56 research outputs found
Διερευνώντας τις ζώσες εμπειρίες ηλικιωμένων ατόμων που χρήζουν αποκατάστασης και τις αντιλήψεις τους για την ευεξία στο πλαίσιο επίσημων συστημάτων υγειονομικής φροντίδας
No full textBackground: The increasing ageing population and the profound life-changing consequences of ABI make it critical to reorient the focus of care and rehabilitation for older adults towards promoting their potential for a fulfilling and prosperous life. Consequently, there is a growing need to investigate well-being qualitatively, especially in the context of enhancing rehabilitation systems. This necessitates current research to give more attention to older adults’ experiences of well-being and satisfaction levels concerning their care during ABI rehabilitation.
Aim: To acquire an in-depth understanding of the lived experiences of older individuals (+65) living with acquired brain injury when undergoing physical rehabilitation in relation to their sense of well-being during care provision within the Greek Healthcare System. To provide an interpretive exposition illustrating the impact that Greece’s healthcare and rehabilitation system has on older individuals’ felt sense of well-being.
Design: A qualitative study design with a hermeneutic phenomenological approach was developed to provide a comprehensive exploration and interpretation of the well-being subjective experiences of older individuals living with acquired brain injury, undergoing physical rehabilitation.
Method: A total of 14 semi-structured interviews with older individuals living with acquired brain injury were purposively conducted. A thematic analysis of the interviews’ transcriptions was carried out within the perspective of a hermeneutic phenomenological paradigm, following van Manen’s and Clarke and Braun's methods.
Findings: Four themes emerged from the analysis: 1) Challenges of new life situation, 2) Seeking emotional and practical support through social interaction, 3) Identifying contextual processes of rehabilitation, 4) The felt sense of self in the aftermath of ABI. The different subjective experiences, intersubjective relations and contextual clinical conditions influence and determine older individuals’ sense of well-being and by extension the realisation of the new changes in their life, leading to various well-being or suffering possibilities.
Conclusions: The exploration of the interrelation between these dimensions is crucial to understand further older individuals’ needs regarding their rehabilitation as well as for the enhancement of their mental and physical state. A deep and comprehensive knowledge of the factors impacting older individuals’ felt sense of well-being during rehabilitation can contribute to the provision of more dignified and humanising health care.Υπόβαθρο: Δεδομένης της επικείμενης αύξησης του ηλικιωμένου πληθυσμού και των σημαντικών αλλαγών που μπορούν να προκαλέσουν οι επίκτητες εγκεφαλικές βλάβες στη ζωή του ατόμου, η περίθαλψη και η φροντίδα για τα ηλικιωμένα άτομα που έχουν υποστεί επίκτητη εγκεφαλική βλάβη πρέπει να επικεντρωθεί περισσότερο στη βελτίωση της ευεξίας τους, δηλαδή στις δυνατότητες αυτών των ανθρώπων να ζουν καλά και με αξιοπρέπεια. Υπό τις επικρατούσες συνθήκες, η ποιοτική διερεύνηση της ευεξίας κατά τη φυσική αποκατάσταση καθίσταται ιδιαίτερα σημαντική και χρήζει μεγαλύτερης προσοχής, ειδικά για τη βελτίωση και ενίσχυση των εν λόγω προγραμμάτων αποκατάστασης. Κατά συνέπεια, παρίσταται η ανάγκη να διερευνηθούν εις βάθος οι προσωπικές εμπειρίες των ηλικιωμένων που ζουν με επίκτητη εγκεφαλική βλάβη σχετικά με την περίθαλψή τους και την αίσθηση ευεξίας τους κατά τη διάρκεια της φυσικής αποκατάστασής τους.
Σκοπός: Η παρούσα έρευνα επιχειρεί να αναπτύξει μία εις βάθος κατανόηση του βιόκοσμου των ηλικιωμένων ατόμων (+65 ετών) που χρήζουν φυσικής αποκατάστασης μετά από επίκτητη εγκεφαλική βλάβη με σκοπό να παράσχει μια ερμηνεία που θα απεικονίζει τον αντίκτυπο που έχει το σύστημα υγείας και οι υπηρεσίες αποκατάστασης της Ελλάδας στην αίσθηση ευεξίας και γενικότερα στις εμπειρίες αποκατάστασης των ηλικιωμένων ατόμων.
Σχεδιασμός: Αναπτύχθηκε ένας σχεδιασμός ποιοτικής μελέτης με φαινομενολογική-ερμηνευτική προσέγγιση για την ολοκληρωμένη διερεύνηση και ερμηνεία της υποκειμενικής εμπειρίας των ηλικιωμένων ατόμων που ζουν με επίκτητη εγκεφαλική βλάβη, αναφορικά με την αίσθηση ευεξίας τους όταν υποβάλλονται σε φυσική αποκατάσταση.
Μέθοδος: Διενεργήθηκαν συνολικά 14 ημι-δομημένες συνεντεύξεις με ηλικιωμένα άτομα που ζουν με επίκτητη εγκεφαλική βλάβη. Πραγματοποιήθηκε θεματική ανάλυση των απομαγνητοφωνημένων συνεντεύξεων στο πλαίσιο ενός ερμηνευτικού φαινομενολογικού παραδείγματος, ακολουθώντας τις μεθόδους των van Manen και Clarke και Braun.
Ευρήματα: Τέσσερα θέματα προέκυψαν από την ανάλυση των δεδομένων: 1) Προκλήσεις της νέας πραγματικότητας μετά την ΕΕΒ· 2) Αναζητώντας συναισθηματική και πρακτική υποστήριξη μέσω της κοινωνικής αλληλεπίδρασης· 3) Προσδιορίζοντας το ευρύτερο πλαίσιο των διαδικασιών αποκατάστασης· 4) Η αίσθηση του εαυτού μετά την ΕΕΒ. Η ευεξία των ηλικιωμένων ατόμων καθώς και η διαδικασία συνειδητοποίησης των αλλαγών στη ζωή τους καθορίζονται και βιώνονται ως μια αλληλοσυσχέτιση διαφορετικών υποκειμενικών εμπειριών, διυποκειμενικών σχέσεων και περικειμενικών συνθηκών, προκαλώντας ποικίλες ενδείξεις ευφορίας ή δυσθυμίας.
Συμπεράσματα: Η διερεύνηση της αλληλοσυσχέτισης αυτών των διαστάσεων είναι ζωτικής σημασίας για την περαιτέρω κατανόηση των αναγκών των ηλικιωμένων ατόμων σχετικά με τη διαδικασία αποκατάστασή τους, καθώς και για τη βελτίωση της ψυχικής και σωματικής τους κατάστασης. Η ολοκληρωμένη και εις βάθος γνώση των παραγόντων που επηρεάζουν την αίσθηση ευεξίας των ηλικιωμένων ατόμων με επίκτητη εγκεφαλική βλάβη κατά τη διάρκεια της αποκατάστασης μπορεί να συνεισφέρει στην παροχή πιο αξιοπρεπούς και εξανθρωπισμένης υγειονομικής φροντίδας.European Union’s Horizon 2020 Research and Innovation Programme (MSCA-ITN-2018)331 σ
Treatment of Cervicogenic Headache Concurrent With Cervical Stenosis by Anterior Cervical Decompression and Fusion
No full textStudy Design: Retrospective study. Objective: To report the efficacy of anterior cervical decompression and fusion surgery as treatment method for cervicogenic headache (CeH). Summary of Background Data: The exact diagnostic criteria and optimal treatment of CeH is still under investigation. Methods: A total of 34 consecutive patients (mean age 55.8 y) with CeH (in addition to cervical stenosis symptomatology) resistant to nonoperative treatment were treated by anterior cervical decompression and fusion from 1 up to 3 levels and were followed for at least 1 year. Clinical visual analog pain scale for headache, patient satisfaction index as well as radiographic examinations (flexion-extension radiographs and, when diagnosis of fusion status was uncertain, computed tomography) were documented for all patients at regular intervals. Statistical comparisons of outcome measures between different time points of examinations were performed. Results: All patients reported relief of their CeH with mean (range) visual analog pain scale scores as 8.1 (3-9), 2.4 (0-4), and 3.1 (0-5) preoperatively, at 2 months postoperatively, and at the final follow-up, respectively. There was a significant improvement (P < 0.001) of visual analog pain scale score between before surgery and at 2 months postoperatively or at the last follow-up. Thirty patients (88%) reported satisfied with their treatment, whereas 4 patients (12%) were not satisfied with surgery. No major surgical complication was seen and only 1 patient had symptomless pseudoarthrosis. Conclusions: CeH when associated with cervical spinal stenosis of the subaxial spine can improve when stenosis is treated with anterior cervical discectomy and fusion.SCI(E)ARTICLE8E1093-E10973
Should the Private Physiotherapeutic Units Stay Open During the Pandemic Crisis of COVID-19?
No full textIsolated Paget Disease of the Patella Complicated with Ipsilateral Femoral Head Bone Marrow Edema: A Case Report and Review of the Literature
No full textEvaluating the Extent of Clinical Variability Among Treatment Options for Patients With Adult Spinal Deformity
No full textGendered Experiences of Providing Informal Care for Older People: A Systematic Review and Thematic Synthesis
No full textBackground and Purpose: The caregiving's impact on informal carers' quality of life and gender-based stereotypes make older individuals' informal care a complex process for which our knowledge is still limited. The purpose of this review is to identify how gender relates to informal carers' experiences of providing care for people aged 60 years and over with mental and physical health needs by synthesising the available empirical data published between 2000 to 2020.
Design and Methods: The systematic method for reviewing and synthesising qualitative data was performed using the PRISMA checklist and ENTREQ statement. The CASP tool was used to examine the quality of the included papers. Thematic synthesis was used as the methodological framework.
Results: This review produced two analytical themes, the impact of gender on the caregivers’ labour and negotiating gender identity with self, society, and cultural norms. While informal caregivers share motivators, a linkage between traditional gender stereotypes impacts caregiving burden and coping strategies. Informal carers' experiences entail a constant pursuit of self-agency after acquiring the caregiver role. Cultural values and their intersection with gender appear to influence caregivers' healthy adjustment into their new caregiving identities. The flexibility to move beyond gender boundaries could mediate caregivers' negotiations between self and society on developing their new caregiving identity. Providing intensive informal primary care to older people affects both men's and women's mental and physical health. Gender ideals of the feminine nurturing role further disadvantage women as they determine the caregiving arrangements, the strategies and resources to sustain the caring burden, and the adaptability to experience their new caregiving role positively. Men appear more flexible to debate their hegemonic masculinity and defend their existence in the caregiving role
Conclusion and Implications:. Transgressing gender lines and expanding gender possibilities can ease the caregiving burden and strengthen caregivers coping potentials. Health professionals can empower informal careers to challenge gender binaries and expand gender possibilities by intentionally injecting the language of diversity in caring information and caring processes. The review findings outline a path for research on gender identity development in older people's care
The Experience of Gender in Spousal Caregiving: A Phenomenological Psychological Study (Greece)
No full textPurpose/Objective: To explore how spousal caregivers of older people undergoing rehabilitation experience gender within the Greek community.
Research method/Design: A psychological phenomenological design and analysis were used to illuminate the unique meanings eleven spousal caregivers attribute to their experience of gender by gathering qualitative data via interviews.
Results: The data provided an insight into the structure of the experience of gender for the spousal caregivers as a normative diachronic identity in a succession of phases: normative constitution, alienation, and reparation.
Conclusions/ Implications: The findings highlight the influence of gender stereotypes on spousal caregivers' self-concept, agency, caregiving evaluations, and practices, emphasizing the importance of adopting an intersectional perspective in future research and interventions, considering various factors such as ethnicity, gender, sexuality, age, power dynamics, and cultural norms. Spousal caregivers experience alienation on entering the caregiving journey, with gender-related vulnerabilities affecting their psychological well-being. Addressing these vulnerabilities can improve caregivers' mental health and foster effective coping strategies. The study emphasizes the moral aspect of caregiving, highlighting the relationship between a sense of obligation, feelings of guilt, gender norms, and motivations calling for challenging self-sacrificial morals and societal norms associated with them to empower caregivers to prioritize their well-being while maintaining their caregiving motivations. This shift in perspective can lead to a more positive and fulfilling caregiving experience
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