International Journal of Health Services Research and Policy最新文献

{"title":"DOES DISABILITY STATUS AFFECT MATERNAL CARE AROUND PREGNANCY? EVIDENCE FROM NATIONAL SURVEY OF FAMILY GROWTH (NSFG) 2013-2015 DATA IN UNITED STATES","authors":"Munir D. Ahmed, S. Baloch","doi":"10.33457/ijhsrp.776111","DOIUrl":"https://doi.org/10.33457/ijhsrp.776111","url":null,"abstract":"Abstract Introduction It is estimated that approximately 12% of the reproductive age women have some kind of disability; which is measured as self-reported difficulty in performing basic functions concerning movement, vision, hearing or cognition. Little research has been conducted on reproductive health of women with disabilities using nationally representative survey data; thus body of scientific knowledge on this subject is limited. Objectives The purpose of this study was to examine the effect of disability status (both mental and physical) among women on prenatal care and post-pregnancy care in U.S. using nationally representative National Survey of Family Growth (NSFG) data. Study design It’s a retrospective, quantitative, observational study. Methods The 2013-2015 NSFG’s female respondent file contains 5699 records one for each woman interviewed whereas the pregnancy respondent file contains 9358 records each related to a pregnancy. The data about disabilities related variables was part of female respondent file therefore using unique respondent ID files were merged and logistic regression models were built using prenatal and postnatal care as dependent and disability status as main independent variable. Results Women with Medicaid were significantly less likely as compared to those with private insurance to have received prenatal care in last 12 months. Women with less than 12 years education were less likely to have received post pregnancy care as compared to those with college education. Conclusion: Although this study did not find significant effects of disability on utilization of prenatal and post-pregnancy care, further research is needed on this subject with datasets that include comprehensive information about broader spectrum of disability status of women.","PeriodicalId":32502,"journal":{"name":"International Journal of Health Services Research and Policy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42207385","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":"ADHERENCE TO PROPHYLAXIS IN RELATION TO QUALITY OF LIFE AND ANXIETY LEVEL IN TURKISH PATIENTS WITH SEVERE HAEMOPHILIA A","authors":"Z. Kaya, S. Ki̇rki̇z, M. Albayrak, E. Güney, S. Eyupoglu, N. Ozbek","doi":"10.33457/ijhsrp.738665","DOIUrl":"https://doi.org/10.33457/ijhsrp.738665","url":null,"abstract":"Background: Bleeding increases anxiety and reduces quality of life (QoL) for patients with severe haemophilia A. This study investigated adherence to prophylaxis in relation to QoL and anxiety level in haemophilia A patients. Methods: Forty-three patients with severe haemophilia A were stratified into three groups by age: 12 children aged 2-13 years, 17 adolescents aged 14-21 years, and 14 adults aged 21-65 years. Quality of life and anxiety level were assessed using the 36-item Short Form Health Survey (SF-36) and the State-Trait Anxiety Inventory (STAI), respectively. Regular prophylaxis (RP) and pharmacokinetic (PK)-guided prophylaxis were prescribed for 30 and 13 patients, respectively. Results: All the children (n=12; nine RP, three PK-guided prophylaxis) and 10 (58.8%, PK-guided prophylaxis) of the adolescents were completely adherent to prophylaxis. Seven (41.2%) of the adolescents and all 14 adults (100%) were non-adherent to prophylaxis. Compared to findings for the adolescents, anxiety level was higher among the children’s parents and among the adults (p<0.05 for both). The QoL level was lower for the adults than for the parents of children and for the adolescents (p<0.05 for both). Conclusion: Pharmacokinetic-guided prophylaxis for adults and home treatment for children in haemophilia A would enhance adherence to prophylaxis, increase QoL and reduce anxiety levels.","PeriodicalId":32502,"journal":{"name":"International Journal of Health Services Research and Policy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44165426","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":"INVESTIGATION OF SFLT-1 AND VEGF EXPRESSION IN NORMOTENSIVE AND PREECLAMPTIC PLACENTA. AN IMMUNOHISTOCHEMICAL STUDY","authors":"F. Şahin, M. Akkuş, U. Şeker, S. Soker, Ebru Gokalp-Ozkorkmaz, E. Ağaçayak, F. Aşır","doi":"10.33457/ijhsrp.766837","DOIUrl":"https://doi.org/10.33457/ijhsrp.766837","url":null,"abstract":"Objectives: The pathogenesis of preeclampsia is still not clear, but endothelial dysfunction believed to be one of the most encountered problems during placenta development in preeclamptic patients. Both vascular endothelial growth factor (VEGF) and its antagonist, soluble Fms-Like tyrosine kinase-1 (sFlt-1), have roles in vascular function. In this study, we have investigated immunohistochemical expression of VEGF and sFlt-1 in term placenta of normotensive and preeclampsia patients. Methods: Totally twenty term placentas were obtained from pregnant women of which 10 preeclampsia patient and 10 normotensive. Placentas were dissected and tissue samples were subjected to routine tissue processing protocol, then embedded in paraffin blocks. Serial sections were obtained from paraffin blocks and stained with H&E and PAS for routine histopathology. VEGF and sFlt-1 immunohistochemistry was performed to the sections. Results: When compared to control group, severe pathological changes were observed in preeclamptic placentas. Increase in number of syncytial knots and intervillous bridges, hemorrhage in interstitium, dilatation and congestion in villous capillaries, increase in fibrin accumulation in villus stroma, and increase in thickening of basement membrane were very clear. VEGF expression was significantly higher in normotensive placentas compared to preeclamptic. On the other hand, sFlt-1 expression was significantly increased in preeclamptic placentas. Conclusions: When the VEGF and sFlt-1 expression was considered, higher expression of sFlt-1 at preeclampsia, but decrease in VEGF expression, might be related to endothelial dysfunction in preeclampsia. Overall, this study demonstrates, imbalance between VEGF and sFlt-1 is one of the major reason of endothelial dysfunction in preeclamptic placenta.","PeriodicalId":32502,"journal":{"name":"International Journal of Health Services Research and Policy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42468589","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 EFFECTS OF CARE-GIVING UPON FAMILY MEMBERS OF INDIVIDUALS WHO ARE TREATED IN THE PALLIATIVE CARE UNIT: A PHENOMENOLOGICAL APPROACH","authors":"Derya Biçak Ayik, Sibel Şentürk","doi":"10.33457/ijhsrp.737447","DOIUrl":"https://doi.org/10.33457/ijhsrp.737447","url":null,"abstract":"Care giving family members are individuals who are directly involved in the care of a life-threatening patient, often facing a wide range of tasks, such as physical care, providing emotional support, and taking part in the treatment process. This research was carried out to determine effects of care-giving upon family members of individuals who are treated in the palliative care unit. This descriptive phenomenological qualitative study was conducted with a total of 16 family members who had been taking primary care of patients for at least three months and agreed to participate in the study. The data were collected in 35-40 minutes by face-to-face interview with a semi-structured interview form. Colaizzi’s phenomenological data analysis method was used in the evaluation of the data, and 5 themes were determined. Family members participating in the research stated that they experienced physiological problems such as pain, sleep problems and fatigue; psychological problems such as stress and fear; economic problems due to job losses and treatment costs; social problems for reasons such as isolation and problems in family relations such as change in roles and communication disruption. As a result of the research, it was determined that especially all of the family members had psychological and social problems. The problems and needs of family members should be questioned in clinical settings, and they should be directed to support units.","PeriodicalId":32502,"journal":{"name":"International Journal of Health Services Research and Policy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48979626","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":"DETERMINATION OF THE CORRELATION BETWEEN NURSES’ ORGANIZATIONAL COMMITMENT AND JOB-RELATED STRESS LEVELS: AN EXAMPLE OF A PUBLIC HOSPITAL","authors":"Tuğba Uluocak Köse, Melek Karatuzla, Aytolan Yıldırım","doi":"10.33457/ijhsrp.733952","DOIUrl":"https://doi.org/10.33457/ijhsrp.733952","url":null,"abstract":"Objective: This research was conducted in order to determine the correlation between the loyalty of nurses in Haydarpasa Sultan Abdulhamit Han Education and Research Hospital and their job-related stress levels, which is one of the important elements of health service delivery. Method: The sample of this research consisted of military nurses who were transferred from the Turkish Armed Forces to the Ministry of Health in 2016 and 170 nurses who agreed to participate in the research at Haydarpasa Sultan Abdulhamit Han Education and Research Hospital after the transfer and the full count method was used when calculating the sample. In the research, which was planned to be definitive, the required data was collected using the Job-related Tension Scale and the Organizational Commitment Scale. In the research, the data was collected with face-to-face interviewing method after the participants were informed of the purpose of the research and after their consent was obtained and the participants were interviewed at their convenience. The data obtained was evaluated by establishing a database in SPSS (Statistical Package for Social Sciences) 22.0 software. In the evaluation of the data, number, percentage, standard deviation and mean were used as descriptive statistical methods. Findings: According to the groups, 82 (48.2%) of the employees were previously employed at the Gulhane Military Medical Academy (GATA) and 88 (51.8%) were employees of the Ministry of Health. According to regression analysis, the total change in job-related stress level is explained by 14.9% organizational commitment total. In correlation analyses, negative correlation was found between job-related stress and emotional commitment, continuance commitment, and normative commitment. Employees who previously worked at GATA reported a significant decrease in the total value of organizational commitment relative to the total GATA value of organizational commitment. Job-related stress levels, on the other hand, showed a significant increase in employees who previously worked at GATA. Conclusion: According to the research findings, it is observed that organizational commitment tends to decrease in employees who previously worked at GATA, that there is a significant increase in job-related stress levels, and that the job-related stress of employees in GATA is high and significant. Key Words: Job-related stress, organization, organizational commitment.","PeriodicalId":32502,"journal":{"name":"International Journal of Health Services Research and Policy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46527600","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":"EVALUATION OF RDW, MPV, PLATELET LABORATORY PARAMETERS IN PROSTATE CANCER PATIENTS ADMITTING TO EMERGENCY DEPARTMENT WITH HEMATURIA","authors":"D. Atik","doi":"10.33457/ijhsrp.795668","DOIUrl":"https://doi.org/10.33457/ijhsrp.795668","url":null,"abstract":"Abstract:Prostate Cancer (PCA) is the most common among urological malignant tumors. Prostate cancer patients may be unable to urinate, and may have hospital admissions with symptoms like erectile dysfunction or hematuria. Although hematuria is a highly common clinical manifestation in the society, the frequency of it is not known in prostate cancer patients, which is one of the urological malignancies. The purpose of this study was to investigate the relation of RDW (distribution width of the red blood cells), MPV (mean platelet volume) and Platelet Blood Parameters with hematuria in prostate cancer patients admitting to the emergency clinic with hematuria. The present study was conducted retrospectively by examining the hospital automation system and patient files of prostate cancer patients admitting with hematuria between 01.01.2018-01.01.2020 to Yozgat Bozok University Emergency Medical Clinic. A total of 60 patients with full files and that matched study criteria were included in the study. For the purpose of comparing blood parameters for the purpose of comparing blood parameters, 45 patients with prostate cancer, nonspecific complaints and non-additional diseases were evaluated as the control group. MPV (mean platelet volume), RDW-CV (red blood cells distribution width) blood parameters of patients with prostate cancer hematuria were found to be significantly higher in the control group. Platelet value of the patient group was found to be significantly lower than the control group. However, the platelet blood parameter values were significantly lower in patients with major hematuria than in patients with minor hematuria (<0.05). According to the results of the present study, we believe that all the three parameters (RDW, MPV and Platelet levels), which can be measured in full blood count in the prostate cancer patient group in particular, can guide clinicians that the finding of hematuria can develop, and will be beneficial in follow-up and treatment. However, unlike RDW and MPV laboratory parameters, we think the Platelet parameter is an important parameter in predicting the type of hematuria that can develop.","PeriodicalId":32502,"journal":{"name":"International Journal of Health Services Research and Policy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44430603","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":"GENITAL SELF IMAGE IN WOMEN AND AFFECTING FACTORS","authors":"Özlem Doğan Yüksekol, A. Yilmaz, Sinan Irtegün","doi":"10.33457/ijhsrp.810985","DOIUrl":"https://doi.org/10.33457/ijhsrp.810985","url":null,"abstract":"Abstract The genital self-image, which is an important factor for women's health, has been defined as the self-attitude and the following emotion arising directly or indirectly from special interactions and experiences involving the genital organs. Women's beliefs and feelings about their genital organs are expressed as a sensitive subject because they are seen as secret and taboo. But nowadays many women find the appearance of their genital organs very important and are more interested in appearance. Although both women and men report negative genital self-images, research has shown that men tend to have a more positive genital self-image than women. Genital self image; body image, organ loss, sexual functions, genital hygiene practices, vaginal infections, culture, obesity, developmental periods and media. When we look at the literature, body image studies mostly focused on women's attitudes towards beauty, weight, and skin color, leaving the issue of genital self-image in the background. In fact, genital self-image plays an important role in the development of sexual health and body image. Recently, it has been found that women have an increasing desire to undergo genital cosmetic / plastic surgery operations and change the appearance and functions of their vulva and vagina due to their negative views on their genital self-image. It is important to examine all the factors that affect the genital self-image, which is of great importance for women's health, and to provide the necessary care by taking a holistic approach in terms of body perception and sexuality. Nurses / midwives should adopt approaches to increase the body and genital image of women and to increase the quality of life of individuals. Nurses / Midwives are healthcare professionals in the most appropriate position to provide the necessary support in developing a new genital self-image and positive lifestyle.","PeriodicalId":32502,"journal":{"name":"International Journal of Health Services Research and Policy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48580323","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":"READING ROUTINES OF COMMUNITY HEALTH EXECUTIVES UPON MANAGERIAL TOPICS, WITHIN THE CONTEXT OF HEALTH TRANSFORMATION PROGRAM (HTP) IN THE TURKEY; DIYARBAKIR CASE","authors":"M. E. Kurt, A. Ceylan","doi":"10.33457/ijhsrp.795298","DOIUrl":"https://doi.org/10.33457/ijhsrp.795298","url":null,"abstract":"Due to the ever-changing, developing and complex structures of health institutions, the need to manage their administrations via professional managers arised by the end of the 1800s in the world, mainly in the USA and Europe, and such a need has been continuously emerging in our country since the 1950s. Concerning those current professional health managers, who serve in a rapidly evolving and changing health sector, following periodicals, books and articles on general or health management should be among the sine qua non for the development and change of such professional health management. Together with the Health Transformation Program (HTP) that has been implemented in Turkey since 2003, despite the adoption of the understanding that predominantly professional healthcare managers should be assigned in the management of health institutions, there are still many managers operating in the sector, who are not adequately educated. The aim of this study is to determine the prevalence of those managers of the public health administrators in Diyarbakir, reading articles, books and periodicals on general-health management for their development. The study is a descriptive study, involving 165 healthcare managers, which mainly have been serving in 3 public health institutions (Provincial General Secretariat to Association of Public Hospitals, Provincial Directorate of Community Healthcare, Provincial Directorate of Health and its affiliated units) in Diyarbakir province prior to November 25th, 2017. 80.7% of the managers did not have master's degree in health-general management education. In the case of Diyarbakir, it is obviously seen that health-care administrators are urgently required to undertake bachelor, masters, PhD programs on general health management.","PeriodicalId":32502,"journal":{"name":"International Journal of Health Services Research and Policy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42857197","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":"A QUALITATIVE STUDY ON ACCESS BARRIERS TO MENTAL HEALTHCARE SERVICES BY SYRIAN REFUGEE WOMEN IN WINNIPEG, MANITOBA, CANADA","authors":"Sanjida Newaz, N. Riediger","doi":"10.33457/ijhsrp.798280","DOIUrl":"https://doi.org/10.33457/ijhsrp.798280","url":null,"abstract":"The world refugee crisis is currently at a record level. Refugees have an increased risk of developing mental illness like post-traumatic stress disorder (PTSD), depression, and somatic symptoms because of their exposure to violence. Despite increased healthcare needs, refugees face considerable barriers in accessing services. Women refugees may have unique mental healthcare needs due to their vulnerability to gender-based violence and abuse during flight from war. This study explores the mental healthcare need, availability of support and barriers in accessing services among Syrian refugee women in Winnipeg. Semi-structured interviews were conducted with nine refugee women and six service providers/decision makers. The data were analyzed using a qualitative thematic approach aided by NVivo 12 qualitative software. The most cited barriers in accessing mental healthcare services were language, weather, unemployment, stigma, system navigation, different understandings of mental health and illness, and lack culturally competent care. Results from this study can inform decision makers of issues requiring policy responses to improve mental healthcare for refugee women in Manitoba.","PeriodicalId":32502,"journal":{"name":"International Journal of Health Services Research and Policy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47814627","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":"PERIOPERATIVE NURSING CARE IN CASES REQUIRING EMERGENCY SURGERY IN COVID-19 INFECTED PATIENTS","authors":"Remziye Cici, E. Topdemir","doi":"10.33457/ijhsrp.765438","DOIUrl":"https://doi.org/10.33457/ijhsrp.765438","url":null,"abstract":"Covid-19 which emerged in Wuhan, China in December 2019, is an infectious disease caused by coronavirus and causes serious respiratory infections. Covid-19 disease was declared as a pandemic by the World Health Organization in March 2020 due to its easy and rapid spread and affecting many countries globally. This rapid spread also increased the number of individuals infected with the virus, reaching 9,067,559 people worldwide and 187,685 people in Turkey. Unfortunately, deaths resulting from the disease cannot be prevented and the number of individuals who lost their lives continues to increase rapidly. Today, the number of people who died due to the pandemic has reached 500,000 worldwide and 5000 in Turkey. Elective surgery of individuals who are infected or at risk can be postponed in pandemics with such high rate of infectiousness and disease-related mortality. However, if the absence or postponement of the surgery is life-threatening, performing the surgery becomes inevitable. An individual infected or possibly infected with the Covid-19 virus may pose many risks during the surgical procedure, which requires taking some additional precautions before, during and after surgery. In addition to the normal surgical process, perioperative nursing care should focus on some specific issues during the pandemic, which are improving the treatment success of the patients, improving the quality of the care, ensuring that the Covid-19 disease is overcome without complications, and preventing the transmission of the disease to other individuals. Thus, the perioperative nursing care of the Covid-19 patients with possible or definitive diagnosis was discussed considering the available literature.","PeriodicalId":32502,"journal":{"name":"International Journal of Health Services Research and Policy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44505865","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}