Athens Journal of Health and Medical Sciences最新文献

{"title":"The Effect of the Creative Drama Activities on Shyness, Self-Esteem, and Mental Well-Being","authors":"G. Karatay, Nazan Gürarslan Baş, M. Karatay","doi":"10.30958/ajhms.10-2-3","DOIUrl":"https://doi.org/10.30958/ajhms.10-2-3","url":null,"abstract":"The purpose of this study was to investigate the effect of creative drama on the levels of shyness, self-esteem, and mental well-being in disadvantaged youth. This study was planned in a single group pretest-posttest design. 10 sessions of creative drama activities were held for each group by the drama-trained researchers approximately 120 minutes per week. The data of the study were collected by using the Personal Information Form, Coopersmith Self-esteem Inventory, Warwick - Edinburgh Mental Well-Being Scale, and Shyness Scale. After transferring the data to the computer-aided SPSS package program, the data were evaluated using percentages, averages and significance tests. While the Self-Esteem Scale average score was 59.846 ± 14.986, the Shyness Scale average score was 61.153 ± 15.032 and Warwick-Edinburg Mental Well-Being Scale average score was 51.096 ± 8.661 before the intervention, it respectively changed to 71.923 ± 13.430, 49.230 ± 12.267 and 55.384 ± 9.088 and these differentiations in all three dimensions were found to be statistically significant. It was observed that 10-week creative drama sessions increased the level of self-esteem and mental well-being of disadvantaged students as well as decreasing the level of shyness. Keywords: youth, creative drama, self-esteem, shyness, mental stress","PeriodicalId":196877,"journal":{"name":"Athens Journal of Health and Medical Sciences","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121466706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examination of the Relation between Sleep Quality during Pregnancy and Adaptation to Pregnancy","authors":"Gül Taybe Arkalı, K. Amanak","doi":"10.30958/ajhms.10-2-4","DOIUrl":"https://doi.org/10.30958/ajhms.10-2-4","url":null,"abstract":"This study was conducted to examine the relation between sleep quality in pregnancy and adaptation to pregnancy. The study had included 369 pregnant women presenting to the obstetric and gynecological outpatient clinic. The study had an analytical and cross-sectional design. Data was collected by using a sociodemographic and obstetric characteristics form, the Pittsburgh Sleep Quality Index and the acceptance of pregnancy subscale of the Prenatal Self-Evaluation Questionnaire. Obtained data was evaluated using descriptive statistics, analysis of variance, and Pearson correlation analysis. The mean score on the Pittsburgh Sleep Quality Index was 9.49±2.88 and the mean score on acceptance of pregnancy was 20.95±6.59. The mean scores for the Pittsburgh Sleep Quality Index, its subscales and acceptance of pregnancy increased from the first trimester to the third trimester and this difference was statistically significant. Also, a significant, moderate, positive correlation was found between the sleep quality of the pregnant women and their adaptation to pregnancy according to their trimesters. It can be concluded that the sleep quality of the pregnant women was poor in general but that the level of their adaptation to pregnancy was good. The sleep quality and adaptation to pregnancy decreased as pregnancy progressed throughout all the trimesters. Keywords: adaptation, pregnancy, sleep quality, trimester","PeriodicalId":196877,"journal":{"name":"Athens Journal of Health and Medical Sciences","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134193735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of the National Health Education Program among Saudi Patients in Saudi Arabia Primary Health Care Centers, 2019","authors":"S. A. Amer, Lulwah A. Aldehaim, Reem S. El Ghebawi, A. Alshammari, Nouf A. El Eissa, Fahad A. Al Amri","doi":"10.30958/ajhms.10-1-3","DOIUrl":"https://doi.org/10.30958/ajhms.10-1-3","url":null,"abstract":"Health education (HE) is important in improving public health. Globally, the evaluation HE quality is an important obstacle to better interventions, and wider acknowledgment of As a result, the purpose of this research is to improve the quality of health education services by providing a current perspective on current evidence on the effect of the HE national program in primary health care centres (PHCCs) through the following objectives: To calculate the frequency of receiving HE To measure patient satisfaction with the provided HE service. To assess patient self-control and its determinants in chronic diseases. An analytical cross section study targeted randomly selected 1590 Saudi PHCCs visitors from the main five regions in the Kingdom of Saudi Arabia (KSA). Through exit interview using a pretested, well-structured questionnaire composed of four parts. The majority of participants were females (73.5%) and married (69.1). Of those, 64.9% had chronic diseases. The frequency of receiving HE was 51.1%. The health-educated patients significantly had better self-chronic disease control and an improvement in health status. The HECs shows a significant self-patient control of chronic diseases and patient satisfaction than HE services. HE interventions must be multidimensional to be effective in improving patients’ clinical outcomes through the increase and maintenance of healthy behaviours. Keywords: health education, Saudi patients, primary health care centres, Saudi Arabia","PeriodicalId":196877,"journal":{"name":"Athens Journal of Health and Medical Sciences","volume":"53 22","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113937568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and Awareness of Childhood Asthma in a Population in the United Arab Emirates","authors":"Shaikha Ali Alkhatri, M. Shamssain","doi":"10.30958/ajhms.10-1-4","DOIUrl":"https://doi.org/10.30958/ajhms.10-1-4","url":null,"abstract":"Asthma is one of the most common chronic respiratory disease affecting young children. Parents, care providers and teachers face all the issues of asthma management. Antibiotics became a marker of irrational and overuse of these drugs in many countries which can result from many factors, such as unregulated drug availability, relaxed health policies concerning regulations on antibiotics use, obtaining of antibiotics without prescription, patients’ knowledge and attitudes towards antibiotic use, self-medication, physicians’ knowledge and experiences and patient-prescriber interaction. ‬‬‬‬‬‬‬This study aimed to assess the knowledge and awareness of childhood asthma, its symptoms, triggers, prevention, management, education and antibiotic use in adults in a population in the UAE. Seven hundred questionnaires were distributed among population in Ras Al-Khaima, UAE. The knowledge about childhood asthma was evaluated using a validated questionnaire consisted of 34 questions. Six hundred and sixty three completed questionnaires were returned making the response rate of 94.7%. The overall mean (+/- SD) of knowledge score was 22.43 (+/- 4.1). A score of 70% and above was judged to be good, 50%-69% fair and <50% was poor. In all, 45.6% of the respondents had good Knowledge towards childhood asthma, 46.5% had fair Knowledge while 8% had poor Knowledge. Regarding the participants knowledge about asthma triggers, our study showed that 57.3% knew the triggers for asthma, 78.4% were knowledgeable about the fact that infectious respiratory diseases increase the chances of asthma progression, 88.4% correctly answered that exposures to sudden changes in environment ( dust or cold weather ) affect the progression of asthma, 88.8% believed that direct or indirect exposure to cigarette smoke could lead to acute attacks of asthma and 85.4% recognized that exposure to perfumes , incense or paint fumes could lead to acute asthma attack. The childhood asthma knowledge among Ras Al-Khaima population is quiet good which may indicate that the important role that has been taken by Ministry of Health in educational programmes. The population age group above 30 years old had lack of asthma knowledge which is important to improve their awareness about childhood asthma because it enhances their understanding of this disease which will reflect on people who interact with children in order to recognize asthma. Future educational efforts should seek to provide parents, care providers and teachers with accurate information about asthma with particular concern for sport and asthma. This will have a significant impact on the management of this chronic respiratory disorder. Educational campaigns are necessary to enhance and measure general public awareness of asthma, its differential diagnosis against other respiratory infections, environmental triggers, risk factors as well as treatment options. Keywords: asthma, knowledge, awareness, education, communication","PeriodicalId":196877,"journal":{"name":"Athens Journal of Health and Medical Sciences","volume":"120 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124164113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Difficult Interpersonal Situations in Leadership as Arenas of Ethical Leadership and Learning","authors":"Hannele Laaksonen, Marjukka Tenhunen","doi":"10.30958/ajhms.10-1-1","DOIUrl":"https://doi.org/10.30958/ajhms.10-1-1","url":null,"abstract":"Leadership in the Finnish social and health care field has changed significantly since the beginning of the 21st century. Its principles have become closer to those of business organizations, which demand cost-effectiveness. Superiors are expected to achieve more with dwindling personnel resources. This may have led to unethical leadership, which has negative effects on workplace wellbeing and coping at work. The purpose of this study was to chart the experiences of master’s degree students in leadership (N=54) regarding difficult leadership situations and what they learned from them. All the students had a bachelor’s degree and at least three years of work experience. The data were collected as narratives written as part of a course on personnel leadership, which were then analyzed using deductive content analysis. Ethical leadership in difficult personnel situations was seen as good communication skills and treating all subordinates as equals. Through their own example, ethical leaders created a work environment where all felt understood and respected. The respondents also learned how to recognize features of unethical leadership through their experiences. Further research should focus on superiors’ experiences of leadership, which factors lead to unethical actions and how unethical leadership can be avoided. Keywords: communication, ethical leadership, interaction, learning through work, unethical leadership","PeriodicalId":196877,"journal":{"name":"Athens Journal of Health and Medical Sciences","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126506779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Can Virtual Reality Glasses and Virtual Learning Material be Useful for Final Stage Nursing Students?","authors":"Mari Salminen-Tuomaala","doi":"10.30958/ajhms.10-1-2","DOIUrl":"https://doi.org/10.30958/ajhms.10-1-2","url":null,"abstract":"Purpose: to describe nursing students’ experiences of learning with help of virtual learning materials and virtual simulations. The aim was to produce knowledge that can be used to develop virtual simulation teaching and counseling further and to support students’ self-debriefing. Methods: This is a mixed method study conducted with 13 final-stage nursing students at a University of Applied Sciences in Finland. Following virtual simulations performed during an acute nursing course, the students completed a questionnaire with qualitative and quantitative items on their experiences and on the usefulness of the simulations. The findings are primarily based on an inductive content analysis of the students’ responses to qualitative items. The quantitative data, analyzed by means of SPSS, was used to support the qualitative analysis. Results: Most participants found virtual simulation learning and the use of virtual reality glasses a welcome change and a meaningful and safe way to promote their theoretical and practical competencies. They appreciated the possibility to choose the topic and the time and place of study. The simulations had been useful in practicing assessment and decision-making skills. Problem-solving, simulation of rare incidents, game-like elements and step-by-step feedback were proposed. A few students disliked the artificial setting and some reported headache and nausea. Conclusion: Virtual simulations and virtual reality glasses can be effectively used to teach final-stage nursing students as part of a blended learning approach. Careful planning of the learning contents and a suitable level of challenge in the simulations increase student motivation. Keywords: experience, nursing student, acute nursing, virtual simulation, virtual reality, VR glasses","PeriodicalId":196877,"journal":{"name":"Athens Journal of Health and Medical Sciences","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124345927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SAFER: An Occupational Health and Safety Teaching Framework for Nursing Students","authors":"R. Boucaut, S. Lefmann","doi":"10.30958/ajhms.9-4-1","DOIUrl":"https://doi.org/10.30958/ajhms.9-4-1","url":null,"abstract":"Occupational health and safety (OHS) education is integral to healthcare practice. Nurses/nursing students are particularly vulnerable during their work in this high-risk industry. Current clinical teaching appears to focus on individual risks rather than provide a broader overview of the complex issues involved. A novel educational resource, the Safety Assessment Framework for Evaluation and Assessment (SAFER), is presented, addressing a gap in current education resources for nursing students to broaden understanding about OHS. The study re-examined pilot focus group data from first- and third- year student OHS focus groups in an Australian university School of Nursing. The SAFER framework was informed by student nurses impressions/ experiences of OHS (published in 2015 and 2016), supported by a literature review. Central to the SAFER framework is OHS ‘risk management’. It incorporates stakeholders and Australian legislation, all in relation to ‘responsibility’ and ‘trust’. Examples use focus group participant voice, linked with researcher interpretation and supporting documentation. Clinical educators now have a broad resource to facilitate student group discussions about OHS from multiple perspectives. SAFER’s value beyond face validity should be tested, to confirm its applicability as a teaching resource in various university and training environments. Keywords: occupational health, education, nursing, curriculum, student","PeriodicalId":196877,"journal":{"name":"Athens Journal of Health and Medical Sciences","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126277333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Public Reporting Programs: Organizing and Synthesizing the Literature","authors":"Stephan Tobler, H. Stummer","doi":"10.30958/ajhms.9-4-2","DOIUrl":"https://doi.org/10.30958/ajhms.9-4-2","url":null,"abstract":"Public Reporting (PR) of quality data is a common instrument to support transparency, accountability, and quality improvement in modern health care systems. Although, programs exist for 30 years, signals for its efficacy are inconclusive and new measurement schemes enjoy great popularity. The aim of this study was a realist view of the current literature dealing with effects of PR and finding answers on the broad and often unquestioned use by health authorities. This review considered literature from relevant databases and included all type of studies. In a kind of map, authors organized the research based on different paradigms and theories. Results indicate, first, patients rarely use the reported data. Second, providers show limited usage as well, but it is the more promising way which could lead to quality improvement. This review suggests that PR is a popular topic in different academic fields and health care policy. Despite of its high use, PR often does not show its full potential. Pure rational approaches to describe the effect of PR fall short. Further research should strive to do better by paying more attention to the breadth, theories, and context of the field as well as collective solution-finding among academia, policy, and practice. Keywords: quality improvement, delivery of health care, health policy, information dissemination, quality indicators, health care","PeriodicalId":196877,"journal":{"name":"Athens Journal of Health and Medical Sciences","volume":"138 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132980935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Positive Psychological Capital in the Prediction of Teachers’ Well-being Mediated Through Motivation: A Review of Literature","authors":"Girum Tareke Zewude, Maria Hercz","doi":"10.30958/ajhms.9-4-4","DOIUrl":"https://doi.org/10.30958/ajhms.9-4-4","url":null,"abstract":"Based on the self-determination and positive psychology theory, teachers’ motivation links the relationship between psychological capital and teacher well-being and discusses their theoretical and practical benefits. It is argued that the scientific literature from wide-ranging and diverse studies on teachers’ well-being in elementary and secondary school focused on the pathological lens and healing specific disorders under a variety of life course threatening conditions across cultural contexts. Seligman (2011) criticised that mental health professionals and psychologists gave much prominence to mental disorders and pathologies, overlooking two crucial missions in the field of psychology: (a) helping healthy people to be happier and more productive and (b) actualising human potential. Depending on the current recommendation of positive psychology, and based on the literature gap and relevance of the issues, this study used a theoretical model of self-determination theory of motivation (Ryan and Deci 2017), psychological capital (Luthans et al. 2007a); hedonism well-being (Diener 2009a); and teacher well-being (Collie et al. 2015). Thus, in this review, the operational definition, components and measurements of positive psychological capital, teacher well-being and motivation of teachers and their link strongly supported with scientific literature and a future testing model was proposed. In this study, the links between each construct were addressed, and their educational implications to teachers, students, educational settings and policymakers are presented. Keywords: subjective well-being, teacher well-being, positive psychological capital, motivation","PeriodicalId":196877,"journal":{"name":"Athens Journal of Health and Medical Sciences","volume":"194 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115582877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying the Well-suited Chinese Herbal Products for Hepatocellular Carcinoma (HCC) Patients in Terms of Hazard Ratio and Child-Pugh Score Improvement: A Frequentist Statistical Analysis Applying ‘Netmeta’","authors":"Kakei Lo","doi":"10.30958/ajhms.9-4-3","DOIUrl":"https://doi.org/10.30958/ajhms.9-4-3","url":null,"abstract":"Hepatocellular carcinoma (HCC) causes high mortality and global burden. In addition to the conventional western treatments, HCC patients are actively seeking adjuvant therapies, such as traditional Chinese medicine (TCM), hoping to improve treatment outcomes and prolong survival. Until 2021, only two network meta-analyses (NMAs) compare different HCC treatments, which, however, did not compare all forms of TCM formulations, and there is no evidence informing which TCM works best for an outcome. This frequentist NMA, conducted with R (version 4.0.2) under the random-effect model, ranks all TCM integrative treatments by P-scores with its ‘netmeta’ package for two outcomes, survival (hazard ratio) and Child-Pugh score improvement (odds ratio). There are 289 RCTs retrieved from literature screening for NMA. For survival, the combination of Buxu Huadu decoction and Jinshuibao capsule ranks first overall (P-score 0.9745, HR 0.1962). Fugan injection is the best TCM injection (P-score 0.9809, HR 0.3051). Shugan Huazhuo decoction (P-score 0.9448, HR 0.3728) and Peiyuan Guben capsule (P-score 0.9677, HR 0.2946) are the best decoction and product for oral administration respectively. Aidi injection ranks first in Child-Pugh score improvement (P-score 0.7539, OR 4.3429). This NMA guides clinical decision making in all kinds of settings. Multi-centered RCTs are warranted for further verification. Keywords: traditional Chinese medicine (TCM), hepatocellular carcinoma (HCC), network meta-analysis (NMA), adjuvant treatments, frequentist statistical analysis","PeriodicalId":196877,"journal":{"name":"Athens Journal of Health and Medical Sciences","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125758992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}