Results highlight the importance of understanding nurses' leaving intentions and related factors and their impact on nurses' lives in both countries so that health care organizations can implement effective strategies to improve the retention of their nursing workforce.
Aim: To assess the impact of selected demographic (age, sex), socio-economic (marital status, education, income) and health factors (functional status, anxiety, depression) on quality of life (QOL) of seniors in the Košice region. Design: Cross-sectional study. Methods: QOL was assessed by the WHOQOL-BREF and WHOQOL-OLD questionnaires, functional status was assessed by the Barthel test Activities of Daily Living (ADLs), anxiety by the Beck Anxiety Inventory, and depression by the Zung Self-Rating Depression Scale. Relations between variables were assessed by Pearson correlation coefficients. Linear regression analysis was used to evaluate QOL predictors. Results: In a sample of a hundred and two elderly people, the best QOL was found in the domain of social relationships, death and dying, and intimacy. The worst QOL was found in physical health, social participation, and past, present and future activities. QOL was reduced particularly by depression, polymorbidity, and life without a partner. The maintenance of independence in ADLs had a positive impact on most QOL domains. Conclusion:The results indicate the necessity of creating opportunities for the development and maintenance of social contacts, the involvement of seniors in various leisure activities and in different programs or voluntary activities. The screening for and treatment of depression and anxiety is very important in improving quality of life in older adults, as is maintaining and improving self-care in ADLs.
As the population is aging, strategies for helping older people to maintain and promote good health and well-being are needed. This study aims to assess whether depressive symptomatology and spirituality are associated with subjective well-being in older adults when controlled for sociodemographic variables. Furthermore, the mediating role of spirituality in the association between depressive symptomatology and subjective well-being was examined. A total of 250 participants (mean age 75.91 ± 7.60) in this cross-sectional study completed the Daily Spiritual Experience Scale, the Zung’s Self-rating Depression Scale, and the Personal Wellbeing Index. Multiple linear regression and mediation analyses were used to analyze the data. Subjective well-being was negatively associated with depressive symptoms and positively associated with spiritual experiences. The indirect effect of depressive symptomatology on subjective well-being via spirituality was 28.7%. The enhancement of spirituality seems to represent one of the relevant interventional strategies in prevention and treatment of depressive symptoms and well-being improvement.
These findings support the notions that psychological negative affect can influence subjective perception of arthritis pain and disability. The regular screening of anxiety and depression and the psychological approaches can be useful for managing arthritis patients.
Patients' cognitions about their disease and treatment are important mediators between health and quality of life of patients with chronic diseases and also explain the occurrence of individual differences in individuals' adjustment to chronic disease. The aim of this study was to examine the relationship between illness cognitions and health-related quality of life among adult patients with inflammatory bowel disease. Self-report data on illness cognition and health-related quality of life were collected from 118 people with Crohn disease or ulcerative colitis. Illness cognition of greater helplessness significantly predicted health-related quality of life in patients with inflammatory bowel disease. A relative contribution of acceptance and perceived benefits was not confirmed as a predictor of health-related quality of life. The other variables (type of disease, duration of disease, age, and episode of relapses) did not have statistical significance, except for gender. Results demonstrate that experiencing helplessness in relation to the disease, its treatment, and consequences can be generalized to patients in all areas of daily life, leading to deterioration in their overall psychological and physical functioning. These results can provide useful indicators of potential patient's adherence in treatment and self-management of inflammatory bowel disease.
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