccination were the perception that both genders share equal responsibility in the prevention of sexually transmitted infections (91.7 %) and the protection against cancer (87.6 %), whereas the fear of adverse reactions and the adequate knowledge about HPV-related diseases were most reported as reasons of the intentions to not vaccinate their sons with 31.7 % and 25.8 % respectively. CONCLUSIONS Although parents participating in the study know about HPV, however, there are significant lack of knowledge regarding HPV infection and the vaccine effects, which can significantly affect the acceptance of vaccination for boys.
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Affiliation(s)
| | - Dimitra Latsou
- Department of Economics Business and Computer Sciences, Neapolis University Pafos, Pafos, Cyprus
| | | | | | - Eleni Albani
- Department of Nursing, University of Patras, Patra, Greece
| | | | - Mary Geitona
- Department of Social and Educational Policy, University of Peloponnese, Corinthos, Greece
| | | | - Maria Saridi
- Department of Nursing, University of Thessaly, Larissa, Greece
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Tsagkaris C, Bartkova J, Saridi M, Panagopoulos P, Zil-E-Ali A. Climate Crisis as an Opportunity for Socially and Environmentally Sensitive Surgical Preparedness: The Major Needs of Minors in Greece. J Pediatr Surg 2024; 59:350-351. [PMID: 37923619 DOI: 10.1016/j.jpedsurg.2023.10.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Accepted: 10/02/2023] [Indexed: 11/07/2023]
Affiliation(s)
- Christos Tsagkaris
- European Student Think Tank, Public Health and Policy Working Group, Amsterdam, Netherlands.
| | - Julia Bartkova
- Department of Burns and Plastic Surgery, University Hospital Brno, Masaryk University, Czech Republic
| | - Maria Saridi
- Department of Nursing, University of Thessaly, Larissa, Greece
| | - Periklis Panagopoulos
- 3rd Department of Obstetrics and Gynecology, Attikon University Hospital, Athens, Greece
| | - Ahsan Zil-E-Ali
- Department of Heart and Vascular Institute, The Pennsylvania State University College of Medicine, Hershey, PA, USA
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Londoudi A, Skampardonis K, Alikari V, Prapa PM, Toska A, Saridi M, Lavdaniti M, Zyga S, Fradelos EC. Assessment of the Relationship between Fear of Cancer Recurrence, Spiritual Well-Being, and Mental Health among Cancer Patients: A Cross-Sectional Study. Nurs Rep 2024; 14:317-327. [PMID: 38391069 PMCID: PMC10885162 DOI: 10.3390/nursrep14010024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Revised: 01/23/2024] [Accepted: 01/26/2024] [Indexed: 02/24/2024] Open
Abstract
The purpose of this study was to examine the relationship between fear of cancer recurrence, spiritual well-being, and mental health among cancer patients. The study involved 217 patients undergoing chemotherapy. Data were collected with the following instruments: a demographic and clinical information recording form, the fear of cancer recurrence inventory, the Athens insomnia scale, the FACIT-Sp-12 scale for the assessment of spirituality, and the HADS scale for the assessment of mental health. For statistical analysis, SPSS statistical software was used, with the significance threshold set at 0.05;andtl number, t-test, one-way ANOVA, and multiple regression tests were used. The sample consisted of 217 cancer patients with a mean age of 63.7 years (SD = 11.6 years), 39.2% male and 60.8% female. The minimum value on the scale of fear of cancer recurrence was 0 and the maximum was 33 points, with a mean value of 14.1 points (SD = 8.2 points). The hospital scale of anxiety and depression was correlated, both in the dimension of anxiety and in the dimension of depression, significantly and positively with the scale of fear of cancer recurrence. Thus, greater fear of recurrence was associated with greater anxiety and depression. On the contrary, the correlations of anxiety and depression with the dimensions and the overall chronic disease treatment rating scale were significant and negative. So, greater spiritual well-being, in each domain and overall, were associated with less anxiety and depression. Finally, less fear of cancer recurrence was associated with finding greater meaning in life, greater peace, and overall greater spiritual well-being. In summary, fear of cancer recurrence is a predictor of psychological distress in cancer patients. However, spirituality can prevent the development of mental illness and FCR.
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Affiliation(s)
| | - Konstantinos Skampardonis
- Laboratory of Clinical Nursing, Department of Nursing, University of Thessaly, 41 500 Larissa, Greece
| | - Victoria Alikari
- Department of Nursing, University of West Attica, 122 43 Athens, Greece
| | - Paraskevi-Maria Prapa
- Laboratory of Clinical Nursing, Department of Nursing, University of Thessaly, 41 500 Larissa, Greece
| | - Aikaterini Toska
- Laboratory of Clinical Nursing, Department of Nursing, University of Thessaly, 41 500 Larissa, Greece
| | - Maria Saridi
- Laboratory of Clinical Nursing, Department of Nursing, University of Thessaly, 41 500 Larissa, Greece
| | - Maria Lavdaniti
- Department of Nursing, International Hellenic University, 570 01 Thessaloniki, Greece
| | - Sofia Zyga
- Department of Nursing, School of Health, University of the Peloponnese, 221 00 Tripoli, Greece
| | - Evangelos C Fradelos
- Laboratory of Clinical Nursing, Department of Nursing, University of Thessaly, 41 500 Larissa, Greece
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Golna C, Poimenidou C, Giannoukari EE(E, Saridi M, Liberopoulos E, Souliotis K. Assessing a Pharmacist-Enabled Intervention to Improve Adherence to Medication for Hypertension, Dyslipidemia, and Chronic Venous Circulation Disorders in Greece. Patient Prefer Adherence 2023; 17:3341-3352. [PMID: 38106368 PMCID: PMC10725630 DOI: 10.2147/ppa.s420811] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Accepted: 11/07/2023] [Indexed: 12/19/2023] Open
Abstract
Background Adherence to medication in chronic conditions may be influenced by interventions from pharmacists. This study aimed to assess the impact of guidance and reminders from pharmacists on adherence to medication for hypertension, dyslipidemia, and chronic venous circulation disorders (CVCD) in Greece. Methods The prospective CONCORD study aimed to record and report on change in self-reported adherence to medication following pharmacist reminders amongst a cohort of adult patients, diagnosed with at least one or a combination of these health conditions. All study participants were regular patients of a network of pharmacies in Attica and southern Greece. Pharmacists were trained to provide adherence reminders over 4 months. Impact on self-reported adherence of the intervention was reported at baseline and again in month 4. Results Of the 1146 participants, 48% were men and 60% were aged 55-74 years. Among them, 23.7% were diagnosed with hypertension, 16.5% with dyslipidemia, 3% with CVCD, 42.5% with hypertension and dyslipidemia, 3.1% with hypertension and CVCD, 2.6% with dyslipidemia and CVCD, and 8.6% with dyslipidemia, hypertension, and CVCD. In month 4 vs month 0, patients were less likely to forget to take their prescribed medications (p<0.001), to be careless about their medications during the last 30 days (p<0.001), and to temporarily discontinue their medications without prior doctor's advice (p<0.001). Patients with CVCD were more prone to lower self-reported adherence compared to patients who were not diagnosed with CVCD or a combination of conditions that included CVCD. Discussion Reminders and advice from pharmacists resulted in higher adherence to medication amongst participants in month 4 versus month 0. Conclusion Pharmacist-enabled interventions, including reminders and advice, following targeted training, may positively impact on patient medication adherence in chronic health conditions.
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Affiliation(s)
- Christina Golna
- Research Department, Health Policy Institute, Maroussi, Greece
| | | | | | - Maria Saridi
- Faculty of Nursing, University of Thessaly, Larissa, Greece
| | - Evangelos Liberopoulos
- First Department of Propaedeutic Internal Medicine, Medical School, Laiko General Hospital, National and Kapodistrian University of Athens, Athens, Greece
| | - Kyriakos Souliotis
- Research Department, Health Policy Institute, Maroussi, Greece
- Department of Social and Education Policy, University of Peloponnese, Corinth, Greece
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Hashemi F, Hoepner L, Hamidinejad FS, Haluza D, Afrashteh S, Abbasi A, Omeragić E, Imamović B, Rasheed NA, Taher TMJ, Kurniasari F, Wazqar DY, Apalı ÖC, Yildirim AD, Zhao B, Kalikyan Z, Guo C, Valbuena AC, Mititelu M, Pando CM, Saridi M, Toska A, Cuba ML, Kwadzokpui PK, Tadele N, Nasibova T, Harsch S, Munkh-Erdene L, Menawi W, Evangelou E, Dimova A, Marinov D, Dimitrova T, Shalimova A, Fouly H, Suraya A, da Silva Faquim JP, Oumayma B, Annunziato MA, Lalo R, Papastavrou E, Ade AD, Caminada S, Stojkov S, Narvaez CG, Mudau LS, Rassas I, Michel D, Kaynar NS, Iqbal S, Elshwekh H, Hossain I, Al-Fayyadh S, Sydorchuk A, Alnusairat DMH, Abdullahi AM, Iqbal N, Pandey A, Gómez-Gómez B, Akyildiz AG, Morosan E, Dwarica D, Dorj G, Hasan SY, Al-Shdayfat NM, Knezevic B, Valladares W, Severi C, Fuentes SC, Augusto S, Sidorova E, Moelyaningrum AD, Alawad T, Khalid A, Elehamer NMK, Mihaylova A, Tsigengagel O, Menouni A, Wojtecka A, Hod R, Idayat YB, Othman K, Harfouch RM, Paunov T, Omar M, Benderli NC, Nurika G, Amjad S, Elnoamany S, Elesrigy F, Shaban MM, Acevedo-López D, Kartashova M, Khalaf A, Jaafar SA, Kadhim TA, Hweissa NA, Teng Y, Mohammed FE, Sasikumar T, Hikaambo CN, Kharat A, Lyamtseva U, Aldeeb MA, Pawlas N, Khorolsuren L, Koonjul RP, Maïnassara HB, Chahal P, Wangeci RW, Kumar AB, Zamora-Corrales I, Gracy S, Mahamat M, Adamczyk J, Rahman HA, Matiashova L, Elsherif OE, Alkhateeb NE, Aleaga Y, Bahrami S, Al-Salihy SR, Cabrera-Galeana P, Lalic-Popovic M, Brown-Myrie E, Bhandari D, Mayaboti CA, Stanišić S, Pestic SK, Bektay MY, Al Sabbah H, Hashemi S, Assia B, Merritt AS, Ramzi Z, Baboolal H, Isstaif J, Shami R, Saad R, Nyirongo T, Hoseini M. A comprehensive health effects assessment of the use of sanitizers and disinfectants during COVID-19 pandemic: a global survey. Environ Sci Pollut Res Int 2023:10.1007/s11356-023-27197-6. [PMID: 37166731 PMCID: PMC10173232 DOI: 10.1007/s11356-023-27197-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Accepted: 04/19/2023] [Indexed: 05/12/2023]
Abstract
COVID-19 has affected all aspects of human life so far. From the outset of the pandemic, preventing the spread of COVID-19 through the observance of health protocols, especially the use of sanitizers and disinfectants was given more attention. Despite the effectiveness of disinfection chemicals in controlling and preventing COVID-19, there are critical concerns about their adverse effects on human health. This study aims to assess the health effects of sanitizers and disinfectants on a global scale. A total of 91,056 participants from 154 countries participated in this cross-sectional study. Information on the use of sanitizers and disinfectants and health was collected using an electronic questionnaire, which was translated into 26 languages via web-based platforms. The findings of this study suggest that detergents, alcohol-based substances, and chlorinated compounds emerged as the most prevalent chemical agents compared to other sanitizers and disinfectants examined. Most frequently reported health issues include skin effects and respiratory effects. The Chi-square test showed a significant association between chlorinated compounds (sodium hypochlorite and per-chlorine) with all possible health effects under investigation (p-value <0.001). Examination of risk factors based on multivariate logistic regression analysis showed that alcohols and alcohols-based materials were associated with skin effects (OR, 1.98; 95%CI, 1.87-2.09), per-chlorine was associated with eye effects (OR, 1.83; 95%CI, 1.74-1.93), and highly likely with itching and throat irritation (OR, 2.00; 95%CI, 1.90-2.11). Furthermore, formaldehyde was associated with a higher prevalence of neurological effects (OR, 2.17; 95%CI, 1.92-2.44). Furthermore, formaldehyde was associated with a higher prevalence of neurological effects (OR, 2.17; 95%CI, 1.92-2.44). The use of sodium hypochlorite and per-chlorine also had a high chance of having respiratory effects. The findings of the current study suggest that health authorities need to implement more awareness programs about the side effects of using sanitizers and disinfectants during viral epidemics especially when they are used or overused.
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Affiliation(s)
- Fallah Hashemi
- Department of Environmental Health Engineering, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Lori Hoepner
- Department of Environmental and Occupational Health Sciences, School of Public Health, SUNY Downstate Health Sciences Center, Brooklyn, NY, USA
| | - Farahnaz Soleimani Hamidinejad
- Department of Medicine, O.O. Bogomolets National Medical University, Kyiv, Ukraine
- Department of Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Daniela Haluza
- Center for Public Health, Department for Environmental Medicine, Medical University of Vienna, Kinderspitalgasse 15, 1090, Vienna, Austria
| | - Sima Afrashteh
- Department of Biostatistics and Epidemiology, Faculty of Health and Nutrition, Bushehr University of Medical Sciences, Bushehr, Iran
| | - Alireza Abbasi
- Department of Environmental Health Engineering, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Elma Omeragić
- Faculty of Pharmacy, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
| | - Belma Imamović
- Faculty of Pharmacy, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
| | - Narin A Rasheed
- Department of Medical Laboratory Technology, College of Health and Medical Technology Shekhan, Duhok Polytechnic University, Duhok, Kurdistan Region, Iraq
| | - Taqi M J Taher
- Family and Community Medicine Department, College of Medicine, University of Wasit, Kut, Wasit, Iraq
| | - Fitri Kurniasari
- Department of Environmental Health, Faculty of Public Health, University of Indonesia, Jakarta, Indonesia
| | - Dhuha Youssef Wazqar
- Department of Medical-Surgical Nursing, Faculty of Nursing, King Abdulaziz University, Jeddah, Saudi Arabia
| | | | | | - Bo Zhao
- Department of Health Administration, Graduate School, Yonsei University, 1 Yonseidae-Gicl, Wonju, Gangwon-do, 26493, South Korea
| | - Zaruhi Kalikyan
- Department of Clinical Immunology and Allergology, Yerevan State Medical University, Yerevan, Armenia
| | - Cui Guo
- Department of Urban Planning and Design, The University of Hong Kong, Hong Kong, China
| | | | - Magdalena Mititelu
- Department of Clinical Laboratory and Food Safety, Faculty of Pharmacy, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | | | - Maria Saridi
- School of Social Sciences, Hellenic Open University, Patras, Greece
| | - Aikaterini Toska
- School of Social Sciences, Hellenic Open University, Patras, Greece
| | - Magalys Lopez Cuba
- Department of Pathology, School of Medicine, University of Health and Allied Sciences, Ho, Ghana
| | - Precious Kwablah Kwadzokpui
- Department of Medical Laboratory Science, School of Allied Health Sciences, University of Health and Allied Sciences, Ho, Ghana
| | - Niguse Tadele
- Department of Nursing, School of Nursing & Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
| | - Tohfa Nasibova
- General and Toxicological Chemistry Department, Azerbaijan Medical University, Baku, Azerbaijan
| | - Stefanie Harsch
- Institute of Sociology, University of Education Freiburg, Freiburg, Germany
| | - Luvsan Munkh-Erdene
- Department of Health Policy, School of Public Health, Mongolian National University of Medical Sciences, Ulan Bator, Mongolia
| | - Wafaa Menawi
- Public Health Management Program, Faculty of Graduate Studies, An-Najah University, Nablus, State of Palestine
| | - Efi Evangelou
- Nursing Department Limassol, Cyprus University of Technology, Limassol, Cyprus
| | - Antoniya Dimova
- Faculty of Public Health, Medical University Varna, 55 Marin Drinov Street, 9002, Varna, Bulgaria
| | - Dimitar Marinov
- Department of Hygiene and Epidemiology, Faculty of Public Health, Medical University of Varna, Varna, Bulgaria
| | - Teodora Dimitrova
- Department of Hygiene and Epidemiology, Faculty of Public Health, Medical University of Varna, Varna, Bulgaria
| | - Anna Shalimova
- Internal Medicine N1, Kharkiv National Medical University, Kharkiv, Ukraine
| | - Howieda Fouly
- Reproductive Health Nursing (Gynecology and Obstetrics Nursing), Faculty of Nursing, Assiut University, Asyut, Egypt
| | - Anna Suraya
- CIHLMU Center for International Health, University Hospital, LMU, Munich, Germany
- Occupational Safety and Health Department, Binawan University, East Jakarta, Indonesia
| | | | - Bouadil Oumayma
- National School of Applied Sciences of Al Hoceima, Abdelmalek Essaadi University, Tetouan, Morocco
| | | | - Rezarta Lalo
- Department of Health Care, Faculty of Public Health, The University of Vlore "Ismail Qemali", Vlore, Albania
| | | | - Anju D Ade
- Department of Community Medicine, SVIMS, Sri Padamavathi Medical College, Tirupati, Andhra Pradesh, India
| | - Susanna Caminada
- Department of Public Health and Infectious Diseases, Sapienza University, Rome, Italy
| | - Svetlana Stojkov
- Department of Social Pharmacy, Faculty of Pharmacy, University Business Academy in Novi Sad, Novi Sad, Serbia
| | | | - Lutendo Sylvia Mudau
- Department of Environmental Health, Faculty of Science, Tshwane University of Technology, Pretoria, South Africa
| | - Ines Rassas
- Department of Occupational Medicine and Ergonomics, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Daphnee Michel
- West Department, Quisqueya University, Port-au-Prince, Haiti
| | - Nur Sema Kaynar
- Public Health Nursing Department, Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Sehar Iqbal
- Department of Public Health and Nutrition, Al Ain University, Abu Dahbi, United Arab Emirates
| | - Halla Elshwekh
- Department of Genetic Engineering, The Biotechnology Research Center, Tripoli, Libya
| | - Irin Hossain
- Department of Occupational and Environmental Health (OEH), NIPSOM, Mohakhali, Dhaka, Bangladesh
| | - Sadeq Al-Fayyadh
- Adult Nursing Department, College of Nursing, University of Baghdad, Baghdad, Iraq
| | - Aniuta Sydorchuk
- Department of Infectious Diseases and Epidemiology, Bukovinian State Medical University, Chernivtsi, Ukraine
| | - Dua'a M H Alnusairat
- Clinical Sciences Department, College of Medicine, University of Sharjah, Sharjah, United Arab Emirates
| | | | - Neelam Iqbal
- Environmental Epidemiology Group, UK Health Security Agency, Chilton, Oxon, UK
| | - Apsara Pandey
- Maharajgunj Nursing Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal
| | - Brenda Gómez-Gómez
- Department of Infectious Diseases, Centro Médico ABC, Mexico City, Mexico
| | - Aysenur Gunaydin Akyildiz
- Department of Pharmaceutical Toxicology, Faculty of Pharmacy, Bezmialem Vakif University, Istanbul, Turkey
| | - Elena Morosan
- Department of Clinical Laboratory and Food Safety, Faculty of Pharmacy, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - Daniella Dwarica
- Faculty of Medical Sciences, University of the West Indies, St. Augustine, Trinidad and Tobago
| | - Gantuya Dorj
- Department of Epidemiology and Biostatistics, School of Public Health, Mongolian National University of Medical Sciences, Ulan Bator, Mongolia
| | - Sumaya Yusuf Hasan
- Department of Natural Resources and Environment, College of Graduate Studies, Arabian Gulf University, Manama, Bahrain
| | - Noha M Al-Shdayfat
- Community and Mental Health Department, Al al-Bayt University, Mafraq, Jordan
| | | | - Wendy Valladares
- Microbiology Research Institute, National Autonomous University of Honduras, Tegucigalpa, Honduras
| | - Cecilia Severi
- Department of Preventive Medicine, Faculty of Medicine, University of the Republic, Montevideo, Uruguay
| | | | - Sofia Augusto
- EPIUnit-Institute of Public Health, University of Porto, Porto, Portugal
| | | | - Anita Dewi Moelyaningrum
- Public Health Faculty, Environmental Health and Occupational Health and Savety Departement, University of Jember, Jember, Indonesia
| | - Tafaul Alawad
- Faculty of Public and Environmental Health, University of Khartoum, Khartoum, Sudan
| | - Atiqa Khalid
- Sahiwal Medical College, University of Health Sciences, Lahore, Pakistan
| | | | - Anna Mihaylova
- Medical College, Medical University of Plovdiv, Plovdiv, Bulgaria
| | - Oxana Tsigengagel
- Department of Public Health, NCJSC "Semey Medical University", Semey, Kazakhstan
| | - Aziza Menouni
- Environment and Health Unit, Department of Public Health and Primary Care, Katholieke Universiteit Leuven, Leuven, Belgium
| | - Agnieszka Wojtecka
- Department of Public Health and Social Medicine, Medical University of Gdansk, Gdansk, Poland
| | - Rozita Hod
- Department of Community Health, Faculty of Medicine, University Kebangsaan Malaysia, Bangi, Malaysia
| | - Yusuf Banke Idayat
- Department of Environmental Health Sciences, University of Ibadan, Ibadan, Nigeria
| | - Khadija Othman
- Ministry of Foreign Affairs and East African Cooperation, Dodoma, Tanzania
| | - Rim M Harfouch
- Department of Microbiology and Biochemistry, Al Sham Private University, Latakia, Syria
| | - Tsonco Paunov
- Department of Hygiene and Epidemiology, Faculty of Public Health, Medical University of Varna, Varna, Bulgaria
| | - Meruyert Omar
- Department of Population Health and Social Sciences, Kazakhstan's Medical University School of Public Health, Almaty, Kazakhstan
| | - Nana Christine Benderli
- Biotechnology Center, University of Yaoundé I, Yaoundé, Cameroon
- Department of Animals Biology and Physiology, University of Yaoundé I, Yaoundé, Cameroon
| | - Globila Nurika
- Public Health Faculty, Environmental Health and Occupational Health and Savety Departement, University of Jember, Jember, Indonesia
| | - Sana Amjad
- Department of Obstetrics and Gynaecology, University of Alberta, Edmonton, Canada
| | - Salma Elnoamany
- Family Medicine Department, Faculty of Medicine, Menoufia University, Menoufia, Egypt
| | - Fatma Elesrigy
- Family Medicine Department, Faculty of Medicine, Menoufia University, Menoufia, Egypt
| | - Marwa Mamdouh Shaban
- Community Health Nursing Department, Faculty of Nursing, Cairo-University, Cairo, Egypt
| | - Doménica Acevedo-López
- Faculty of Medicine, Fundación Universitaria Autónoma de las Américas, Pereira, Risaralda, Colombia
| | - Maria Kartashova
- Department of Human Pathology, Sechenov University, Moscow, Russia
| | - Atika Khalaf
- Faculty of Health Sciences, Kristianstad University, Kristianstad, Sweden
- College of Nursing, Sultan Qaboos University, Muscat, Oman
| | | | - Taisir A Kadhim
- College of Nursing, University of Al-Muthanna, Samawah, Iraq
| | - Nada Ab Hweissa
- Department of Public Health, Faculty of Medical Technology, Zawia University, Zawia, Libya
| | - Yulong Teng
- Department of Korean Language and Literature, Graduate School, Yonsei University, Gangwon-do, South Korea
| | | | | | | | - Aditi Kharat
- College of Pharmacy, University of Utah, Salt Lake City, UT, USA
| | - Ulyana Lyamtseva
- Department of Medicine of the Future, Sechenov University, Moscow, Russia
| | - Maya Arfan Aldeeb
- Hamad Medical Corporation, Doha, Qatar
- Damascus University, Damascus, Syria
| | - Natalia Pawlas
- Department of Pharmacology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland
| | - Lkhagvasuren Khorolsuren
- Institute of Public Health, Mongolian National University of Medical Sciences, Ulan Bator, Mongolia
| | | | | | | | - Rose W Wangeci
- Health Sciences, School of Public Health, University of Nairobi, Nairobi, Kenya
| | - Ainur B Kumar
- Department of Health Policy and Management, School of Public Health, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
| | | | - Stella Gracy
- Department of Biomedical Sciences, University of Asmara, Asmara, Eritrea
| | - Maimouna Mahamat
- Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, Yaounde General Hospital, Yaounde, Cameroon
| | - Jakub Adamczyk
- Faculty of Health Sciences, Jan Długosz University of Humanities and Life Sciences, Czestochowa, Poland
| | - Haliza Abdul Rahman
- Department of Environmental and Health Sciences, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia
| | - Lolita Matiashova
- T Malaya Therapy National Institute, National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine
| | | | - Nazdar E Alkhateeb
- Department of Medical Education, College of Medicine, Hawler Medical University, Erbil, Iraq
| | - Yamilé Aleaga
- Department of Clinical Microbiology, Institute of Tropical Medicine "Pedro Kouri", Havana, Cuba
| | | | | | | | - Mladena Lalic-Popovic
- Department of Pharmacy, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
| | - Eugenie Brown-Myrie
- Department of Pharmaceutics, School of Pharmacy, College of Health Sciences, University of Technology, Kingston, Jamaica
| | | | | | | | - Sanda Kreitmayer Pestic
- Family Medicine Department, Medical School, University of Tuzla, Tuzla, Bosnia and Herzegovina
| | - Muhammed Yunus Bektay
- Clinical Pharmacy Department, Faculty of Pharmacy, Marmara University, Istanbul, Turkey
| | - Haleama Al Sabbah
- Department of Health Sciences, Zayed University, Dubai, United Arab Emirates
| | - Saber Hashemi
- Department of Chemical Engineering, Faculty of Engineering, University of Kurdistan, Sanandaj, Iran
| | - Bouchetara Assia
- Peadiatric's Infectious diseases, Hospital of Canastel and Faculty of Medicine, Oran, Algeria
| | - Anne-Sophie Merritt
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
| | - Zhian Ramzi
- College of Nursing, University of Sulaimani, Kurdistan, Sulaimani, Iraq
| | - Himawatee Baboolal
- Faculty of Medical Sciences, University of the West Indies, St. Augustine, Trinidad and Tobago
| | - Juman Isstaif
- Department of Neurology, Faculty of Medicine, Damascus University, Damascus, Syria
| | - Rula Shami
- Department of Public Health, College of Health Sciences, Qatar University, Doha, Qatar
| | - Rahma Saad
- Department of Public Health, Qatar University, Doha, Qatar
| | | | - Mohammad Hoseini
- Research Center for Health Sciences, Institute of Health, Shiraz, Iran.
- Department of Environmental Health, School of Health, Shiraz University of Medical Sciences, Razi Blvd, Kuye-Zahra Ave, Shiraz, 1417653861, Iran.
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8
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Toska A, Saridi M, Christakis A, Gotsi S, Fradelos EC, Papageorgiou G, Souliotis K. Frequency and Impacts of Verbal Abuse on Healthcare Workers in a Secondary Healthcare Structure in Greece. Cureus 2023; 15:e35406. [PMID: 36987469 PMCID: PMC10040172 DOI: 10.7759/cureus.35406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/22/2023] [Indexed: 03/30/2023] Open
Abstract
BACKGROUND Threatening and aggressive behaviors in healthcare settings constitute a significant problem that can affect not only the physical and mental integrity of staff but also patient safety and the quality of healthcare. Literature highlights verbal abuse as the most common form of non-physical violence and is estimated from 51.8% to 63.4% worldwide. PURPOSE The purpose of the study was the investigation of verbal abuse incidence toward physicians and nurses and the differences noted between them in a regional hospital. METHODS The study took place in a public regional hospital in southern Greece. A number of 185 nurses and 60 physicians completed the verbal abuse scale (VAS) for assessing verbal violence in the work environment; selected socio-demographic and occupational characteristics were also recorded. RESULTS Physicians have undergone verbal abuse once a week at a percentage of 38.3%, while at the same frequency; nurses record a percentage of 12.4%. Regarding the relationship between the victim of verbal abuse and the abuser, 26.7% of the physicians answered that the abuser was another senior member of the staff, while the percentage for nurses is higher and reaches 31.9%. According to VAS items, accusing and blaming (mean±SD=3.00±0.96) is noted as the most common form of verbal abuse for physicians, judging and criticizing stands out as the most frequent (3.17±1.11) and the most stressful action (3.25±1.11) form for nurses. The most frequent behavior by the physicians is to put the verbal abuse situation in a humorous context (2.78±1.14). In contrast, nurses are trying to clarify any misunderstanding that may occur (3.10±1.00). CONCLUSIONS Verbal abuse incidents are experienced by both physicians and nurses. They are stressful for the victims and can significantly affect work relationships and job satisfaction.
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Affiliation(s)
| | - Maria Saridi
- Department of Nursing, University of Thessaly, Larissa, GRC
| | | | - Sofia Gotsi
- Department of General Surgery, General Hospital of Corinth, Corinth, GRC
| | | | | | - Kyriakos Souliotis
- Department of Social & Educational Policy, University of Peloponnese, Corinth, GRC
- Department of Research, Health Policy Institute, Athens, GRC
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9
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Toska A, Diamantopoulos V, Mastrogiannis D, Fradelos EC, Albani E, Vus V, Saridi M. FEAR AND STIGMATIZATION IN THE GENERAL POPULATION DURING THE COVID-19 PANDEMIC. Pol Merkur Lekarski 2023; 51:306-313. [PMID: 37756448 DOI: 10.36740/merkur202304102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/29/2023]
Abstract
OBJECTIVE Aim: The aim of the study was to investigate the feeling of fear and stigmatization in the general population, during the pandemic. . PATIENTS AND METHODS Materials and Methods: The study sample consisted of 1076 people attending a vaccination center in the Region of Argos, a prefecture of Peloponnese Region. The study was conducted from May 2021 to August 2021. In this study we used the Fear Investigation Scale(FCV-19S) and the COVID-19 Stigma scale. RESULTS Results: A total of 1076 participants took part in the study. Vaccinated participants for Sars Cov-2 had higher levels of fear (U=117,569.00, p<0.001) and individuals with unspecified employment status had a higher level of fear compared to civil servants, pensioners, unemployed, private employees and freelancers (H = 17.225, p=0.004). Higher levels of fear were also seen by those who reported that they were uncertain that the COVID-19 pandemic was likely to be treated soon compared to those who believed it would be treated soon and those who did not believed this (H = 31.299, p<0.001). Vaccinated citizens showed a higher stigmatization rate of health professionals. Professional uncertainty and unemployment shows that they are a factor for increased fear. Strong social and family ties also indicate the reduced presence of stigmatization. CONCLUSION Conclusions: An important imprint of the pandemic was the stigmatization of population's groups, such as health professionals, foreigners, as well as the infected by COVID-19. It is evident in society, that it was the fear of contracting the disease that contributed to stigmatization and isolation.
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Affiliation(s)
| | | | | | | | | | - Viktor Vus
- INSTITUTE FOR SOCIAL AND POLITICAL PSYCHOLOGY NATIONAL ACADEMY OF EDUCATIONAL SCIENCE OF UKRAINE, KYIV, UKRAINE
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10
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Fradelos EC, Prapa PM, Tsaras K, Papagiannis D, Chatzi M, Papathanasiou IV, Guillen B, Saridi M, Souliotis K. The Validation of the COmprehensive Score for Financial Toxicity (COST) Scale in Greek Language. Adv Exp Med Biol 2023; 1425:191-197. [PMID: 37581793 DOI: 10.1007/978-3-031-31986-0_18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/16/2023]
Abstract
The aim of this study was to investigate the psychometric properties of the Greek version of FACIT-COST, as well as to assess the levels of financial distress of patients suffering from lung cancer in relation to their quality of life and lung cancer symptom burden. This was a cross-sectional quantitative study. A self-assessment instrument was used to gather the data. The study involved 120 lung cancer patients who were treated using chemotherapy in a day clinic of a General Hospital in Athens. Data were collected with the COST-FACIT-v2 (used to assess the patients' financial toxicity), The 12-item Health Survey (SF-12), and functional Assessment of Cancer Therapy-Lung Symptom Index Questionnaire-7 items-version 4 (FACIT-FACT-LCS). Descriptive statistics as well as exploratory factor analysis performed all the statistical analyses, which were conducted using IBM SPSS Statistics 25 and had p-values with a significance level of 0.05. The majority of the participants were male (68.3%), married or cohabitated (81.3%), and had been diagnosed with microcell cancer (90%). The factor analysis resulted in one factor that interpreted 35% of the total variance. FACT-L (r = 0.365, p < 0.001), physical component SF-12 (r = 0.184, p = 0.045), and mental health component SF-12 (r = 0.268, p = 0.003) were positively correlated to FACIT-OST, as expected. The Greek validated COST-FACIT-v2 is a reliable tool in providing rapid assessment of cancer patients' level of financial distress.
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Affiliation(s)
| | | | | | | | - Maria Chatzi
- Department of Infections, University Hospital of Larissa, Larissa, Greece
| | | | | | - Maria Saridi
- Department of Nursing, University of Thessaly, Larissa, Greece
| | - Kyriakos Souliotis
- Department of Social and Education Policy, University of Peloponnese, Corinth, Greece
- Health Policy Institute, Athens, Greece
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11
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Triantafyllakis I, Saridi M, Toska A, Albani EN, Togas C, Christodoulou DK, Katsanos KH. SURGICAL INTERVENTION IN PATIENTS WITH IDIOPATHIC INFLAMMATORY BOWEL DISEASE AND PERIANAL DISEASE. Pol Merkur Lekarski 2023; 51:482-488. [PMID: 38069848 DOI: 10.36740/merkur202305106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/18/2023]
Abstract
OBJECTIVE Aim: The aim of the study was to investigate the incidence of IBD in gastrointestinal surgery patients and record the disease's characteristics and treatment. PATIENTS AND METHODS Materials and Methods: A search was carried out in the archives of the gastroenterology clinics of the University General Hospital of Ioannina and the General Hospital of Ioannina "G. Hatzikosta" in Greece. All cases of operated patients from 1980 to 2018 were examined. The duration of the study was 4 months. Data were analyzed with the SPSS program, v.28. RESULTS Results: The total sample consisted of 1464 patients (n=1464). Most of them (915-62.5%) came from the University General Hospital of Ioannina, while the rest (549-37.5%) came from the GHI hospital "G. Hatzikosta". The mean age of the patients was 47 years (M=47.26, SD=17.34, Min=<1 month, Max=95 years). From the total sample, 58 patients (4%) suffered from IBD; most were men (42-72.41%). Their mean age was approximately 50 years (M=49.63, SD=16.48, Min=25 years, Max=77 years, range=52 years) and most belonged to the age groups of 31-40 years (11 patients- 19.6%) and 21-30 years and 61-70 years (10 patients-17.9%). The perianal disease was present in 43.1% (25 patients). The most frequent type of operation was fistula resection, ligation, curettage-biopsy (24.1%) and opening-drainage (22.4%-13 patients) and the most frequent type of anesthesia was general anesthesia (93.1%-54 patients). CONCLUSION Conclusions: This long-term study of the patients' data followed up over time showed that the possibility of surgery in patients with IBD is mitigated through systematic monitoring and multifaceted therapeutic treatment.The perianal disease which appeared more often in men shows that it can be diagnosed early and at an early stage and with the new minimally invasive techniques the patient with IBD can be treated with a better quality of life.
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Affiliation(s)
| | - Maria Saridi
- LABORATORY OF CLINICAL NURSING, DEPARTMENT OF NURSING, UNIVERSITY OF THESSALY, LARISSA, GREECE
| | - Aikaterini Toska
- LABORATORY OF CLINICAL NURSING, DEPARTMENT OF NURSING, UNIVERSITY OF THESSALY, LARISSA, GREECE
| | - Eleni N Albani
- DEPARTMENT OF NURSING, UNIVERSITY OF PATRA, PATRA, GREECE
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12
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Fradelos EC, Saridi M, Bakalis V, Toska A, Vus V, Büssing A, Souliotis K. MENTAL HEALTH, QUALITY OF LIFE, SPIRITUAL DRYNESS AND ACEDIA SYMPTOMS IN PATIENTS SUFFERING FROM CHRONIC DISEASES. Wiad Lek 2023; 76:1332-1341. [PMID: 37463365 DOI: 10.36740/wlek202306102] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/20/2023]
Abstract
OBJECTIVE The aim of the present study is to examine mental health, quality of life, acedia and spiritual dryness in patients suffering from chronic diseases. PATIENTS AND METHODS Materials and method: Data were collected by special design instrument for the needs of the present study. Descriptive statistics and inferential statistics were applied and the analysis was carried out with IBM SPSS 26 and JASP 0.14.01. RESULTS Results: From the total of 210 participants, 106 (50.4%) were male, the mean age was 62.9 years, and the majority of them were diagnosed with type 2 diabetes. 50 (23.8%) of the participants suffer from anxiety and 39 (18.6%) from depression. In addition, 17.1% experience phases of spiritual dryness frequently or regularly. Physical quality of life component, was associated with the following variables: live from faith, psychological wellbeing, type of disease and age. This model can predict 31.1% of the variance. In terms of psychological wellbeing, the variables living arrangement, awe/gratitude, anxiety, and spiritual dryness can interpret 41.5% of the variance. When it comes to depression, we found that wellbeing, awe/gratitude are predictors of depressive symptoms, explaining at least 14.1% of the variance. Finally, anxiety can be predicted by wellbeing, awe/gratitude, and the type of the disease, interpreting 17.2% of the variance. CONCLUSION Conclusions: Patients suffering from chronic diseases are experiencing spiritual dryness and acedia symptoms, and those aspects can be associated with various domains of health and wellbeing.
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Affiliation(s)
| | | | | | | | - Viktor Vus
- INSTITUTE FOR SOCIAL AND POLITICAL PSYCHOLOGY NAES OF UKRAINE, KYIV, UKRAINE
| | | | - Kyriakos Souliotis
- UNIVERSITY OF PELOPONNESE, CORINTH, GREECE; HEALTH POLICY INSTITUTE, ATHENS, GREECE
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13
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Toska A, Latsou D, Saridi M, Fradelos EC, Vus V, Geitona M. CLINICAL AND BEHAVIORAL PRACTICES OF PRIMARY HEALTHCARE PHYSICIANS IN ANTIBIOTICS PRESCRIBING IN GREECE. Pol Merkur Lekarski 2023; 51:201-206. [PMID: 37589103 DOI: 10.36740/merkur202303103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/18/2023]
Abstract
OBJECTIVE Aim: To evaluate primary health physicians' clinical and behavioral practices towards antibiotics administration in a specific region in Greece. PATIENTS AND METHODS Materials and methods: A cross sectional study was conducted using a questionnaire in all structures of primary health care (PHC) of the Peloponnese Region. The study was conducted in May-October 2020. RESULTS Results: In total, 306 out of 404 primary healthcare physicians completed the questionnaire (response rate of 75.8%). Our results showed that most of physicians used to prescribing antibiotics empirically in common diseases, except for the prevention of secondary respiratory tract infection. Overall, 66.3% answered that they do not feel diagnostic uncertainty that would lead them to prescribe antibiotics. Approximately 40% of the physicians stated an increase on antibiotics use and patients demand for antibiotic prescribing, however 71.4% "rarely/never" affected by this requirement. 51.9% of the sample used to prescribed brand name antibiotics. Statistically significant differences were found between demographic and professional characteristics, and physicians' clinical and behavioral practices (p≤ 0.05). CONCLUSION Conclusions: Our findings could provide decision makers with information on how to manage antibiotic prescribing in primary health care in the country, focusing mainly on the use of specific diagnostic tests as well as relevant guidelines and protocols for changing prescription behavior.
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Affiliation(s)
| | - Dimitra Latsou
- UNIVERSITY OF NEAPOLIS, CYPRUS, UNIVERSITY OF PELOPONNESE, CORINTH, GREECE
| | | | | | - Viktor Vus
- NATIONAL ACADEMY OF EDUCATIONAL SCIENCES OF UKRAINE, KYIV, UKRAINE
| | - Mary Geitona
- UNIVERSITY OF NEAPOLIS, CYPRUS, UNIVERSITY OF PELOPONNESE, CORINTH, GREECE
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14
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Gamvroula A, Antonopoulos S, Stratou E, Toutouni C, Aggelaina S, Lampou G, Saridi M. The Impact of COVID-19 Pandemic on Quality of Life among General Population at Argolida regional unit. Eur Psychiatry 2022. [PMCID: PMC9564492 DOI: 10.1192/j.eurpsy.2022.957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction
The impact of the Covid-19 on the quality of life (QOL) have been reported and highlighted by several research studies worldwide.
Objectives
The primary objective of this study is to evaluate the impact of the COVID-19 pandemic on quality of life among Greek general population of Argolida, taking into consideration the socio-demographic characteristics.
Methods
Information on the socio-demographic characteristics and Covid related data of the respondents was collected by a questionnaire including age, gender, education level, marital status, health status, smoking history, sedentary lifestyle, job status. A 5-point Likert scale (MVQOLI) was used to examine the QOL. Comparisons on the variables were performed using Kruskal-Wallis H Test and x2 test, using SPSS Statistics (version 20).
Results
A total of 620 Greek adults (Females n =381) were requested to answer by filling the questionnaire or Google Form. The results showed statistically significant differences in higher level QOL depending on a number of variables that are presented in the table. Table Demographic characteristics of the study with higher level QOL
Sample Characteristics
p Value
Gender : Female
0,003
Marital status: Married /cohabitation
0,011
Level of education : High
0,000
Health status: Non psychiatric disease
0,022
Smoking status: Never smoked & ex-smoker
0,043
Sedentary life style
0,002
Non covid-19 affected
0,001
Confidence in the health system
0,001
Confidence in health workers
0,001
Conclusions
The results showed that female sex, married, higher educated respondents, non smokers were significantly associated with higher QOL. The findings can certainly offer guidelines in developing programs and interventions for all domains of QOL.
Disclosure
No significant relationships.
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15
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Saridi M, Toska A, Latsou D, Chondropoulou MA, Matsioula A, Sarafis P. Assessment of quality of life and psycho-emotional burden in pregnant women in Greece. Eur J Midwifery 2022; 6:13. [PMID: 35415465 PMCID: PMC8939182 DOI: 10.18332/ejm/145963] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2021] [Revised: 04/14/2021] [Accepted: 01/19/2022] [Indexed: 11/24/2022] Open
Abstract
INTRODUCTION Many changes occur in a woman’s body during pregnancy. These changes (biological, chemical, hormonal, anatomical) can make a pregnant woman both physically and mentally vulnerable. Thus, the aim of this study is to evaluate the quality of life (QoL) in association with depression symptoms in pregnancy. METHODS A cross-sectional study was conducted in 123 pregnant women who visited one of the largest obstetrics and gynecology centers in Greece. The Edinburgh Postnatal Depression Scale (EPDS) was used to measure depression symptoms and World Health Organization Quality of Life instrument to evaluate quality of life. The collected data were organized with the SPSS software, version 25. RESULTS The results showed that 15.5% of pregnant women were at an increased risk of developing depression symptoms; 91% of the women declared that their QoL was good/very good, whereas 92.7% was very satisfied with their health status. Depression symptoms seem to be positively correlated with the low household income, unpleasant event during pregnancy, and the trimester of pregnancy. Additionally, unmarried women, an unpleasant event during pregnancy and the second trimester of pregnancy proved to be negatively associated with the quality of life. Women without a risk of depression had better QοL than women who were at risk of depression symptoms. CONCLUSIONS It is important to evaluate the QοL of women during pregnancy with the aim of good prenatal health. The organization of the necessary interventions for mothers’ health and their newborns are also of vital importance.
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Affiliation(s)
- Maria Saridi
- School of Social Sciences, Hellenic Open University, Patras, Greece
| | - Aikaterini Toska
- School of Social Sciences, Hellenic Open University, Patras, Greece
| | - Dimitra Latsou
- Department of Social and Educational Policy, University of Peloponnese, Corinth, Greece
| | | | | | - Pavlos Sarafis
- Department of Nursing, Faculty of Health Sciences, Cyprus University of Technology, Limassol, Cyprus
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16
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Fousekis FS, Papamichael K, Kourtis G, Albani EN, Orfanidou A, Saridi M, Katsanos KH, Christodoulou DK. The efficacy of immunomodulators in the prevention and suppression of anti-drug antibodies to anti-tumor necrosis factor therapy in inflammatory bowel disease. Ann Gastroenterol 2022; 35:1-7. [PMID: 34987282 PMCID: PMC8713338 DOI: 10.20524/aog.2021.0682] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2021] [Accepted: 10/28/2021] [Indexed: 11/11/2022] Open
Abstract
The development of biological agents against tumor necrosis factor (TNF) has revolutionized the management of inflammatory bowel disease (IBD), frequently achieving induction and maintenance of remission in both ulcerative colitis and Crohn's disease. However, a loss of response due to the development of anti-drug antibodies (ADA) is seen annually in approximately 20% of IBD patients receiving anti-TNF therapy. Current evidence suggests that the use of immunomodulators (IMM), such as thiopurines (azathioprine and 6-mercaptopurine) or methotrexate, may prevent or suppress ADA formation. In this article, we present a comprehensive review of the available literature regarding the efficacy of IMM in the prevention and suppression of ADA development to anti-TNF therapy in patients with IBD.
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Affiliation(s)
- Fotios S. Fousekis
- Department of Gastroenterology, School of Health Sciences, University Hospital of Ioannina, Faculty of Medicine, University of Ioannina, Ioannina, Greece (Fotios S. Fousekis, Konstantinos H. Katsanos, Dimitrios K. Christodoulou)
| | - Konstantinos Papamichael
- Center for Inflammatory Bowel Diseases, Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA (Konstantinos Papamichael)
| | - Georgios Kourtis
- Department of Department of Nursing, “Sotiria” General Hospital, Athens, Greece (Georgios Kourtis)
| | - Eleni N. Albani
- Department of Nursing, University of Patra, Patra, Greece (Eleni N. Albani)
| | - Afroditi Orfanidou
- Academic Department of Gastroenterology, Laiko General Hospital, Medical School of National Kapodistrian University of Athens, Greece (Afroditi Orfanidou)
| | - Maria Saridi
- Department of Nursing, University of Thessaly, Lamia, Greece (Maria Saridi)
| | - Konstantinos H. Katsanos
- Department of Gastroenterology, School of Health Sciences, University Hospital of Ioannina, Faculty of Medicine, University of Ioannina, Ioannina, Greece (Fotios S. Fousekis, Konstantinos H. Katsanos, Dimitrios K. Christodoulou)
| | - Dimitrios K. Christodoulou
- Department of Gastroenterology, School of Health Sciences, University Hospital of Ioannina, Faculty of Medicine, University of Ioannina, Ioannina, Greece (Fotios S. Fousekis, Konstantinos H. Katsanos, Dimitrios K. Christodoulou)
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Albani EN, Togas C, Kanelli Z, Fradelos EC, Mantzouranis G, Saridi M, Tzenalis A. IS THERE AN ASSOCIATION BETWEEN HEALTH LITERACY AND ADHERENCE TO THE MEDITERRANEAN DIET? A CROSS-SECTIONAL STUDY IN GREECE. Wiad Lek 2022; 75:2181-2188. [PMID: 36378692 DOI: 10.36740/wlek202209201] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
OBJECTIVE The aim: To evaluate the relationship between adherence to the Mediterranean diet and health literacy and to find possible differences based on the demographic characteristics of the participants. PATIENTS AND METHODS Materials and methods: A cross-sectional study was carried out with a convenience sample from the Greek general population (n=203). The questionnaires were distributed through the Google Forms platform, while some of them were given on hand. The questionnaire used included demographic information, questions about the participants' health status and nutrition habits and the Health Literacy Scale (HLS - EU-Q16) and the MedDietScore. The survey was conducted June - July 2022. The program SPSS v. 26.0 was used for the analysis of data. RESULTS Results: The mean score in HLS-EU-Q16 was 12.08 (SD=4.17) (15.8%=inadequate level, 30% =problematic level, 54.2%=sufficient level). The mean score in Med DietScore was 31.54 (SD=4.84) and the majority (72.4%) had medium adherence to the Mediterranean diet. Concerning the HLS-EU-Q16, women and those who had not children, were not patients and used the Internet for finding health information had higher score. In contrast, widows/ers and those with elementary education had lower score. With regard to the Med DietScore, those who were patients and had normal weight had higher score than the rest categories. A negative correlation was found between age-HLS-EU-Q16 (r=-.605, p<.01) and between BMI-Med DietScore (r=-.142, p<.05). CONCLUSION Conclusions: Most of the participants had sufficient level of health literacy and medium adherence to the Mediterranean diet. Furthermore, there was not a significant correlation between adherence to the Mediterranean diet and health literacy. Several demographic and medical characteristics impact the health literature level and the adherence to the Mediterranean diet. Future research is suggested to further evaluate the results of this study.
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Geitona M, Toska A, Latsou D, Saridi M. Detection and Reporting of Adverse Drug Reactions related to Antibiotics in Primary Healthcare in Greece. Curr Drug Saf 2021; 17:217-224. [PMID: 34749626 DOI: 10.2174/1574886316666211108103952] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2021] [Revised: 06/28/2021] [Accepted: 08/30/2021] [Indexed: 11/22/2022]
Abstract
BACKGROUND Detection of adverse drug reactions (ADRs) is a challenging matter for healthcare professionals who contribute significantly to the pharmacovigilance system through their participation to the spontaneous reporting. OBJECTIVE The objective of this study was the detection and reporting of ADRs related to antibiotics in primary health care, in the region of Peloponnese. METHODS A cross-sectional study was conducted in all national health system primary health units of the Peloponnese region, in Greece. A self-administered questionnaire was distributed to a total of 404 physicians provided services in these settings. Descriptive and multivariate statistical analysis was performed using the SPSS 25.0. Levels of significance were two-tailed and statistical significance was set at P =0.05. RESULTS 306 out of 404 physicians responded to the questionnaire, giving a response rate of 75.8%. 81.6% of physicians stated that they rarely observe ADRs related to antibiotic administration during their practice, 49.8% rarely report them and 33.7% never report them. Non-serious side effects (42.5%), physicians' workload (24.1%), and the lack of knowledge about the reporting obligation (20.6%), have been declared as the main reasons of non - reporting. In addition, physicians with ≤10 years of clinical practice rarely reported the experienced ADRs after antibiotics administration compared to those with more work experience and the specialized physicians (p= 0.001). CONCLUSION ADRs reporting rates among physicians in primary healthcare are low. Changes in physicians' attitudes are vital and can be achieved through consistent and continuous training programs as well as the inclusion of ADRs and pharmacovigilance themes into the tertiary education curricula.
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Affiliation(s)
- Mary Geitona
- Department of Social and Education Policy, School of Social Sciences, University of Peloponnese. Greece
| | - Aikaterini Toska
- Department of Social and Education Policy, School of Social Sciences, University of Peloponnese. Greece
| | - Dimitra Latsou
- Department of Social and Education Policy, School of Social Sciences, University of Peloponnese. Greece
| | - Maria Saridi
- Department of Social and Education Policy, School of Social Sciences, University of Peloponnese. Greece
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19
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Fousekis FS, Katsanos AH, Kourtis G, Saridi M, Albani E, Katsanos KH, Christodoulou DK. Inflammatory Bowel Disease and Patients With Mental Disorders: What Do We Know? J Clin Med Res 2021; 13:466-473. [PMID: 34691320 PMCID: PMC8510650 DOI: 10.14740/jocmr4593] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2021] [Accepted: 09/20/2021] [Indexed: 12/12/2022] Open
Abstract
Inflammatory bowel disease (IBD) is a multisystemic disease with a wide range of extraintestinal manifestations in both ulcerative colitis and Crohn’s disease, while increasing evidence supports the interaction between gut and central nervous system, described as “gut-brain axis”. According to epidemiological studies, it seems that patients with IBD present more frequently with impaired mental status compared to the general population, leading to diagnostic and management problems in this group of patients. The association between IBD and mental disorders, such as dementia and autism spectrum disorders, has not been fully clarified; genetic factors and the gut-brain axis seem to be involved. The purpose of this review is to present and analyze the epidemiological data about this issue, describe the possible pathogenetic mechanisms and discuss some considerations about the management of patients with IBD and impaired mental status.
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Affiliation(s)
- Fotios S Fousekis
- Department of Gastroenterology, School of Health Sciences, University Hospital of Ioannina, Faculty of Medicine, University of Ioannina, Ioannina, Greece
| | | | | | | | | | - Konstantinos H Katsanos
- Department of Gastroenterology, School of Health Sciences, University Hospital of Ioannina, Faculty of Medicine, University of Ioannina, Ioannina, Greece
| | - Dimitrios K Christodoulou
- Department of Gastroenterology, School of Health Sciences, University Hospital of Ioannina, Faculty of Medicine, University of Ioannina, Ioannina, Greece
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20
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Saridi M, Toska A, Latsou D, Giannakouli A, Geitona M. Verbal Abuse in the Operating Room: A Survey of Three General Hospitals in the Peloponnese Region. Cureus 2021; 13:e18098. [PMID: 34692310 PMCID: PMC8525541 DOI: 10.7759/cureus.18098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/19/2021] [Indexed: 11/10/2022] Open
Abstract
Background The operating room is a special place in a hospital structure, which has a very high psychological load and many moments of tension, often leading to difficulties in communication between the health professionals involved, as well as cases of verbal and physical violence. Purpose The purpose of the study was to investigate the existence of verbal violence in the operating rooms of three general hospitals in the Peloponnese region of Greece. Methods A cross-sectional survey was conducted of health professionals (physicians and nurses) employed in the operating rooms of three general hospitals in the Peloponnese region. For the data collection, the Verbal Abuse Scale questionnaire (VAS) was used. A total number of 80 questionnaires were self-completed and collected. The statistical analysis was performed with the SPSS Statistics software v.25 (IBM Corp., Armonk, NY). Results Regarding the frequency of verbal violence faced by health professionals, 36.8% of physicians stated that they experience verbal violence once a year whereas more than 20% of nurses reported that such incidents occur more than once a month (p=0.148). For the physicians, the abuser was usually their supervisor, while for the nurses, a physician. The majority of physicians stated that they felt mainly anger (2.94 ± 1.35), disgust (2.58 ± 1.54), and sadness/hurt (2.35 ± 1.37) after the verbal abuse, whereas most of the nurses felt anger (3.49 ± 1.39), disgust (3.05 ± 1.52) and frustration (2.95 ± 1.47). Conclusion Nurses are more often the victims of verbal abuse than physicians and are more likely to feel frustrated after experiencing verbal abuse. Gradual change to the organizational culture is an important measure to stop the occurrence of such incidents.
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Affiliation(s)
- Maria Saridi
- Epidemiology and Public Health, General Department of Lamia, University of Thessaly, Lamia, GRC
| | - Aikaterini Toska
- Epidemiology and Public Health, General Department of Lamia, University of Thessaly, Lamia, GRC
| | - Dimitra Latsou
- Social and Educational Policy, University of Peloponnese, Corinth, GRC
| | | | - Mary Geitona
- Social and Educational Policy, University of Peloponnese, Corinth, GRC
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21
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Giannouchos TV, Steletou E, Saridi M, Souliotis K. Should vaccination be mandated? Individuals' perceptions on mandatory vaccination in Greece. J Eval Clin Pract 2021; 27:1104-1111. [PMID: 33783070 PMCID: PMC8251106 DOI: 10.1111/jep.13568] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Revised: 03/08/2021] [Accepted: 03/12/2021] [Indexed: 11/29/2022]
Abstract
OBJECTIVES The aim of this study was to explore factors that influence individuals' attitudes towards mandatory vaccination in Greece. METHODS A nationally representative cross-sectional telephone survey was conducted via a random multistage selection process in October 2019 in Greece. The survey was designed to obtain information about whether vaccination should be mandated or not among adults 18 years of age or older. A multivariable logistic regression model was used to estimate the association between individuals' sociodemographic, contextual and clinical characteristics, utilization, satisfaction, and trust in the healthcare system and providers and their preference over mandatory vaccination. RESULTS A total of 901 participants fully completed the survey (response rate 90%-901/1001). About 85% of the respondents supported mandatory vaccination. Individuals who used preventive services more often compared to those who never or rarely used such, those who reported increased trust in official healthcare authorities' guidelines and recommendations compared to those who reported no trust and those who had underage children living in the household were significantly more likely to support mandatory vaccination. No differences were observed for sociodemographic factors and mandatory vaccination support. CONCLUSION This survey revealed that most Greek citizens support mandatory vaccination, which was critically affected by the utilization of preventive services and trust in healthcare authorities. Our results suggest that healthcare policy interventions should promote mandatory vaccination through multi-level initiatives to improve healthcare providers' and the general public's understanding of the value of vaccination.
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Affiliation(s)
- Theodoros V Giannouchos
- Pharmacotherapy Outcomes Research Center, College of Pharmacy, University of Utah, Salt Lake City, Utah, USA.,Laboratory of Health Economics & Management, Economics Department, University of Piraeus, Piraeus, Greece
| | - Evaggelia Steletou
- University Regional General Hospital of Patras, University of Patras, Patras, Greece
| | - Maria Saridi
- Department of Social and Education Policy, University of Peloponnese, Corinth, Greece
| | - Kyriakos Souliotis
- Department of Social and Education Policy, University of Peloponnese, Corinth, Greece.,Health Policy Institute, Athens, Greece
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22
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Giannouchos TV, Steletou E, Saridi M, Souliotis K. Mandatory vaccination support and intentions to get vaccinated for COVID-19: Results from a nationally representative general population survey in October 2020 in Greece. J Eval Clin Pract 2021; 27:996-1003. [PMID: 34060686 PMCID: PMC8242429 DOI: 10.1111/jep.13588] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/12/2021] [Revised: 04/30/2021] [Accepted: 05/10/2021] [Indexed: 12/14/2022]
Abstract
OBJECTIVES To explore rates and factors associated with mandatory vaccination support overall and intentions to get vaccinated specifically for COVID-19 among individuals in Greece. METHODS Using data from a nationally representative cross-sectional survey conducted in October 2020 among 855 adults (≥18 years) in Greece, we estimated support rates for mandatory vaccination and respondents' intention to get vaccinated for COVID-19 as well as associations thereof with individual sociodemographic, clinical and contextual characteristics. RESULTS About 74% of respondents supported mandatory vaccination and 62% intended to get vaccinated for COVID-19. The most prevalent reasons against COVID-19 vaccination were safety concerns related to the duration of clinical trials and potential side effects. Individuals who reported increased trust in healthcare authorities' recommendations, who revealed that their trust in the State increased due to the way the COVID-19 pandemic was handled, who used preventive services more often, and those with higher income were more likely to both support mandatory vaccination and to indicate intention to get vaccinated for COVID-19. Participants with worse or better self-reported health status (compared to average), younger adults, and females were less likely to intend to get vaccinated for COVID-19. CONCLUSION The survey revealed that the majority of the Greek citizens favour mandatory vaccination overall and intend to get vaccinated for COVID-19, driven mostly by utilization of preventive services and trust in healthcare authorities. However, intention to get vaccinated for COVID-19 was lower relative to mandatory vaccination support. This suggests a need to intensify evidence-based yet simplified messaging by esteemed healthcare providers to inform the public on the risks and benefits of vaccines.
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Affiliation(s)
- Theodoros V Giannouchos
- Pharmacotherapy Outcomes Research Center, College of Pharmacy, University of Utah, Salt Lake City, Utah, USA.,Laboratory of Health Economics & Management, Economics Department, University of Piraeus, Piraeus, Greece
| | - Evaggelia Steletou
- University Regional General Hospital of Patras, University of Patras, Patras, Greece
| | - Maria Saridi
- Department of Social and Education Policy, University of Peloponnese, Corinth, Greece
| | - Kyriakos Souliotis
- Department of Social and Education Policy, University of Peloponnese, Corinth, Greece.,Health Policy Institute, Athens, Greece
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23
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Souliotis K, Peppou LE, Economou M, Marioli A, Nikolaidi S, Saridi M, Varvaras D, Paschali A, Syrigos KN. Treatment Adherence in Patients with Lung Cancer from Prospects of Patients and Physicians. Asian Pac J Cancer Prev 2021; 22:1891-1898. [PMID: 34181348 PMCID: PMC8418830 DOI: 10.31557/apjcp.2021.22.6.1891] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2021] [Indexed: 11/25/2022] Open
Abstract
Purpose: Adherence to treatment can be defined as the degree to which a patient’s behavior is consonant with medical or health advice he or she receive as part of his treatment regimen. The aim of this study was: 1) to measure the rate of treatment adherence to among patients with lung cancer from the prospect of both patients and physicians, 2) to measure the degree of concordance between the two prospect, and 3) to identify factors related to adherence for both prospect (patients and physicians). Materials and Methods: A total of 250 patients were included in this study. Information about socio-economic characteristics, depressive and anxiety symptoms (Hospital Anxiety and Depression scale), nicotine dependence (Fagerstrom scale), barriers to accessing care, and the level of treatment adherence was collected through interview. Physicians were enquired about disease and treatment variables as well as patients’ level of adherence. Results: From the patient perspective, only 1.2% of patients displayed poor adherence; whereas the corresponding percentage among physicians was 12.4%. The concordance between the two was low: 0.244. The correlation of measurements made on the same individual was found to be equal to 0.14. Barriers to accessing medication (O.R.=2.82, 95% C.I.: 1.01-8.09) was the only risk factor when adherence was self-rated; barriers to accessing medication (O.R.=2.45, 95% C.I.: 1.03-5.86), education equal to 12 years (O.R.=0.33, 95% C.I.: 0.13-0.82) or higher than 12 years (O.R.=0.28, 95% C.I.: 0.08-0.96), nicotine dependence (O.R.=1.41, 95% C.I. 1.17-1.69) and HADS anxiety score (O.R.=1.15, 95% C.I. 1.03-1.30) were the predictors in physicians’ rating. Conclusions: Differences in rating adherence may underpin communication gaps between patients and physicians. Systemic determinants of poor adherence should not be overlooked. A concerted effort by researchers, physicians and policy makers in defining as well as communicating adherence, while removing its barriers should be made.
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Affiliation(s)
- Kyriakos Souliotis
- Faculty of Social & Political Sciences, University of Peloponnese, Corinth, Greece.,School of Nursing, University of Thessaly Greece
| | - Lily E Peppou
- School of Nursing, University of Thessaly Greece.,Community Mental Health Centre, University Mental Health Research Institute (UMHRI), Athens, Greece
| | - Marina Economou
- Community Mental Health Centre, University Mental Health Research Institute (UMHRI), Athens, Greece.,First Department of Psychiatry, Aiginition Hospital, Medical School, Kapodistrian University of Athens, Athens, Greece
| | - Androniki Marioli
- Division of Medical Oncology, Third Department of Medicine, Kapodistrian University of Athens, Athens, Greece
| | | | - Maria Saridi
- School of Nursing, University of Thessaly Greece
| | | | - Antonia Paschali
- Faculty of Nursing, School of Health Sciences, Department of Mental Health and Behavioral Sciences, Kapodistrian University of Athens, Athens, Greece
| | - Konstantinos N Syrigos
- Division of Medical Oncology, Third Department of Medicine, Kapodistrian University of Athens, Athens, Greece
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24
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Kosmidou M, Karavasili NT, Saridi M, Skamnelos A, Kavvadias A, Batistatou A, Gartzonika KG, Tsiara S, Katsanos KH, Christodoulou DK. Clostridium Difficile Infection in Patients Impact Suspected Cytomegalovirus Infection in Patients with Inflammatory Bowel Disease. Mater Sociomed 2020; 32:41-45. [PMID: 32410890 PMCID: PMC7219720 DOI: 10.5455/msm.2020.32.41-45] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Introduction Clostridium difficile infection (CDI) has been reported to be a cause of flare-ups in patients with inflammatory bowel disease (IBD). Cytomegalovirus (CMV) infection can cause severe disease and complications in immunocompromised patients in consequence of disease or therapy. Aim Our aim was to describe the prevalence and clinical outcomes of CDI with concomitant CMV infection in IBD patients hospitalized for flare-ups in association with the disease itself and medication used. Methods We prospectively identified consecutive patients referred for CDI management during 2015-2017. Stool samples were tested for Clostridium difficile toxin A and/or B and Glutamate Dehydrogenase in patients with clinical symptoms. CDI patients with IBD history were tested for anti-CMV IgG and IgM antibodies by chemiluminescent microparticle immunoassay and underwent histological analysis for CMV on colon biopsies. Data were collected for demographic characteristics, treatment and outcome. Results 125 patients with CDI were enrolled. Among these patients, 14 (11.2%) were diagnosed with IBD. The mean patient age of IBD patients was 52.5±15.4 years at diagnosis of CDI, 85.7% had UC, 14.3% CD, while the age of patients was shared. Eleven of the total of 14 patients (78.6%) tested positive for anti-CMV IgG. Of these, 3 patients (21.4%) exhibited high CMV IgG avidity, without detectable anti-CMV IgM and biopsy-proven CMV colitis. Of the 14 IBD patients with CDI, 8 patients (57.1%) were receiving anti-tumor necrosis factor (anti-TNF) therapy (21.4 % infliximab or golimumab, 7.1% vedolizumab or adalimumab) and 43.5% of patients were being treated with systemic corticosteroids. Four UC patients (28.6%) on steroids of the 14 CDI patients underwent a colectomy whereas none of the not on steroids patients underwent colectomy (p=0.25). Among them, 1 patient (7.1%) had recurrent CDI after 5 months from the first episode of CDI.These patients were treated with vancomycin, metronidazole and fidaxomicin. The mean age of patients that had a colectomy 65.5±9.32 (n=4) was higher than the mean age of those 47.30±14.49 (n=10) who improved (UMann-Whitney=6. p=0.04). Conclusions Immunosuppressive medications and older age are associated with increased risk of CDI and poor outcome. Although, CMV is a rare colonic pathogen in the immunocompetent patient, it should be included and screened when exacerbation of IBD occurs in patients receiving any type of immunosuppressive therapy.
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Affiliation(s)
- Maria Kosmidou
- 1st Division of Internal Medicine, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece
| | | | - Maria Saridi
- General Hospital of Corinth. Scientific Department of Social and Educational Policy, University of Peloponnese, Corinth. Hellenic Open University, Corinth, Greece
| | - Alexandros Skamnelos
- Division of Gastroenterology, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece
| | - Athanasios Kavvadias
- Division of Gastroenterology, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece
| | - Anna Batistatou
- Pathology Laboratory, Chair of Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece
| | - Konstantina G Gartzonika
- Microbiology Laboratory, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece
| | - Stavroula Tsiara
- 2nd Division of Internal Medicine, Chair of Infection Control Committee, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece
| | - Konstantinos H Katsanos
- Division of Gastroenterology, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece
| | - Dimitrios K Christodoulou
- Division of Gastroenterology, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece
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25
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Saridi M, Panagiotidou A, Toska A, Panagiotidou M, Sarafis P. Workplace interpersonal conflicts among healthcare professionals: A survey on conflict solution approach at a General Hospital. International Journal of Healthcare Management 2019. [DOI: 10.1080/20479700.2019.1661114] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Affiliation(s)
- Maria Saridi
- School of Social Sciences, Postgraduate Program of Studies ‘Management of Health Units’, Hellenic Open University, Greece
| | - Athina Panagiotidou
- School of Social Sciences, Postgraduate Program of Studies ‘Management of Health Units’, Hellenic Open University, Greece
| | - Aikaterini Toska
- School of Social Sciences, Postgraduate Program of Studies ‘Management of Health Units’, Hellenic Open University, Greece
| | - Maria Panagiotidou
- School of Social Sciences, Postgraduate Program of Studies ‘Management of Health Units’, Hellenic Open University, Greece
| | - Pavlos Sarafis
- Department of Nursing, School of Health Sciences, Limassol University of Technology, Cyprus
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26
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Politis DS, Katsanos KH, Papamichael K, Saridi M, Albani E, Christodoulou DK. Has the time been reached for pseudopolyps to be re-enrolled in endoscopic inflammatory bowel disease scores? World J Gastrointest Endosc 2019; 11:424-426. [PMID: 31236195 PMCID: PMC6580305 DOI: 10.4253/wjge.v11.i6.424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/02/2019] [Revised: 06/05/2019] [Accepted: 06/10/2019] [Indexed: 02/06/2023] Open
Abstract
Patients with inflammatory bowel diseases (IBD) represent heterogeneous groups with different characteristics and different clinical course. A great deal of effort is made to discover proxies for more severe disease needing more intense treatment and early intervention to gain the maximum therapeutic benefit. Endoscopy remains an invaluable method in assessment of patients with IBD. Pseudopolyps are often encountered during endoscopy and, although they are a well described entity, their presence is of unclear importance. In one of our recent studies and in conjunction with one study with a large cohort of patients with IBD and pseudopolyps, patients with pseudopolyps were found to face a higher inflammatory burden in terms of receiving more intense biological treatment. This letter comes as a comment and proposition regarding the concept of re-evaluation of pseudopolyps as a promising marker in IBD scores.
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Affiliation(s)
- Dimitrios S Politis
- Department of Gastroenterology, University Hospital of Ioannina, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina 45110, Greece
| | - Konstantinos H Katsanos
- Department of Gastroenterology, University Hospital of Ioannina, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina 45110, Greece
| | - Konstantinos Papamichael
- Center for Inflammatory Bowel Diseases, Division of Gastroenterology, Beth-Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, United States
| | - Maria Saridi
- General Hospital of Corinth, Department of Social and Educational Policy, University of Peloponnese, Corinth 20100, Greece
| | - Eleni Albani
- Department of Nursing, TEI of Western Greece, Patra 26334, Greece
| | - Dimitrios K Christodoulou
- Department of Gastroenterology, University Hospital of Ioannina, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina 45110, Greece
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27
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Lianos GD, Katsanos KH, Saridi M, Albani E, Koutroumpakis E, Zeglinas C, Glantzounis GK, Papaconstantinou I, Christodoulou DK. Perioperative Use of Anti-TNFa Biological Agents in Open and Laparoscopic Surgery for Inflammatory Bowel Disease. Surg Technol Int 2019; 34:107-114. [PMID: 30888671] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Inflammatory bowel disease (IBD) consists of two disorders: Crohn's disease (CD) and ulcerative colitis (UC). Over the past few decades, a great body of knowledge has accumulated regarding the pathogenesis of IBD, and effective pharmaceutical agents, such as inhibitors of tumor necrosis factor (anti-TNF), have been introduced. Although these agents have dramatically improved the outcome of IBD, up to 70% of patients with CD and 10-30% of those with UC still undergo surgery within 10 years from diagnosis. Because of their young age and high recurrence rates, these patients are appropriate candidates for laparoscopic surgery as an alternative to laparotomy. Recently, considerable attention has been focused on perioperative outcomes of patients who are receiving anti-TNF agents and require surgery. The aim of this narrative review is to discuss the current evidence regarding the impact of perioperative anti-TNF treatment on post-operative complication rates with a special focus on laparoscopic surgery.
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Affiliation(s)
- Georgios D Lianos
- Department of Surgery, University of Ioannina School of Medicine, Ioannina, Greece
| | - Konstantinos H Katsanos
- 1st Division of Internal Medicine & Hepato-Gastroenterology Unit University of Ioannina School of Medicine, Ioannina, Greece
| | - Maria Saridi
- Department of Social Sciences, University of Peloponnese, Corinth, Greece
| | - Eleni Albani
- Department of Nursing, TEI of Western Greece, Patras, Greece
| | | | | | | | | | - Dimitrios K Christodoulou
- 1st Division of Internal Medicine & Hepato-Gastroenterology Unit University of Ioannina School of Medicine, Ioannina, Greece
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28
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Saridi M, Filippopoulou T, Tzitzikos G, Sarafis P, Souliotis K, Karakatsani D. Correlating physical activity and quality of life of healthcare workers. BMC Res Notes 2019; 12:208. [PMID: 30947739 PMCID: PMC6449892 DOI: 10.1186/s13104-019-4240-1] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2019] [Accepted: 03/28/2019] [Indexed: 11/10/2022] Open
Abstract
OBJECTIVE The purpose of the present study was to investigate healthcare workers' physical exercise levels linked to their quality of life. Healthcare workers' from all departments of a General hospital participated in the study. The instruments used for data collection regarding quality of life and physical exercise (Short Form Health Survey (SF-36) and International Physical Activity Questionnaire-short form). RESULTS Regarding the lack of physical exercise, the participants mainly put the blame on lack of free time (58%, n = 106), work hours (41% n = 75), but also pure negligence (37%, n = 67). The SF-36 scores showed that the existence of health problems can affect in a negative way and aggravate almost every quality of life parameter. Regarding physical activities in the past 7 days prior to the survey, most of them were about housekeeping and household-related chores (42.3%), followed by out-of-the-house errands (13.2%). There were also differences among mental health and postgraduate education level. According to our findings, a major factor that could boost healthcare professionals' physical activity, is to increase knowledge and raise awareness about the benefits linked to physical activity.
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Affiliation(s)
- Maria Saridi
- Nursing Department, General Hospital of Corinth, Corinth, Greece.,Faculty of Social and Education Policy, University of Peloponnese, 20131, Corinth, Greece
| | | | - Georgios Tzitzikos
- Renal Unit, Nursing Department, General Hospital of Corinth, 20131, Corinth, Greece
| | - Pavlos Sarafis
- Department of Nursing, School of Health Sciences, Limassol, University of Technology, 3041, Limassol, Cyprus.
| | - Kyriakos Souliotis
- Faculty of Social and Education Policy, University of Peloponnese, 20131, Corinth, Greece
| | - Despoina Karakatsani
- Faculty of Social and Education Policy, University of Peloponnese, 20131, Corinth, Greece
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Abstract
Introduction Elderly patients are particularly susceptible to polypharmacy issues because of age-related changes in pharmacokinetics and pharmacodynamics as well as to chronic diseases resulting in a continuous increasing demand for drugs. Objective This study captures the prevalence of polypharmacy and adherence in Greece and identifies related risk factors in adult patients with diabetes. Design A cross-sectional study was conducted among patients diagnosed with diabetes mellitus attending public and private outpatients' clinics in the regions of Attica and Western Greece. Results A total of 644 outpatients filled out the questionnaire (relative risk = 91.7%). As far as the medications were concerned, 47.8% of patients had been receiving antidiabetic medication monotherapy, 38.2% combination therapy with two antidiabetic drugs, 11.8% with three drugs, and 2.2% with four drugs. The vast majority of diabetic patients adhered to their medication regimen, and fewer adhered to their physician's diet and physical activity recommendations. Statistically significant differences were found between age group and the existence of polypharmacy (P = 0.005). Additionally, 44.4% of patients with comorbidities exhibited polypharmacy, compared with 4.8% of patients who were diagnosed only with diabetes (P = 0.001). Conclusion The development of new strategies and health policies is necessary for polypharmacy and adherence among diabetic patients to be limited.
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Gialama F, Saridi M, Prezerakos P, Pollalis Y, Contiades X, Souliotis K. The implementation process of the Workload Indicators Staffing Need (WISN) method by WHO in determining midwifery staff requirements in Greek Hospitals. Eur J Midwifery 2019; 3:1. [PMID: 33537580 PMCID: PMC7839107 DOI: 10.18332/ejm/100559] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2018] [Revised: 12/04/2018] [Accepted: 12/06/2018] [Indexed: 11/24/2022] Open
Abstract
INTRODUCTION One of the greatest challenges in the healthcare field is planning the health workforce under limited financial resources while being fully capable of responding to an affordable, fair and efficient healthcare system. This study aimed to demonstrate the implementation process of the health workforce planning tool ‘Workload Indicators of Staffing Needs’ introduced by the World Health Organization. METHODS A descriptive and cross-sectional study was carried out at four (two public and two private) hospitals in Greece, to estimate midwifery staff requirements at ward level during 2015–2016, using the WISN software tool. Focus group discussions, structured interviews and annual service statistics from the hospitals’ records were used to obtain data. RESULTS Results for both private hospitals showed a shortage in the number of midwives. However, after combining the interpretation of the results, as indicated by the WISN methodology and the structured interviews, current and required staffing is in balance in both. On the other hand, both public hospitals indicate a surplus of midwives (1.83 and 1.33 ratios for the General hospitals in Korinthos and Kalamata, respectively). CONCLUSIONS This study demonstrated the implementation process of the WISN methodology through its application in midwifery staff at four hospitals in Greece and confirmed its usefulness in estimating staffing requirements. The application of the WISN methodology should be viewed as a vital tool in assessing overstaffing and understaffing through the estimation of workload pressure among different categories of health staff, thus providing the basis for effective health workforce redistribution in Greece.
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Affiliation(s)
- Fotini Gialama
- Department of Social and Educational Policy, University of Peloponnese, Corinth, Greece
| | - Maria Saridi
- Department of Social and Educational Policy, University of Peloponnese, Corinth, Greece
| | | | | | - Xenofon Contiades
- Department of Public Administration, Panteion University, Athens, Greece
| | - Kyriakos Souliotis
- Department of Social and Educational Policy, University of Peloponnese, Corinth, Greece
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Souliotis K, Saridi M, Banou K, Golna C, Paraskevis D, Hatzakis A, Smith A. Health and health needs of migrants in detention in Greece: shedding light to an unknown reality. Global Health 2019; 15:4. [PMID: 30621722 PMCID: PMC6325682 DOI: 10.1186/s12992-018-0448-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2018] [Accepted: 12/21/2018] [Indexed: 12/28/2022] Open
Abstract
Background Population movements have been increasing over the past years in Europe due to socioeconomic factors, global turbulence and conflicts, especially in the area of Middle East. The presence of migrant populations in Europe challenges health systems due to increased requirements for health care provision. However, to date there is limited published data on the burden of disease among this population (in Greece and elsewhere). Our objective was to record burden of disease of undocumented migrants hosted in a Detention Center and therefore generate data for migrant and public health planning. Methods Epidemiological data have been collected for 4756 male migrants hosted in a Detention Center from mid 2013 to mid 2015. Of them, 1427 have used health services in the Center, which maintained a detailed record of their medical history and tests. Results The majority of the study population was aged between 18 and 40 years old. Among those who used health services, most suffered from respiratory (45.6%) and digestive (30.1%) diseases. Injury, poisoning and other external causes accounted for 19.6% of service use, diseases of the skin and subcutaneous tissue for 18.7%, and factors affecting health status and contact with health services for 16.7%. Prevalence of communicable diseases was 15.9% amongst migrants randomly tested. Conclusion Systematic screening and monitoring of diseases and use of health services by migrants in detention centers allows for an evidence based understanding of the burden of disease related to these populations and the investment required to effectively manage it, thus providing critical input to appropriate health planning. Surveillance for communicable diseases amongst migrants in detention centers would also allow for a true picture of the impact of their presence on public health indicators and help address related prejudices and stigma.
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Affiliation(s)
- Kyriakos Souliotis
- Faculty of Social and Political Sciences, University of Peloponnese, Corinth, Greece. .,Health Policy Institute, Athens, Greece.
| | - Maria Saridi
- Faculty of Social and Political Sciences, University of Peloponnese, Corinth, Greece
| | - Konstantina Banou
- Faculty of Social and Political Sciences, University of Peloponnese, Corinth, Greece
| | | | - Dimitrios Paraskevis
- Department of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Angelos Hatzakis
- Department of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Alyna Smith
- PICUM - Platform for International Cooperation on Undocumented Migrants, Brussels, Belgium
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Mantzouranis G, Fafliora E, Saridi M, Tatsioni A, Glanztounis G, Albani E, Katsanos KH, Christodoulou DK. Alcohol and narcotics use in inflammatory bowel disease. Ann Gastroenterol 2018; 31:649-658. [PMID: 30386114 PMCID: PMC6191867 DOI: 10.20524/aog.2018.0302] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/20/2018] [Accepted: 07/03/2018] [Indexed: 02/07/2023] Open
Abstract
The aim of this study was to evaluate alcohol consumption and narcotics use among patients with inflammatory bowel diseases (IBD). A comprehensive literature search was conducted in Medline using relevant keywords. The references of the retrieved articles were also searched to identify additional articles. Only English-language studies that provided evidence on alcohol consumption and/or narcotics use among non-hospitalized IBD patients were included in the present review. Twelve studies were included that examined the use of alcohol among IBD patients. The prevalence of alcohol consumption among IBD patients appeared to be similar to that of the general population. The majority of the studies reported worsening of IBD symptoms among patients who consumed alcoholic beverages. Four studies were identified that evaluated narcotics use as analgesia among IBD patients. Narcotics use was prevalent among IBD patients and correlated with a longer disease duration and comorbid mental illnesses. The available evidence suggests that alcohol consumption may have a deleterious effect on IBD symptoms. Furthermore, a considerable proportion of IBD patients are reported to use a narcotic as analgesia and this was correlated with their mental health status. Further studies are needed to address these important facets of IBD.
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Affiliation(s)
- George Mantzouranis
- Department of Gastroenterology, University of Ioannina, Medical School (George Mantzouranis, Eleftheria Fafliora, Athina Tatsioni, George Glantzounis, Konstantinos H. Katsanos, Dimitrios K. Christodoulou), Greece
| | - Eleftheria Fafliora
- Department of Gastroenterology, University of Ioannina, Medical School (George Mantzouranis, Eleftheria Fafliora, Athina Tatsioni, George Glantzounis, Konstantinos H. Katsanos, Dimitrios K. Christodoulou), Greece
| | - Maria Saridi
- Department of Social Sciences, University of Peloponnese, Corinth, Academic Tutor at Hellenic Open University (Maria Saridi), Greece
- Correspondence to: Maria Saridi, PhD, Research Fellow, Faculty of Social Sciences, University of Peloponnese, Corinth, Greece, Academic Tutor at Hellenic Open University, Greece, Sina 33, 20131 Corinth, Greece, e-mail:
| | - Athina Tatsioni
- Department of Gastroenterology, University of Ioannina, Medical School (George Mantzouranis, Eleftheria Fafliora, Athina Tatsioni, George Glantzounis, Konstantinos H. Katsanos, Dimitrios K. Christodoulou), Greece
| | - George Glanztounis
- Department of Gastroenterology, University of Ioannina, Medical School (George Mantzouranis, Eleftheria Fafliora, Athina Tatsioni, George Glantzounis, Konstantinos H. Katsanos, Dimitrios K. Christodoulou), Greece
| | - Eleni Albani
- Department of Nursing, TEI of Western Greece (Eleni Albani), Greece
| | - Konstantinos H. Katsanos
- Department of Gastroenterology, University of Ioannina, Medical School (George Mantzouranis, Eleftheria Fafliora, Athina Tatsioni, George Glantzounis, Konstantinos H. Katsanos, Dimitrios K. Christodoulou), Greece
| | - Dimitrios K. Christodoulou
- Department of Gastroenterology, University of Ioannina, Medical School (George Mantzouranis, Eleftheria Fafliora, Athina Tatsioni, George Glantzounis, Konstantinos H. Katsanos, Dimitrios K. Christodoulou), Greece
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Giagkou E, Saridi M, Albani E, Gaitanis G, Katsanos A, Bechlioulis A, Bacasis AD, Christodoulou DK, Katsanos KH. Dermal Lesions and Skin Cancer in Patients with Inflammatory Bowel Disease Receiving Immunosuppressive Therapy. Asian Pac J Cancer Prev 2018; 19:2845-2851. [PMID: 30362311 PMCID: PMC6291021 DOI: 10.22034/apjcp.2018.19.10.2845] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2018] [Accepted: 09/16/2018] [Indexed: 01/26/2023] Open
Abstract
Background: Anti-TNFa medications represent the first effective biologic therapy for IBD that has largely revolutionized treatment. The aim of this study was to quantify the risk of MM and other skin cancers among patients from Northern Greece area with IBD who take immunosuppressive or biologic anti-TNF medications. Methods: The current study was conducted during a 3-year period (2014-2016). Clinical history and metabolic data of all patients were extracted from the IBD database that is kept since 1980. 101 patients with IBD from Northwestern Greece, were studied. Results: The mean age of enrolled patients was 44.2±15.9 years old ranging from 17 years to 77 years old. No sun burn was reported from the 44.6% of the patients, 53.5% presented mild reticular veins in the face, and lack of any elastosis was noticed in 60.4%. The occurrence of two cases with squamous and basal cell carcinoma is an important finding. The absence of any case with MM should not quiet down but should strengthen our efforts for further implementation of preventive measures. Conclusions: Furthermore, education of patients to avoid deleterious sun exposure may help decrease MM incidence.
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Affiliation(s)
- Eftychia Giagkou
- Department of Cardiology, University Hospital of Ioannina, Greece.
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Katsanos KH, Saridi M, Albani E, Mantzouranis G, Zmora O, Christodoulou DK. Sexual Dysfunction in Patients With Inflammatory Bowel Disease. Inflamm Bowel Dis 2018; 24:2348-2349. [PMID: 30312432 DOI: 10.1093/ibd/izy206] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/01/2018] [Indexed: 12/23/2022]
Affiliation(s)
| | - Maria Saridi
- Faculty of Social Sciences, University of Peloponnese, Corinth, Greece.,Hellenic Open University, Patras, Greece
| | - Eleni Albani
- Pediatric Nursing, Department of Nursing, TEI of Western Greece, Patras, Greece
| | - George Mantzouranis
- Department of General Practice, University General Hospital of Patras, Rio, Greece
| | - Oded Zmora
- Department of Surgery, Assaf Harofeh Medical Center, Tel Aviv University, Israel
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Abstract
Introduction Elderly patients are particularly susceptible to polypharmacy issues because of age-related changes in pharmacokinetics and pharmacodynamics as well as to chronic diseases resulting in a continuous increasing demand for drugs. Objective This study captures the prevalence of polypharmacy and adherence in Greece and identifies related risk factors in adult patients with diabetes. Design A cross-sectional study was conducted among patients diagnosed with diabetes mellitus attending public and private outpatients' clinics in the regions of Attica and Western Greece. Results A total of 644 outpatients filled out the questionnaire (relative risk = 91.7%). As far as the medications were concerned, 47.8% of patients had been receiving antidiabetic medication monotherapy, 38.2% combination therapy with two antidiabetic drugs, 11.8% with three drugs, and 2.2% with four drugs. The vast majority of diabetic patients adhered to their medication regimen, and fewer adhered to their physician's diet and physical activity recommendations. Statistically significant differences were found between age group and the existence of polypharmacy (P = 0.005). Additionally, 44.4% of patients with comorbidities exhibited polypharmacy, compared with 4.8% of patients who were diagnosed only with diabetes (P = 0.001). Conclusion The development of new strategies and health policies is necessary for polypharmacy and adherence among diabetic patients to be limited.
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Fousekis FS, Saridi M, Albani E, Daniel F, Katsanos KH, Kastanioudakis IG, Christodoulou DK. Ear Involvement in Inflammatory Bowel Disease: A Review of the Literature. J Clin Med Res 2018; 10:609-614. [PMID: 29977417 PMCID: PMC6031254 DOI: 10.14740/jocmr3465w] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2018] [Accepted: 05/15/2018] [Indexed: 11/12/2022] Open
Abstract
Inflammatory bowel disease (IBD) is a multisystemic disease. The ear is a rare but recognized site of extraintestinal manifestations of IBD. In external ear, the more common manifestations of IBD are pyoderma gangrenosum, metastatic Crohn’s disease and relapsing polychondritis and the treatment includes corticosteroids and anti-TNF agents. Sensorineural hearing loss (SNHL) is the most common ear disease in IBD and especially in patients with ulcerative colitis. In most cases of IBD patients with SNHL, the hearing loss is attributable to autoimmune inner ear disease (AIED). Diagnosis of AIED is based on clinical presentation, the demonstration of a progressive sensorineural hearing loss in periodic audiological tests, a response to immunosuppressive drugs and exclusion of other causes of SNHL. The only diagnostic test that is available for clinical use is the Otoblot test (Western blot for antibodies against 68 kD protein-inner ear antigens). Initial therapy is usually steroids, with a step up to anti-TNF-a therapy and cochlear implantations with failure of treatment. Furthermore, Cogan’s syndrome, a chronic disease characterized by deafness, vertigo keratitis and aortitis, has been associated with IBD and mainly with Crohn’s disease.
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Affiliation(s)
- Fotios S Fousekis
- Department of Gastroenterology, Medical School of Ioannina, Ioannina, Greece
| | - Maria Saridi
- Department of Social and Educational Policy, University of Peloponnese, Corinth, Greece.,Hellenic Open University, Patras, Greece
| | - Eleni Albani
- Nursing Department, Technological University of Patras, Patra, Greece
| | - Fady Daniel
- Melbourne Medical School, The University of Melbourne, Melbourne, Australia
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Saridi M, Nanou A, Vasilopoulos C, Kourakos M, Skliros E, Toska A, Souliotis K. Smoking Habits among Greek University Students after the Financial Crisis. Asian Pac J Cancer Prev 2017; 18:1329-1335. [PMID: 28610966 PMCID: PMC5555543 DOI: 10.22034/apjcp.2017.18.5.1329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Background: University students worldwide seem to have increased rates of smoking, alcohol abuse, binge drinking episodes and harmful consumption trends, raising a serious public health issue. The aim of the present study was to investigate university students’ smoking habits and exposure to secondary smoke amid a financial crisis. Methods: The present descriptive, correlational analysis was conducted at the University of Peloponnese. Results: The average age of the sample (n=203) was 24.9 years (±7.6 years) with 36.0% of the participants (n=73) being postgraduate students. Some 51.2% (n=104) of the participants said they didn’t smoke and 46.3% (n=94, p=0.003) reported no secondary smoke exposure during the past week at home. The majority of the remainder initiated smoking at age 16-17 (48.5%, n=48), and 64.6% (n=42) said the financial crisis did not lead them to change their smoking habits. Conclusions: The majority of students support smoking ban laws in enclosed public spaces, but also their replies highlighted poor implementation on behalf of the state and the authorities. The financial crisis did not appear to have affected student smoking habits.
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Affiliation(s)
- Maria Saridi
- Department of Social and Educational Policy, University of Peloponnese, General Hospital of Corinthos, Athens, Greece.
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Saridi M, Kordosi A, Toska A, Peppou LE, Economou M, Souliotis K. Attitudes of health professionals towards the stigma surrounding depression in times of economic crisis. Int J Soc Psychiatry 2017; 63:115-125. [PMID: 28056582 DOI: 10.1177/0020764016685348] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
INTRODUCTION The stigma of mental illness and the ensuing social exclusion are due to the lack of knowledge on the causality of mental illness. AIM The purpose of this study was to record the stigmatic attitudes of health professionals towards depression, patients suffering from it and the available therapeutic approaches. MATERIAL AND METHODS The sample of the study included 609 health professionals working in the General Hospital of Corinth. The collection of the empirical material was performed using an anonymous questionnaire. The statistical analysis was performed with the statistical program SPSS 17.0. RESULTS Although the health professionals showed more optimistic attitudes towards the abilities of the mentally ill, they seem to maintain stereotypes, proving that stigmatization of the mentally ill and prejudice around mental illness continue to exist. Participants identified psychosocial and psychotherapeutic interventions as the most effective forms of therapy, such as supportive social destination (74.4%), healthy eating and physical activity (67.9%), psychoanalysis (60.6%), relaxation techniques (60.5%) and counselling (53.2%), recording ambivalent attitudes towards psychiatric medicines, questioning their effectiveness. The economic crisis has had a direct impact on health professionals as well burdened their psyche (78.3%) and created problems in everyday work (86.7%). CONCLUSION Health professionals must be protagonists, free from the stigma attached to mental illness as only in this way will they be able to transmit optimism and feelings of acceptance.
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Affiliation(s)
- Maria Saridi
- 1 Department of Social and Educational Policy, University of Peloponnese, Corinth, Greece
| | | | - Aikaterini Toska
- 1 Department of Social and Educational Policy, University of Peloponnese, Corinth, Greece
| | - Lily Evangelia Peppou
- 3 University Mental Health Research Institute, Athens, Greece.,4 First Department of Psychiatry, Eginition Hospital, Medical School, University of Athens, Greece
| | - Marina Economou
- 3 University Mental Health Research Institute, Athens, Greece
| | - Kyriakos Souliotis
- 1 Department of Social and Educational Policy, University of Peloponnese, Corinth, Greece
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Saridi M, Kapogeorgou E, Rekleiti M, Geitona M, Souliotis K. Knowledge and attitudes of women regarding gynaecological cancer prevention in an urban area of Greece in financial crisis. Scand J Caring Sci 2017; 31:710-717. [PMID: 28233331 DOI: 10.1111/scs.12385] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2016] [Accepted: 08/17/2016] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Preventive gynaecological examinations (PGEs) are the main means of monitoring gynaecological cancers across the developed world. The purpose of this study was to investigate the perceptions and attitudes of women of a regional municipality of Greece, regarding preventive gynaecological examinations amid economic crisis. MATERIAL AND METHODS The study included 360 women aged 20-70 years, who lived in an urban area of Greece. A specialised, valid and anonymous questionnaire that included questions about perceptions and attitudes regarding preventive gynaecological examinations was used. The data analysis was performed using the statistical package spss 21. RESULTS It was found that women who lived in less developed areas had had lower educational levels and higher abstinence rates from medical examinations. The main source of information about sexually transmitted diseases was their social circle (48%), but the gynaecologist is the one preferred (54.8) to inform about preventive gynaecological examinations. Thirty per cent of the participants had never have a mammogram, while 33.9% of the sample did not show the same result, although considered the Pap test necessary. The main cause of women's abstention of preventive gynaecological examinations is the financial crisis. CONCLUSIONS The current financial crisis has negatively affected the women's ability to afford gynaecological examinations. Therefore, it is necessary to inform the population about the necessity of preventive gynaecological examinations starting from school age and at the same time, health information and promotion campaigns should be launched at a national level.
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Affiliation(s)
- Maria Saridi
- Faculty of Social and Political Sciences, University of Peloponnese, Korinthos, Greece
| | - Eleni Kapogeorgou
- Faculty of Social and Political Sciences, University of Peloponnese, Korinthos, Greece
| | - Maria Rekleiti
- Faculty of Social and Political Sciences, University of Peloponnese, Korinthos, Greece.,Department of Nursing, University of Peloponnese, Sparta, Greece
| | - Maria Geitona
- Faculty of Social and Political Sciences, University of Peloponnese, Korinthos, Greece
| | - Kyriakos Souliotis
- Faculty of Social and Political Sciences, University of Peloponnese, Korinthos, Greece
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Kourakos M, Saridi M, Kafkia T, Rekleiti M, Souliotis K, Brokalaki H, Koukia E. Factors Affecting Mental Patients’ Behaviors and Attitudes Regarding Smoking. Asian Pac J Cancer Prev 2017; 18:1991-1997. [PMID: 28749641 PMCID: PMC5648410 DOI: 10.22034/apjcp.2017.18.7.1991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Background: Patients with mental health problems are in high risk to develop addiction, since smoking incidence
is three times higher than that of the general population. The aim of the study was to investigate the factors affecting
mental health patients’ smoking habits. Methods: The sample of study were 356 patients out of 403 initially approached,
with 142 hospitalized in hospital facilities and 214 in community settings. The «Smoking in psychiatric hospitals” and
General Health Questionnaire (GHQ-28) questionnaires were used. A principal component analysis was performed
using the correlation coefficients of the various variables and an orthogonal varimax rotation, in order to interpret the
seven factors emerging. Among the variables the most important factors appeared to be the type of healthcare facility,
legal status, depression and age. Results: The type of healthcare facility was correlated to demographic characteristics,
clinical features, psychopathology and functionality, but also to the attitudes and behaviors related to smoking. More
specifically, the in-hospital patients were heavier smokers, about 90% of the patients said they would consider quitting
smoking. The various variables had only a small effect on the intention to quit smoking. The comparison of the coefficients
of determination of each variable, showed that age had the strongest effect (R2=0.152), while the GHQ D subscale
(severe depression) had the least significant effect (R2=0.023). From all (7) factors, it appears that hospitalization was
positively correlated with factor 5 and negatively with the factors 2, 3 and 6, legal status (commitment order) negatively
with factors 1 and 4, while depression (or consuming antidepressants) positively factor 4 and negatively to factors 1
and 3. Finally, age was the only variable that is associated with the agent 7. Conclusions: Patients are permissive to
staff’s smoking in the healthcare facility and may resist attempts to restrict it. It is important that these conclusions are
taken into account in any systematic attempt to limit smoking within mental health settings.
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Affiliation(s)
- Michael Kourakos
- Director of Nursing, General Hospital, Asklipieion Voulas, Corinth, Greece,For Correspondence:
| | | | - Theodora Kafkia
- Department of Nursing ATEI of Thessaloniki, University of Athens, Athens, Greece
| | - Maria Rekleiti
- General Hospital of Korinthos, University of Athens, Athens, Greece
| | | | - Hero Brokalaki
- Nursing Department, University of Athens, Athens, Greece
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Abstract
The aim of this study was to investigate the use of alcohol in health professionals during the economic crisis in Greece. The sample included 579 health professionals. Despite the fact that alcohol consumption was low and women held more negative views on the effectiveness of its use compared to men, they consumed more than men both in quantity (mean 1.57 vs 1.46, p=0.291) and in frequency (mean 1.98 vs 1.73, p=0.132). Employees with a higher level of education expressed more opposition to the use of alcohol than those with a basic level of education (93.5% vs 66.7%, p=0.004). There was a significant positive correlation between the amount of alcohol consumed after a stressful event and the frequency with which this amount of alcohol consumption occurred in workers.
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Affiliation(s)
- Maria Saridi
- DIrector of Nursing, General Hospital of Korinthos, Greece and Research Fellow, Faculty of Social Sciences, University of Peloponnese, Korinthos, Greece
| | - Aphrodite Karra
- Registered Nurse, Nursing Department, General Hospital of Korinthos, Greece
| | - Michael Kourakos
- Director of Nursing, General Hospital, Asklipieion Voula, Athens, Greece
| | - Kyriakos Souliotis
- Associate professor, Faculty of Social Sciences, University of Peloponnese, Korinthos, Greece
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Stamatiou K, Margariti M, Nousi E, Mistrioti D, Lacroix R, Saridi M. FEMALE SEXUAL DYSFUNCTION (FSD) IN WOMEN HEALTH CARE WORKERS. Mater Sociomed 2016; 28:178-82. [PMID: 27482157 PMCID: PMC4949039 DOI: 10.5455/msm.2016.28.178-182] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2016] [Accepted: 04/15/2016] [Indexed: 01/23/2023] Open
Abstract
PURPOSE The main aim of this study is to investigate the occurrence and severity of FSD in women working in tertiary hospitals. MATERIAL AND METHODS The study sample was drawn from health care women between the ages of 20 and 65 years, working in two hospitals in Greece. This descriptive study used a structured Greek questionnaire and sexual function screener and quality of life sectors were consisted of rated scale questions. Eighty eight questionnaires were returned properly completed. The statistical analysis used the SPSS statistical program. RESULTS Female sexual dysfunction is a highly prevalent health issue whose exact incidence is not well defined. Factors that can contribute to female sexual dysfunction may be psychogenic, physical, mixed or unknown. Each of these factors consists of individual components that influence the sexual response; however their precise impact in FSD development and progression is unknown. Moreover, the role of circadian rhythm disorders (especially that of shift work sleep disorder) to the development and progression of FSD has been poorly investigated. CONCLUSION Working environment and patterns of work schedules may play a role in FSD however it has been difficult to specify in what extent they contribute to FSD development.
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Affiliation(s)
| | - Maria Margariti
- Nursing Department, Tzaneio General Hospital of Piraeus, Greece
| | - Eftichia Nousi
- Nursing Department, Tzaneio General Hospital of Piraeus, Greece
| | | | - Richard Lacroix
- University of Piraeus, Department of Management and Technology, Greece
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Souliotis K, Kalemikerakis I, Saridi M, Papageorgiou M, Kalokerinou A. A cost and clinical effectiveness analysis among moist wound healing dressings versus traditional methods in home care patients with pressure ulcers. Wound Repair Regen 2016; 24:596-601. [DOI: 10.1111/wrr.12433] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2015] [Revised: 02/02/2016] [Accepted: 03/29/2016] [Indexed: 11/28/2022]
Affiliation(s)
- Kyriakos Souliotis
- Faculty of Social and Political Sciences, University of Peloponnese; Corinth Greece
| | | | - Maria Saridi
- Faculty of Social and Political Sciences, University of Peloponnese; Corinth Greece
| | - Manto Papageorgiou
- Department of Public Health Faculty of Nursing; University of Athens; Athens Greece
| | - Athena Kalokerinou
- Department of Public Health Faculty of Nursing; University of Athens; Athens Greece
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Papachristos A, Kani C, Litsa P, Valsami G, Souliotis K, Saridi M, Markantonis S. Drug Utilization Patterns and Costs of Erythropoiesis-Stimulating Agents in an Outpatient Setting in Greece. Consult Pharm 2016; 31:271-281. [PMID: 27178657 DOI: 10.4140/tcp.n.2016.271] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
UNLABELLED Anemia in the elderly is often related to a higher prevalence of chronic diseases such as chronic kidney failure, arthritis, and malignancy. Erythropoiesis-stimulating agents (ESAs) have been used for years to effectively treat anemia and when used appropriately can substantially improve the health status and quality of life of older adults. Following the 2008 recession in Greece, the government introduced ESA price control restrictions, but no prescribing restrictions, in an effort to reduce drug expenditure. OBJECTIVE ESA prescribing patterns and treatment costs were analyzed to determine inappropriate or appropriate use of these agents and related health care resources in Greece. METHOD A retrospective register-based drug utilization study was carried out using data from prescriptions dispensed at the public pharmacy of the largest social insurance fund (IKA-ETAM), for patients receiving ESAs over a six-month period. For each patient, demographic data, ESA dosage regimen, treatment indication and cost, prescriber specialty, and prescription origin were recorded. RESULTS A total of 14,387 prescriptions from 6,074 patients (median age 74 years) were reviewed. A substantial number of patients (13.5%) were treated for off-label indications, for which the average cost per patient per indication was higher. ESA dosage/frequency of administration varied but was in accordance with recommendations. The percentage of patients who received innovator and biosimilar erythropoietin (EPO) was 88% and 12%, respectively. CONCLUSION For the optimization of ESA utilization and the reduction of treatment costs, strict ESA prescription monitoring, development of registries, and criteria for off-label indications and biosimilar use in naive patients under the umbrella of risk-sharing agreements should be proposed.
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Affiliation(s)
- Apostolos Papachristos
- Faculty of Pharmacy, Laboratory of Biopharmaceutics-Pharmacokinetics, National and Kapodistrian University of Athens, Athens, Greece
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Gerontoukou EI, Michaelidoy S, Rekleiti M, Saridi M, Souliotis K. Investigation of Anxiety and Depression in Patients with Chronic Diseases. Health Psychol Res 2015; 3:2123. [PMID: 26973961 PMCID: PMC4768533 DOI: 10.4081/hpr.2015.2123] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2013] [Revised: 01/30/2014] [Accepted: 01/30/2014] [Indexed: 11/22/2022] Open
Abstract
The health of an individual depends on both his/her physical and psychological condition. In recent years it has been observed that chronic patients have frequently an affected psycho-emotional state. The purpose of this study is to investigate anxiety and depression in patients with chronic diseases and the correlation of the results with daily physical activity levels and individual health levels, as well comorbidity. This study included patients with chronic diseases that were treated in a local general hospital or were visiting often outpatient clinics of the same hospital due to their condition. The sample in this particular study included 204 patients; 118 of them were women and 86 men. From the total sample that participated in our research, 118 (57.8%) were females and the majority of the participants were secondary/basic education graduates (67%), married (71%), living in urban areas (53%). Hypertension was the most frequent chronic disease in our sample, followed by hypercholesterolemia and diabetes mellitus. Comparing the occurrence of depression and anxiety symptoms in both questionnaires in relation to the expected frequency in the general population, significant levels of depression and anxiety symptoms were recorded. Taking into consideration the findings of this research, anxiety and depression symptoms can have profound effects regarding the control of chronic diseases, the patients’ quality of life and their general health.
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Affiliation(s)
| | - Sofia Michaelidoy
- Faculty of Social Sciences, University of Peloponnese , Korinthos, Greece
| | | | | | - Kyriakos Souliotis
- Faculty of Social Sciences, University of Peloponnese , Korinthos, Greece
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Geitona M, Toska A, Souliotis K, Saridi M, Demetzos C. Antibiotic Prescription Practices of Pediatricians and Pediatric Residents in Hospital Care in Greece. Curr Drug Saf 2015; 10:221-6. [PMID: 26033506 DOI: 10.2174/1574886310666150602150619] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2014] [Revised: 05/29/2015] [Accepted: 06/01/2015] [Indexed: 11/22/2022]
Abstract
INTRODUCTION The administration of antibiotics for the treatment of pediatric illnesses is common, reaching one third of pediatric patients. This paper aims to identify the antibiotic prescription practices of pediatricians and to explore the associations between prescribing practices and a series of socio-demographic and professional determinants in Greece. MATERIAL AND METHOD A cross-sectional study was conducted in public hospitals providing secondary and tertiary pediatric care from January to July 2012. A self-administered questionnaire was developed and tested in a pilot study, focusing on respondents' characteristics, their practices and attitudes related to prescribing antibiotics in common childhood diseases, diagnostic uncertainty, and parental demand. Multivariate regression analysis was performed. RESULTS In total, 275 physicians responded to the questionnaire (61% response rate). The majority of the physicians prescribed antibiotics empirically in possible group A streptococcus infections (56.9%) and implemented the "watchful waiting" approach in acute otitis media (65.5%); further, they did not feel diagnostic uncertainty (74%) and were not affected by parental demand (81%). Finally, when prescribing, they did not take into consideration the drug cost (64.4%). Gender, physicians' experience, and the type of hospital (specialized or general hospital) were identified as prognostic factors of prescribing practices. CONCLUSION Our findings could provide decision-makers with insights into how to manage physicians' prescription practices in order to reduce the high rates of antibiotic consumption that Greece is facing nowadays.
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Affiliation(s)
| | | | | | | | - Costas Demetzos
- Department of Social and Educational Policy, School of Social Sciences, University of Peloponnese, Corinth 20100, Greece.
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Koinis A, Giannou V, Drantaki V, Angelaina S, Stratou E, Saridi M. The Impact of Healthcare Workers Job Environment on Their Mental-emotional Health. Coping Strategies: The Case of a Local General Hospital. Health Psychol Res 2015; 3:1984. [PMID: 26973958 PMCID: PMC4768542 DOI: 10.4081/hpr.2015.1984] [Citation(s) in RCA: 102] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2014] [Revised: 11/24/2014] [Accepted: 12/01/2014] [Indexed: 12/17/2022] Open
Abstract
Workplace stress can influence healthcare professionals' physical and emotional well-being by curbing their efficiency and having a negative impact on their overall quality of life. The aim of the present study was to investigate the impact that work environment in a local public general hospital can have on the health workers' mental-emotional health and find strategies in order to cope with negative consequences. The study took place from July 2010 to October 2010. Our sample consisted of 200 healthcare professionals aged 21-58 years working in a 240-bed general hospital and the response rate was 91.36%). Our research protocol was first approved by the hospital's review board. A standardized questionnaire that investigates strategies for coping with stressful conditions was used. A standardized questionnaire was used in the present study Coping Strategies for Stressful Events, evaluating the strategies that persons employ in order to overcome a stressful situation or event. The questionnaire was first tested for validity and reliability which were found satisfactory (Cronbach's α=0.862). Strict anonymity of the participants was guaranteed. The SPSS 16.0 software was used for the statistical analysis. Regression analysis showed that health professionals' emotional health can be influenced by strategies for dealing with stressful events, since positive re-assessment, quitting and seeking social support are predisposing factors regarding the three first quality of life factors of the World Health Organization Quality of Life - BREF. More specifically, for the physical health factor, positive re-assessment (t=3.370, P=0.001) and quitting (t=-2.564, P=0.011) are predisposing factors. For the 'mental health and spirituality' regression model, positive re-assessment (t=5.528, P=0.000) and seeking social support (t=-1.991, P=0.048) are also predisposing factors, while regarding social relationships positive re-assessment (t=4.289, P=0.000) is a predisposing factor. According to our findings, there was a notable lack of workplace stress management strategies, which the participants usually perceive as a lack of interest on behalf of the management regarding their emotional state. Some significant factors for lowering workplace stress were found to be the need to encourage and morally reward the staff and also to provide them with opportunities for further or continuous education.
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Saridi M, Rekleiti M, Toska A, Kriebardis AG, Tsironi M, Syrigos K, Souliotis K. Appropriate utilization of restricted antibiotics in a general hospital of a perfecture area in Greece. Curr Drug Saf 2014; 9:212-9. [PMID: 24861994 DOI: 10.2174/1574886309666140527111419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2014] [Revised: 04/29/2014] [Accepted: 04/30/2014] [Indexed: 11/22/2022]
Abstract
INTRODUCTION Over-consumption of antibiotics has led to increased bacterial resistance and higher prevalence of hospital -acquired infections, resulting in rising treatment costs and prolonged length of hospital stay. The purpose of the study was to correlate the use of restricted antibiotics with recommended diagnosis and cost. MATERIALS AND METHODS All restricted antibiotics that were administered in a 240-bed general hospital in a semi-urban area within a year were recorded. The reason for administering each such antibiotic during the first three months of the study was also recorded. PASW 18 (SPSS Inc.) was used for the statistical analysis; a variable was considered statistically significant when statistical significance was p= 0.05. RESULTS 1118 patients were registered, of which 35,05% were employees, insured with IKA, 33,05% were farmers and covered by OGA and 31,9% were insured in other Social Insurance Funds or uninsured. The most commonly administered antibiotic combination was that of piperacillin/tazobactam, which was mainly used in the Internal Medicine Dept. of the Hospital. The most commonly used restricted antibiotic, administered after an antibiogram, was the combination of piperacillin/tazobactam (n= 13), mainly prescribed for respiratory infection. One third of the recorded restricted antibiotics were administered before an antibiogram had been taken for fever of unknown origin (n= 128). CONCLUSION Rational use of restricted antibiotics is an important component of public health policies aiming at reducing hospital-acquired infections. Hospitalization costs rise when restricted antibiotics are used, and the possibility for the development of resistant bacteria increases.
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Affiliation(s)
| | | | | | | | | | | | - Kyriakos Souliotis
- General Hospital of Korinthos, 53 Athinon Av., GR20100, Korinthos, Greece.
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Rekleiti M, Saridi M, Toska A, Kyriazis I, Kyloudis P, Souliotis K, Wozniak G. The effects of a first-aid education program for middle school students in a Greek urban area. Arch Med Sci 2013; 9:758-60. [PMID: 24049542 PMCID: PMC3776165 DOI: 10.5114/aoms.2012.30957] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/10/2011] [Revised: 11/25/2011] [Accepted: 01/08/2012] [Indexed: 11/17/2022] Open
Affiliation(s)
| | | | | | - Ioannis Kyriazis
- Internal Medicine Department and Diabetes Outpatient Clinic, General Hospital ”Asclepeion” Voulas, Athens, Greece
| | | | - Kyriakos Souliotis
- Department of Social and Educational Policy, Faculty of Social Sciences, University of Peloponnese, Korinthos, Greece
| | - Greta Wozniak
- Medical School, University of Thessaly, Larissa, Greece
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Rekleiti M, Sarafis P, Saridi M, Toska A, Melos C, Souliotis K, Tsironi M. Investigation of depression in Greek patients with diabetic peripheral neuropathy. Glob J Health Sci 2013; 5:107-14. [PMID: 23985112 PMCID: PMC4776877 DOI: 10.5539/gjhs.v5n5p107] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2013] [Accepted: 05/23/2013] [Indexed: 01/13/2023] Open
Abstract
Background: Considerable studies directly connect the complications in diabetic patients, and especially peripheral neuropathy, with the emergence of depression. Neuropathetic pain may deteriorate the general health status of the diabetic patient and glycaemic regulation. Purpose: The purpose of this study was to investigate the appearance and degree of diabetic peripheral neuropathy and its correlation with depression, with other parameters of the disease and also duration. Methods: 57 diabetic patients participated with diagnosed diabetic peripheral neuropathy (male n=27, female n= 30, mean of age 72.7±6.35 years). The first part of Michigan Neuropathy Screening Instrument and the Zung Depression Rating Scale were used as tools for our study. Data was analysed with the SPSS 18.0 statistic program. Results: 57.9% of the patients were overweight, 35.1% were obese and only 7% were within normal weight range. The BMI findings between the two genders indicate that male participants are more often obese than females. Women surpassed men in the category of overweight patients (p<0.05). The score based on MNSI was high and between 3 to 12 (mean average of 8.19±2.60 with 8 as intermediate rate). Almost 60% of patients had severe neuropathy, only 2 were found with mild symptoms and the rest had moderate neuropathtic symptoms, based on the score summary from the questionnaire. Investigating in detail the relation of diabetic neuropathy and depression, it derives that a high degree of diabetic neuropathy is related with high score of depression [F(3.160)=9.821, p=0.001]. Moderate and severe neuropathy was found with almost the same levels of depression. Conclusions: The correlation between diabetic neuropathy and depression is confirmed, while a very high depression rate was found in patients with severe neuropathy. The issue needs further study by using common instruments to obtain comparative results from the scientific community.
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Affiliation(s)
- Maria Rekleiti
- Faculty of Human Movement and Quality of Life Sciences, Department of Nursing, University of Peloponnese,.
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