Zdravstveno Varstvo最新文献

{"title":"Development Dynamics of Health and Social Infrastructure for the Long-term Care - the Case of the Posavje Region.","authors":"David Bogataj, Marija Bogataj, Marta Kavšek","doi":"10.2478/sjph-2021-0036","DOIUrl":"10.2478/sjph-2021-0036","url":null,"abstract":"<p><strong>Background and purpose: </strong>The populations of rural areas across Europe, especially Slovenia, are ageing rapidly and the areas themselves are becoming depopulated. Therefore, this study aims to contribute to our understanding of the population dynamics and provide a method for forecasting housing and other long-term care needs.</p><p><strong>Method: </strong>The surveys questioned those responsible for long-term care, the caretakers in institutional care, and current and potential homecare users in rural areas of Slovenia. We wanted to discover what they considered as crucial in the process of long-term care deinstitutionalization. Our 2020-2050 projections are based on the surveys conducted across 38 municipalities in the Eastern Slovenian region and an in-depth empirical study in Posavje. The results are embedded in the demographic projections and the multistate transition model of the declining functional capacities to forecast the needed housing facilities and human resources.</p><p><strong>Results: </strong>The results are the time series of required capacities. Around 60% of respondents in Slovenian rural areas believe that even a better organization of homecare would not allow them to stay at home until death due to inadequately built housing and the absence of a continuous presence of caregivers. These findings were included in the projections. Therefore, community care in the network of Smart Silver Villages was proposed.</p><p><strong>Discussion: </strong>Investments are needed to renovate the housing stock of older adults and construct sheltered, assisted living housing and specialized households in the community. Moreover, proper education and training of human resources would increase the output. In addition, financial solutions are advised to develop Smart Silver Villages.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"60 4","pages":"269-277"},"PeriodicalIF":1.5,"publicationDate":"2021-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e6/bc/sjph-60-269.PMC8643109.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39594867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Students in Danger: Binge Drinking Behaviour and Associated Factors in Hungary.","authors":"Anita Lukács,&nbsp;Andrea Szabó,&nbsp;Edina Horváth,&nbsp;Zsuzsanna Máté,&nbsp;Csaba Erdős,&nbsp;Regina Molnár,&nbsp;Edit Paulik","doi":"10.2478/sjph-2021-0033","DOIUrl":"https://doi.org/10.2478/sjph-2021-0033","url":null,"abstract":"<p><strong>Introduction: </strong>Among young adults, high rates of binge drinking were observed in certain European countries. Binge drinking is associated with several health problems (unplanned pregnancy, HIV infections, problems with memory, and injuries). The aim of this questionnaire-based study was to measure the frequency of binge drinking and its association with sociodemographic, familial, lifestyle factors and school performance among secondary and university students (n=2449) in Csongrád County, Hungary.</p><p><strong>Methods: </strong>In this cross-sectional study the students' sociodemographic data, parents' educational and economic level, and students' academic performance and self-reported use of tobacco, drugs, and alcohol were collected by a questionnaire. Descriptive statistics and multivariable binary logistic regression analyses were applied using SPSS 24.0 software.</p><p><strong>Results: </strong>Altogether 2449 Hungarian secondary school students and university students participated in the study. Nearly one-third of the students were classified as binge drinkers, significantly more male university students. Tobacco or illicit drug use resulted in higher odds of being a binge drinker in both subgroups. Poor school performance and binge drinking were significantly correlated especially among secondary school students.</p><p><strong>Conclusions: </strong>Targeting alcohol, tobacco, and illicit drug use together, including education, parent interventions, and public health policies, are crucial in the prevention of possible serious consequences.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"60 4","pages":"244-252"},"PeriodicalIF":1.5,"publicationDate":"2021-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/76/d1/sjph-60-244.PMC8643116.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39733848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"E-learning as an Effective Method in the Prevention of Patient Falls.","authors":"Jana Horová,&nbsp;Iva Brabcová,&nbsp;Petra Bejvančická","doi":"10.2478/sjph-2021-0034","DOIUrl":"https://doi.org/10.2478/sjph-2021-0034","url":null,"abstract":"<p><strong>Objectives: </strong>Patient falls deteriorate patients' functional condition and quality of life, and increase their treatment costs. E-learning is considered an effective way to gain knowledge and competencies for quality and safety in nursing practice. The aim of the study is to evaluate the effectiveness of an e-learning course for nurses in preventing in-patient falls.</p><p><strong>Methods: </strong>The research design was mixed. In the first phase of the study, a five-year retrospective analysis of 2,280 in-patient falls was performed. Based on the analysis of risk factors for patient falls and group interviews with clinic managers an e-learning course was designed and completed by 250 nurses from five surgical and internal departments. The course's effectiveness was evaluated based on the incidence of patient falls and the consequences of the falls before and after e-learning.</p><p><strong>Results: </strong>At surgical departments, there was a statistically significant decrease in patient fall indices after the implementation of the e-learning course (from 4.4 to 2.6 falls per 1,000 patients; p=0.022). On the contrary, in internal departments, this index increased in the monitored period (from 19.0 to 26.9 falls per 1,000 patients; p=0.001). In all departments, there was a decrease in the incidence of patient injuries caused by falls after the implementation of the e-learning course; in internal medicine, this decrease was statistically significant (from 54.5% to 33.3%; p=0.014).</p><p><strong>Conclusions: </strong>The study confirmed that e-learning forms of education for healthcare professionals have a positive effect in preventing patient falls.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"60 4","pages":"253-259"},"PeriodicalIF":1.5,"publicationDate":"2021-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c0/0d/sjph-60-253.PMC8643112.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39733849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship Between Quality of Life Indicators and Cardiac Status Indicators in Chemotherapy Patients.","authors":"Blaž Matija Geršak,&nbsp;Andreja Kukec,&nbsp;Henning Steen,&nbsp;Moritz Montenbruck,&nbsp;Maja Šoštarič,&nbsp;Arne Kristian Schwarz,&nbsp;Sebastian Esch,&nbsp;Sebastian Kelle,&nbsp;Sorin Giusca,&nbsp;Grigorios Korosoglou,&nbsp;Pia Wülfing,&nbsp;Susan Dent,&nbsp;Daniel Lenihan","doi":"10.2478/sjph-2021-0028","DOIUrl":"https://doi.org/10.2478/sjph-2021-0028","url":null,"abstract":"<p><strong>Aim: </strong>With the aim of improving personalized treatment of patients on chemotherapy, the objective of the study was to assess the degree of association between selected Quality of life (QoL) indicators and both clinical and imaging cardiac status indicators when detecting deterioration in QoL of these patients.</p><p><strong>Methods: </strong>In a cohort clinical study in Hamburg, from August 2017 through October 2020, 59 cancer patients, aged 18-80 years, were evaluated before chemotherapy, and at several follow-ups, using EQ-5D and SF-36 QoL questionnaires, fast strain-encoded (fast-SENC) cardiac magnetic resonance (CMR), conventional CMR, and echocardiography, and further received a clinical and biomarker examination. Data was analyzed using survival analyses. A decline of more than 5% in each observed QoL metric value was defined as the observed event. Patient were separated into groups according to the presentation of cardiotoxicity as per its clinical definition, the establishment of the indication for cardioprotective therapy initiation, and by a worsening in the value of each observed imaging metric by more than 5% in the previous follow-up compared to the corresponding pre-chemotherapy baseline value.</p><p><strong>Results: </strong>Among clinical cardiac status indicators, the indication for cardioprotective therapy showed statistically good association with QoL scores (EQ-5D p=0.028; SF-36 physical component p=0.016; SF-36 mental component p=0.012). In terms of imaging metrics, the MyoHealth segmental myocardial strain score was the only one demonstrating consistently good QoL score association (EQ-5D p=0.005; SF-36 physical component p=0.056; SF-36 mental component p=0.002).</p><p><strong>Conclusions: </strong>Established fast-SENC CMR scores are capable of highlighting patients with reduced QoL, who require more frequent/optimal management.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"60 4","pages":"199-209"},"PeriodicalIF":1.5,"publicationDate":"2021-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/78/db/sjph-60-199.PMC8643110.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39733843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Primary Care Research - Influencing and Implementing Into Policy.","authors":"Sally Kendall","doi":"10.2478/sjph-2021-0020","DOIUrl":"https://doi.org/10.2478/sjph-2021-0020","url":null,"abstract":"<p><p>This editorial describes how research in primary health care can be used to influence policy. It draws on previous literature to give an example from the UK of how research in one part of primary care, the health-visiting service, has endeavoured to use evidence to influence policy and practice. The editorial considers frameworks for policy implementation such as Bardach's eight phase approach and concepts that can inform policy implementation such as Lipsky's Street-Level Bureaucrat approach.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"60 3","pages":"138-144"},"PeriodicalIF":1.5,"publicationDate":"2021-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1f/14/sjph-60-138.PMC8256767.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39174266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Safety Culture of The Ljubljana Community Health Centre's Employees.","authors":"Špela Tevžič,&nbsp;Antonija Poplas-Susič,&nbsp;Zalika Klemenc-Ketiš","doi":"10.2478/sjph-2021-0021","DOIUrl":"https://doi.org/10.2478/sjph-2021-0021","url":null,"abstract":"<p><strong>Introduction: </strong>Patient safety is one of the key aspects of healthcare quality and a serious global public health concern. Patient safety culture is a part of the patient safety concept. In Slovenia, primary care is easily accessible, and for medical care, it serves as a gatekeeper to hospital care. For several years, the quality and safety at the primary healthcare level have been the focus of several studies. The present study aimed to assess patient safety culture among all employees of the Community Health Centre Ljubljana.</p><p><strong>Methods: </strong>We conducted a cross-sectional study in 2017 using the Slovene version of \"Medical Office Survey on Patient Safety Culture\" from the Agency for Healthcare Research and Quality. Mean percent positive scores on all items in each composite were calculated according to a user guide.</p><p><strong>Results: </strong>The final sample contained 1021 participants (67.8% response rate), of which 909 (89.0%) were women. The mean age of the sample was 43.0±11.0 years. The dimensions most highly rated by the respondents were: teamwork and patient care tracking/follow-up. The lowest scores came from leadership support for patients' safety and work pressure and pace.</p><p><strong>Conclusion: </strong>Patient safety culture in the Community Health Centre Ljubljana is high, but there are certain areas of patient safety that need to be evaluated further and improved. Our study revealed differences between professions, indicating that a customized approach per profession group might contribute to the successful implementation of safety strategies. Patient safety culture should be studied at national levels.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"60 3","pages":"145-151"},"PeriodicalIF":1.5,"publicationDate":"2021-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a2/8c/sjph-60-145.PMC8256766.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39174267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Scaling-up an Integrated Care for Patients with Non-communicable Diseases: An Analysis of Healthcare Barriers and Facilitators in Slovenia and Belgium.","authors":"Črt Zavrnik,&nbsp;Katrien Danhieux,&nbsp;Miriam Hurtado Monarres,&nbsp;Nataša Stojnić,&nbsp;Majda Mori Lukančič,&nbsp;Monika Martens,&nbsp;Zalika Klemenc-Ketiš,&nbsp;Edwin Wouters,&nbsp;Josefien van Olmen,&nbsp;Antonija Poplas-Susič","doi":"10.2478/sjph-2021-0023","DOIUrl":"https://doi.org/10.2478/sjph-2021-0023","url":null,"abstract":"<p><strong>Introduction: </strong>Although the concept of integrated care for non-communicable diseases was introduced at the primary level to move from disease-centered to patient-centered care, it has only been partially implemented in European countries. The aim of this study was to identify and compare identified facilitators and barriers to scale-up this concept between Slovenia and Belgium.</p><p><strong>Methods: </strong>This was a qualitative study. Fifteen focus groups and fifty-one semi-structured interviews were conducted with stakeholders at the micro, meso and macro levels. In addition, data from two previously published studies were used for the analysis. Data collection and analysis was initially conducted at country level. Finally, the data was evaluated by a cross-country team to assess similarities and differences between countries.</p><p><strong>Results: </strong>Four topics were identified in the study: patient-centered care, teamwork, coordination of care and task delegation. Despite the different contexts, true teamwork and patient-centered care are limited in both countries by hierarchies and a very heavily skewed medical approach. The organization of primary healthcare in Slovenia probably facilitates the coordination of care, which is not the case in Belgium. The financing and organization of primary practices in Belgium was identified as a barrier to the implementation of task delegation between health professionals.</p><p><strong>Conclusions: </strong>This study allowed formulating some important concepts for future healthcare for non-communicable diseases at the level of primary healthcare. The results could provide useful insights for other countries with similar health systems.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"60 3","pages":"158-166"},"PeriodicalIF":1.5,"publicationDate":"2021-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4b/1e/sjph-60-158.PMC8256765.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39174269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Training in Interprofessional Learning and Collaboration: An Evaluation of the Interprofessional Education Program in the Scale-up Phase in Antwerp (Belgium).","authors":"Giannoula Tsakitzidis, Josefien Van Olmen, Paul Van Royen","doi":"10.2478/sjph-2021-0025","DOIUrl":"10.2478/sjph-2021-0025","url":null,"abstract":"<p><strong>Background: </strong>Curricula are reviewed and adapted in response to a perceived need to improve interprofessional collaboration for the benefit of patient care. In 2005, the module Interprofessional Collaboration in Healthcare (IPCIHC) was developed by the Antwerp University Association (AUHA). The program was based upon a concept of five steps to IPCIHC. This educational module aims to help graduates obtain the competence of interprofessional collaborators in health care.</p><p><strong>Methods: </strong>Over a span of 15 years, the IPCIHC module is evaluated annually by students and provided with feedback by the tutors and steering committee. Data up to 2014 were supplemented with data up to 2019. For the students the same evaluative one-group, post-test design was used to gather data using a structured questionnaire. The tutors' and students' feedback was thematically analyzed.</p><p><strong>Results: </strong>Based upon the results and the contextual changing needs, the program was adjusted. Between 2005 and 2019, a total of 8616 evaluations were received (response rate: 78%). Eighty percent of the respondents indicated through the evaluations that they were convinced of the positive effect of the IPCIHC module on their interprofessional development. Over the years, two more disciplines enrolled into this program and also education programs form the Netherlands.</p><p><strong>Conclusions: </strong>After 15 years, positive outcomes are showed, and future health professionals have a better understanding of interprofessional learning. Gathering feedback and annually evaluation helped to provide a targeted interprofessional program addressing contextual changes. The challenge remains to keep on educating future healthcare providers in interprofessional collaboration in order to achieve an increase in observable interprofessional behaviour towards other professional groups.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"60 3","pages":"176-181"},"PeriodicalIF":1.6,"publicationDate":"2021-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b3/e7/sjph-60-176.PMC8256770.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39174271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Variation in Perception of Safety Culture in Out-of-hours Family Medicine Service in Croatia.","authors":"Jasna Mesarić,&nbsp;Diana Šimić,&nbsp;Ellen Catharina Tveter Deilkås,&nbsp;Dag Hofoss,&nbsp;Gunnar Tschudi Bondevik","doi":"10.2478/sjph-2021-0022","DOIUrl":"https://doi.org/10.2478/sjph-2021-0022","url":null,"abstract":"<p><strong>Introduction: </strong>The Safety Attitudes Questionnaire (SAQ) is among the most frequently cited tools for measuring safety culture in healthcare settings. Its ambulatory version was used in this study. The aim was to assess safety culture in out-of-hours (OOH) family medicine service and its variation across job positions, regions, and respondents' demographic characteristic.</p><p><strong>Methods: </strong>A cross-sectional observational study was carried out targeting 358 health professionals working in the 29 largest Croatian healthcare centres providing out-of-hours family medicine service. The response rate was 51.7% (185 questionnaires). The questionnaire comprised 62 Likert items with 5 responses (fully disagree to fully agree). Scores of negatively worded items were reversed before analysis. Scores on the total scale and subscales were calculated as additive scores. The study included demographic data on gender, age, working experience, and job position. Repeated measurement analysis of variance was used to assess variation of Safety Attitudes Questionnaire - Ambulatory Version (SAQ-AV) sub-scales.</p><p><strong>Results: </strong>Nurses assessed safety culture higher than did physicians and residents. Teamwork climate had higher scores than Ambulatory process of care and Organizational climate. Stress recognition and Perceptions of workload had the lowest overall scores. Variation across gender, age, working experience, and region was not statistically significant.</p><p><strong>Conclusions: </strong>SAQ-AV can be used to identify areas for improvement in patient safety at OOH GPs. There is a need to improve staffing and support for OOH GP residents. Further research is needed in order to gain better understanding of factors influencing observed variations among job positions.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"60 3","pages":"152-157"},"PeriodicalIF":1.5,"publicationDate":"2021-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c3/a3/sjph-60-152.PMC8256768.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39174268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of Life and Health Status in Middle-aged Presumed Healthy Slovenian Family Practice Attendees.","authors":"Matic Tement,&nbsp;Polona Selič-Zupančič","doi":"10.2478/sjph-2021-0026","DOIUrl":"https://doi.org/10.2478/sjph-2021-0026","url":null,"abstract":"<p><strong>Background: </strong>There is a gap in our knowledge of health-related quality of life (HRQoL) in a population presumed healthy, so this study aimed to assess the associations between HRQoL, demographics and clinical variables.</p><p><strong>Methods: </strong>The participants were attendees, presumed healthy, at 40 pre-selected model family medicine practices (MFMPs), aged between 30 and 65 years and recruited during a preventive check-up in 2019. Each MFMP pragmatically invited 30 attendees to voluntarily participate. The EQ-5D questionnaire was administered as a measure of HRQoL; the independent variables were demographic characteristics, smoking, alcohol consumption, stress perception, physical activity, signs of depression, cardiovascular risk, body mass index, blood pressure values, and blood sugar and lipidogram laboratory test values. Ordinal logistic regression was used to calculate associations between self-assessed quality of life, demographics, and clinical variables, with P<0.05 set as statistically significant.</p><p><strong>Results: </strong>Of 986 participants, 640 (64.9%) were women and 346 (35.1%) men, aged 42.7±8.6 years. The average values for the EQ-5D-3L were 0.91±0.15. In the multivariate model, a positive association between adequate physical activity (p=0.003), and a negative association between higher age (p<0.001), female gender (p=0.009), signs of depression (p<0.001), stress (p=0.013), and EQ-5D score were identified.</p><p><strong>Conclusion: </strong>Given that physical activity was shown to be positively associated with HRQoL, it is of the utmost importance for family physicians to motivate their middle-aged patients, especially women and those with signs of depression and excessive stress, to adopt a more rigorously physically active lifestyle.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"60 3","pages":"182-189"},"PeriodicalIF":1.5,"publicationDate":"2021-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0b/f6/sjph-60-182.PMC8256772.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39174272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}