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  • 1
    In: Psycho-Oncology, Wiley, Vol. 31, No. 5 ( 2022-05), p. 725-734
    Abstract: Cancer patients' mental health and quality of life can be improved through professional support according to their needs. In previous analyses of the UNSAID study, we showed that a relevant proportion of cancer patients did not express their needs during the admission interview of inpatient rehabilitation. We now examine trajectories of mental health, quality of life, and utilization of professional help in cancer patients with unexpressed needs. Methods We enrolled 449 patients with breast, prostate, and colon cancer at beginning (T0) and end (T1) of a 3‐week inpatient rehabilitation and 3 (T2) and 9 (T3) months after discharge. We explored depression (PHQ‐2), anxiety (GAD‐2), emotional functioning (EORTC QLQ‐C30), fear of progression (FoP‐Q‐SF), and global quality of life (EORTC QLQ‐C30) using structuring equation models. Furthermore, we evaluated self‐reports about expressing needs and utilization of professional help at follow‐up. Results Patients with unexpressed needs (24.3%, n = 107) showed decreased mental health compared to other patients (e.g., depression: d T0 = 0.32, d T1‐T3 = 0.39). They showed a significant decline in global quality of life at discharge and follow‐up (d = 0.28). Furthermore, they had a higher need for support (Cramer's V T2 = 0.10, T3 = 0.15), talked less about their needs (Cramer’s V T2 = 0.18), and made less use of different health care services at follow‐up. Conclusion Unexpressed needs in cancer patients may be a risk factor for decreased mental health, quality of life, and non‐utilization of professional help in the long term. Further research should clarify causal relationships and focus on this specific group of patients to improve cancer care.
    Type of Medium: Online Resource
    ISSN: 1057-9249 , 1099-1611
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2022
    detail.hit.zdb_id: 1495115-0
    SSG: 5,2
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  • 2
    Online Resource
    Online Resource
    Ovid Technologies (Wolters Kluwer Health) ; 2009
    In:  International Journal of Rehabilitation Research Vol. 32 ( 2009-08), p. S81-
    In: International Journal of Rehabilitation Research, Ovid Technologies (Wolters Kluwer Health), Vol. 32 ( 2009-08), p. S81-
    Type of Medium: Online Resource
    ISSN: 0342-5282
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2009
    detail.hit.zdb_id: 2030422-5
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  • 3
    In: BMC Public Health, Springer Science and Business Media LLC, Vol. 16, No. 1 ( 2016-12)
    Type of Medium: Online Resource
    ISSN: 1471-2458
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2016
    detail.hit.zdb_id: 2041338-5
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  • 4
    Online Resource
    Online Resource
    Georg Thieme Verlag KG ; 2022
    In:  Die Rehabilitation Vol. 61, No. 02 ( 2022-04), p. 125-133
    In: Die Rehabilitation, Georg Thieme Verlag KG, Vol. 61, No. 02 ( 2022-04), p. 125-133
    Abstract: Ziel der Studie Ziel der Studie ist die Identifizierung von Aspekten innerhalb der stationären medizinischen Rehabilitation, die die Autonomie von Rehabilitanden gefährden bzw. wahren können. Methodik Durchgeführt wurde ein Scoping Review auf Basis des aktuellen wissenschaftlichen Erkenntnisstandes. Das methodische Vorgehen orientierte sich an den Vorgaben des Joanna Briggs Institute. Die Recherche und Befundgenerierung wurden in Anlehnung an die PRISMA-ScR-Checklist protokolliert. Ergebnisse Der finale Studieneinschluss umfasst 39 empirische und normativ-theoretische Beiträge. Autonomiegefährdende Aspekte wurden den Bereichen: Rehabilitationssystem, Rehabilitationseinrichtungen, Einrichtungspersonal, Rehabilitanden und Dritte zugeordnet. Aspekte, die die Autonomie von Rehabilitanden potenziell wahren können, umfassen die Bereiche: Rehabilitationseinrichtungen, Einrichtungspersonal, Konzepte und Ausprägungsformen sowie Instrumente. Schlussfolgerung Eine Vielzahl von heterogenen Aspekten kann die Autonomie von Rehabilitanden während des Rehabilitationsaufenthaltes in der stationären medizinischen Rehabilitation gefährden, aber auch wahren bzw. fördern. Diese sind im gesamten Verlauf der rehabilitativen Leistung angesiedelt und betreffen sowohl die strukturelle, organisationale als auch die personale Ebene. Die Autonomie von Rehabilitanden sollte nicht nur als Outcome der Rehabilitation, sondern auch als Anforderung an Strukturen und Akteure während des Rehabilitationsaufenthaltes behandelt werden.
    Type of Medium: Online Resource
    ISSN: 0034-3536 , 1439-1309
    RVK:
    RVK:
    Language: German
    Publisher: Georg Thieme Verlag KG
    Publication Date: 2022
    detail.hit.zdb_id: 203752-X
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  • 5
    In: Monitor Versorgungsforschung, eRelation AG, Vol. 2023, No. 04 ( 2023-08-02), p. 67-71
    Abstract: An important area of health care is advance planning for medical emergencies, which can be regulated individually by precautionary documents. Precautionary documents such as living wills and powers of attorney can be drawn up by all people of full age and are very well known among the population, but are still little represented in the younger age groups (IfD Allensbach 2014). The topic is complex and addresses medical, ethical and legal aspects. There are also misconceptions about precautionary documents. This can contribute to fear of contact and prevent careful individual provision for an emergency. Even in samples where high prevalences of existing precautionary documents are found, uncertainties are cited with regard to their precise preparation and application (Elmeadawy et al. 2017). The internet is an increasingly important source of information for citizens on health issues.
    Type of Medium: Online Resource
    ISSN: 1866-0533
    Uniform Title: Experiences with searching for information on precautionary documents on the internet
    URL: Issue
    Language: Unknown
    Publisher: eRelation AG
    Publication Date: 2023
    detail.hit.zdb_id: 2927900-8
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  • 6
    Online Resource
    Online Resource
    MDPI AG ; 2022
    In:  Healthcare Vol. 10, No. 5 ( 2022-05-06), p. 854-
    In: Healthcare, MDPI AG, Vol. 10, No. 5 ( 2022-05-06), p. 854-
    Abstract: Falling birth rates and rising life expectancy are leading to global aging. The proportional increase in older people can be observed in almost all countries and regions worldwide. As a result, more people spend their later years in nursing homes. In homes where person-centered care is implemented, residents report greater satisfaction and quality of life. This approach is based on the wishes and needs of the residents. Therefore, the purpose of this scoping review is to explore the wishes and needs of nursing home residents. A scoping review of the literature was conducted in which 12 databases were systematically searched for relevant articles according to PRISMA-ScR guidelines. Both quantitative and qualitative study designs were considered. A total of 51 articles met the inclusion criteria. Included articles were subjected to thematic analysis and synthesis to categorize findings into themes. The analysis identified 12 themes to which the wishes and needs were assigned: (1) Activities, leisure, and daily routine; (2) Autonomy, independence, choice, and control; (3) Death, dying, and end-of-life; (4) Economics; (5) Environment, structural conditions, meals, and food; (6) Health condition; (7) Medication, care, treatment, and hygiene; (8) Peer relationship, company, and social contact; (9) Privacy; (10) Psychological and emotional aspects, security, and safety; (11) Religion, spirituality; and (12) Sexuality. Nursing home residents are not a homogeneous group. Accordingly, a wide range of needs and wishes are reported in the literature, assigned to various topics. This underscores the need for tailored and person-centered approaches to ensure long-term well-being and quality of life in the nursing home care setting.
    Type of Medium: Online Resource
    ISSN: 2227-9032
    Language: English
    Publisher: MDPI AG
    Publication Date: 2022
    detail.hit.zdb_id: 2721009-1
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  • 7
    In: Open Journal of Medical Psychology, Scientific Research Publishing, Inc., Vol. 04, No. 02 ( 2015), p. 23-34
    Type of Medium: Online Resource
    ISSN: 2165-9370 , 2165-9389
    Language: Unknown
    Publisher: Scientific Research Publishing, Inc.
    Publication Date: 2015
    detail.hit.zdb_id: 2681401-8
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  • 8
    In: Prävention und Gesundheitsförderung, Springer Science and Business Media LLC
    Abstract: Many students in Germany face health problems, primarily stress and psychological strain. The prevalence of mental disorders is continuously increasing among students. In the context of the student health management at the University of Applied Sciences Würzburg–Schweinfurt, we recorded needs and wishes regarding health areas that students consider to be relevant for their studies and we also assessed their knowledge about existing health offers. Methods In May 2022, we sent a standardized online questionnaire via email to all students at the University of Applied Sciences Würzburg–Schweinfurt. Differences between university locations and between German- and non-German-native speaking students were determined using non-parametric tests. Results Stress and psychological strain are health-threatening problems that respondents face particularly frequently. Studying in Schweinfurt and being a foreign language speaker relate to an increased relevance of some health areas. Respondents desire support especially in the areas of sports/exercise, mental stress/illness, and stress reduction. Students sometimes have little knowledge about existing offers. Especially students in Schweinfurt and international students are barely informed. Conclusions First, offers to reduce stress and mental burden should be implemented at the university as a matter of priority. Second, the health concerns of students in Schweinfurt and international students should be given greater attention in the future. Third, all students should be informed more about existing offers.
    Type of Medium: Online Resource
    ISSN: 1861-6755 , 1861-6763
    RVK:
    Language: German
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2211781-7
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  • 9
    In: Psycho-Oncology, Wiley, Vol. 29, No. 10 ( 2020-10), p. 1549-1556
    Abstract: The admission interview in oncological inpatient rehabilitation might be a good opportunity to identify cancer patients' needs present after acute treatment. However, a relevant number of patients may not express their needs. In this study, we examined (a) the proportion of cancer patients with unexpressed needs, (b) topics of unexpressed needs and reasons for not expressing needs, (c) correlations of not expressing needs with several patient characteristics, and (d) predictors of not expressing needs. Methods We enrolled 449 patients with breast, prostate, and colon cancer at beginning and end of inpatient rehabilitation. We obtained self‐reports about unexpressed needs and health‐related variables (quality of life, depression, anxiety, adjustment disorder, and health literacy). We estimated frequencies and conducted correlation and ordinal logistic regression analyses. Results A quarter of patients stated they had “rather not” or “not at all” expressed all relevant needs. Patients mostly omitted fear of cancer recurrence. Most frequent reasons for not expressing needs were being focused on physical consequences of cancer, concerns emerging only later, and not knowing about the possibility of talking about distress. Not expressing needs was associated with several health‐related outcomes, for example, emotional functioning, adjustment disorder, fear of progression, and health literacy. Depression measured at the beginning of rehabilitation showed only small correlations and is therefore not sufficient to identify patients with unexpressed needs. Conclusions A relevant proportion of cancer patients reported unexpressed needs in the admission interview. This was associated with decreased mental health. Therefore, it seems necessary to support patients in expressing needs.
    Type of Medium: Online Resource
    ISSN: 1057-9249 , 1099-1611
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2020
    detail.hit.zdb_id: 1495115-0
    SSG: 5,2
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  • 10
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2021
    In:  Zeitschrift für Gerontologie und Geriatrie Vol. 54, No. 4 ( 2021-07), p. 353-358
    In: Zeitschrift für Gerontologie und Geriatrie, Springer Science and Business Media LLC, Vol. 54, No. 4 ( 2021-07), p. 353-358
    Abstract: The COVID-19 pandemic requires extensive health protection interventions in order to prevent infections in the long-term care setting. These interventions impact residents’ lives, including an increase in depressive symptoms and other negative concomitants. Objective The study aimed to explore the experiences and perspectives of nursing home residents with depressive symptoms during the pandemic. Methods In this study nine guideline-based interviews were conducted with residents. These were analyzed using the content-structured content analysis according to Kuckartz. Results Three main themes were identified: perceptions and emotions related to the pandemic, changes and limitations due to the interventions and wishes in terms of the pandemic. The residents reported both emotional distress and not being afraid of infection and its consequences. In addition, some respondents reported unpleasant restrictions, such as wearing masks. In some cases their usefulness was critically questioned. Furthermore, various wishes of the residents in relation to the pandemic, such as leaving the nursing home, were identified. Conclusion The study showed complex perceptions, changes, and wishes due to the pandemic and its interventions. Therefore, an individual approach to residents with depressive symptoms is necessary to avoid an increase in mental health problems. Against this background, there is a need for participatory implementation of health protection measures for the particularly vulnerable group of nursing home residents.
    Type of Medium: Online Resource
    ISSN: 0948-6704 , 1435-1269
    RVK:
    Language: German
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 1463317-6
    detail.hit.zdb_id: 1227032-5
    SSG: 5,2
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