Gender invariance of dignity in non-terminal elderly patients with chronic diseases: a multicentric study

Ferretti, Fabio; Pozza, Andrea; Pallassini, Maurilio; Righi, Lorenzo; Marini, Fulvia; Адами, С.; Coluccia, Anna

doi:10.1007/s11135-018-00831-z

Cited by 8 publications

(9 citation statements)

References 53 publications

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“…More research is needed about the effects of MBSR on psychological outcomes including anxiety, depression, and perceived stress, since in our review, only three studies assessed perceived stress and two assessed anxiety and depression symptoms, respectively. It would be interesting to examine whether MBSR can have some effects on psychological variables which generally have a key role in the management and prognosis of hypertension, such as quality of life, health-related locus of control, and self-management skills [ 76 , 77 , 78 ].…”

Section: Limitations and Future Directionsmentioning

confidence: 99%

Is Mindfulness-Based Stress Reduction Effective for People with Hypertension? A Systematic Review and Meta-Analysis of 30 Years of Evidence

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Pozza

et al. 2021

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Background: Hypertension is among the most important risk factors for cardiovascular diseases, which are considered high mortality risk medical conditions. To date, several studies have reported positive effects of mindfulness-based stress reduction (MBSR) interventions on physical and psychological well-being in other medical conditions, but no meta-analysis on MBSR programs for hypertension has been conducted. Objectives: The objective of this study was to determine the effectiveness of MBSR programs for hypertension. Methods: A systematic review and meta-analysis of randomized controlled trials examining the effects of MBSR on systolic and diastolic blood pressure (BP), anxiety, depression, and perceived stress in people with hypertension or pre-hypertension was conducted. The PubMed/MEDLINE and PsycINFO databases were searched in November 2020 to identify relevant studies. Results: Six studies were included. The comparison of MBSR versus control conditions on diastolic BP was associated with a statistically significant mean effect size favoring MBSR over control conditions (MD = −2.029; 95% confidence interval (CI): −3.676 to −0.383, p = 0.016, k = 6; 22 effect sizes overall), without evidence of heterogeneity (I2 = 0.000%). The comparison of MBSR versus control conditions on systolic BP was associated with a mean effect size which was statistically significant only at a marginal level (MD = −3.894; 95% CI: −7.736–0.053, p = 0.047, k = 6; 22 effect sizes overall), without evidence of high heterogeneity (I2 = 20.772%). The higher the proportion of participants on antihypertensive medications was, the larger the effects of MBSR were on systolic BP (B = −0.750, z = −2.73, p = 0.003). Conclusions: MBSR seems to be a promising intervention, particularly effective on the reduction of diastolic BP. More well-conducted trials are required.

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Section: Limitations and Future Directionsmentioning

confidence: 99%

Is Mindfulness-Based Stress Reduction Effective for People with Hypertension? A Systematic Review and Meta-Analysis of 30 Years of Evidence

Conversano

Orrù

Pozza

et al. 2021

IJERPH

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“…Dignity represents a universal value stemming from the very essence of humanity and an important aspect of quality of life in old age ( Kisvetrová et al, 2021 ). It is a multidimensional construct consisting of perceptions, knowledge, and emotions related to competence or respect ( Ferretti et al, 2019 ). It includes notions of being able to maintain feelings of physical comfort, autonomy, meaning, interpersonal connectedness, social interactions, hopefulness, belonging, and to be more visible and acknowledged as a human being ( Clancy et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Dignity and Predictors of Its Change Among Inpatients in Long-Term Care

et al. 2021

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The purpose of this study was to identify any differences in the dignity evaluation of geriatric inpatients after 1 month of hospitalization in a long-term care wards (LTC) and predictors of this change. This follow-up study included 125 geriatric inpatients who filled the Patient Dignity Inventory (PDI-CZ), Geriatric Depression Scale, Barthel Index, and Mini-Mental State Examination. In the initial measurement, the patients rated of PDI-CZ item “Not able to perform tasks of daily living” the worst. One month after, the items “Not able to perform tasks of daily living,” “Not able to attend to bodily functions,” and “Not feeling worthwhile or valued” were improved. Patients with higher education, for whom self-sufficiency improved and depression decreased, rated their dignity more positively 1 month after the hospitalization in LTC. Our findings suggest that these factors are important for the maintenance of the dignity of older adults hospitalized in LTC.

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“… 28 It thus forms a multidimensional construct that includes perception, knowledge, and emotions related to competence or respect. 29 Dignity is a psychological factor that significantly affects the life of an older adult because self-perceived dignity is associated to a significant degree with age and the meaning of life. 30 Thus, it is not only a theoretical concept, but it also has practical significance and is important for older adults.…”

Section: Introductionmentioning

confidence: 99%

Dignity and attitudes to aging: A cross-sectional study of older adults

et al. 2021

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Background: Dignity is a multidimensional construct that includes perception, knowledge, and emotions related to competence or respect. Attitudes to aging are a comprehensive personal view of the experience of aging over the course of life, which can be influenced by various factors, such as the levels of health and self-sufficiency and social, psychological, or demographic factors. Aim: The purpose of this study was to explore the attitudes to aging of home-dwelling and inpatient older adults, and whether dignity and other selected factors belong among the predictors influencing attitudes to aging in these two different groups of older adults. Research design: Cross-sectional study using a set of questionnaires: Patient Dignity Inventory, Attitudes to Aging Questionnaire, and Barthel Index. Pearson and Spearman correlation analyses and multivariable linear regression were used for statistical processing. Participants and research context: 233 inpatients and 237 home-dwelling older adults participated in the research in two regions of the Czech Republic. Ethical considerations: Institutional Review Board approval was received from the authors’ university. Findings: The inpatients had more negative attitudes to aging (M = 74.9±10.9; P <0.0001). The predictors of their attitudes to aging were gender and dignity. Women ( β = −2.969, P = 0.045) and inpatients with poor dignity ratings ( β = −0.332, P <0.0001) had more negative attitudes to aging. The predictors for home-dwelling older adults were education, living arrangement, and dignity. More negative attitudes to aging were found in older adults with lower levels of education ( β = 2.716, P = 0.007) who lived alone ( β = 2.163, P = 0.046) and rated their dignity as low ( β = −0.325, P <0.0001). Discussion and Conclusions: The results of this study add to the understanding that a sense of dignity is an important predictor of attitudes to aging for both home-dwelling older adults and inpatients.

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Gender invariance of dignity in non-terminal elderly patients with chronic diseases: a multicentric study

Cited by 8 publications

References 53 publications

Is Mindfulness-Based Stress Reduction Effective for People with Hypertension? A Systematic Review and Meta-Analysis of 30 Years of Evidence

Is Mindfulness-Based Stress Reduction Effective for People with Hypertension? A Systematic Review and Meta-Analysis of 30 Years of Evidence

Dignity and Predictors of Its Change Among Inpatients in Long-Term Care

Dignity and attitudes to aging: A cross-sectional study of older adults

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