Stress within preventive cardiology
Authors:
Marie Trešlová; Lenka Šedová; Věra Olišarová; Ivana Chloubová; Valérie Tóthová
Authors‘ workplace:
Ústav ošetřovatelství, porodní asistence a neodkladné péče Zdravotně sociální fakulty Jihočeské univerzity v Českých Budějovicích
Published in:
Vnitř Lék 2019; 65(7-8): 483-489
Category:
Original Contributions
Overview
Introduction: The mental, physical and social stress and pressure of present day influences the incidence of cardiovascular diseases (CVD). Studies suggest that some psycho-social factors significantly increase the risk of CVD. But they are not paid the necessary attention. The goal of the study consisted in ascertaining how citizens assess their own mental health, how they perceive the influence of stress on CVD, how physicians and nurses work with them in the area of stress and how efficient their activity is.
Research set and methods: The data ware collected via a non-standardized questionnaire leaded with face-to-face controlled interviews face-to-face. The analysis was carried out by the SASD 1.4 program with 1st degree and 2nd degree sorting. The goodness-of-fit χ2 was applied. The independence test at the level of significance α = 0.05, α = 0.01, α = 0.001 was calculated. We approached 2 306 randomly chosen citizens by quota selection. 314 citizens (13.6 %) refused the participation. The set consisted of 1 992 citizens (86.4 %) aged from 40 to 80 and more years, including 937 (47 %) men and 1055 (53 %) women. The relation of selected sociometric parameters was observed.
Results: The citizens aged 40 and more years assess their mental status as good (85 %), at the scale from 6 to 10, (1 the worst, 10 the best mental status). With increasing age, the mental status is assessed as worse at a significantly higher degree (p < 0.001). The mental status is assessed worse as the physical condition, with values 9 and 10. Out of the total number of the citizens approached, 87.9 % agree that stress influences the origination of CVD. Citizens from lower age groups (40–59 years) tend to think it (p < 0.05). Women significantly agree with that opinion (p < 0.05). On the contrary, citizens with the lowest education do not know whether stress has impact on the origination of CVD (p < 0.05). The citizens aged 40 years and more see the main factors influencing the origination of CVD unambiguously in stress. Within education, physicians talk more often to the approached citizens (49.7 %) than general nurses do (34.3 %). However, the results confirm that during preventive activities provided to citizens aged 40 years and more, greater attention is paid to the determinants of healthy nutrition and exercise than to stress and smoking. Only 1/5 (21.8 %) of physicians motivate the citizens in the area of stress. Nurses do it in 12.6 % of cases. Almost ½ of nurses never motivate to related changes. The most citizens approached (87.8 %) considered the information concerning stress reduction useful; citizens with the lowest education constitute an exception (p < 0.001).
Conclusion: The citizens approached are aware of the influence of stress on origination and development of CVD, considering it, the most essential influenceable risk factors. Physicians and nurses should not prefer women or men when providing the educational interventions; they should focus more on persons with lower education, on the issues of stress and smoking, and motivate them to changes in order to prevent CVD. The area of sociometric relations, although statistically significant in many cases, should be subject to more in-depth research.
Keywords:
Education – stress – prevention
Sources
- Kebza V. Psychosociální determinanty zdraví. Academia: Praha 2005. ISBN 80–200–1307–5.
- Rosolová H. Preventivní kardiologie a důležitost spolupráce mezi odborníky. Kardiol Rev Int Med 2013; 15(4): 208–209.
- Sak P, Saková K Mládež na křižovatce. Sociologická analýza postavení mládeže ve společnosti a její úlohy v procesech evropeizace a informatizace. Svoboda Servis: Praha 2004. ISBN 80–86320–33–2.
- Kraus B. Základy sociální pedagogiky. Portál: Praha 2008. ISBN 978–80–7367–383–3.
- Marmot M, Wilkinson R. Social determinants of health. Oxford University Press: New York 2005. ISBN 978–0198565895.
- Albert MA, Glynn RJ, Buring J et al. Impact of traditional and novel risk factors on the relationship between socioeconomic status and incident cardiovascular events. Circulation 2006; 114(24): 2619–2626. Dostupné z DOI: <http://dx.doi.org/10.1161/CIRCULATIONAHA.106.660043>.
- Linhart J. Slovník cizích slov pro nové století. Dialog: Litvínov 2010.
- Silbernagl S, Despopoulos A. Atlas fyziologie člověka. Překlad 8. německého vydání. Grada: Praha 2016. ISBN 978–80–247–4271–7.
- Labarthe DR. Epidemiology and Prevention of Cardiovascular Diseases: A Global Challenge. 2nd ed. Jones & Bartlett: Sudbury, MA 2011. ISBN 978–0763746896.
- King CR, Hinds PS. Quality of life: from nursing and patient perspectives: theory, research, practice. 3rd ed. Jones & Bartlett Learning: Sudbury, MA 2011. ISBN 978–0763749439:
- Bartůňková S Stres a jeho mechanismy. Karolinum: Praha 2010. ISBN 9788024618746.
- Vinay J. Stres a zdraví. Portál: Praha 2007. ISBN 978–80–7367–211–9.
- Topinková E. Geriatrie pro praxi. Galén: Praha 2005. ISBN 8072623656.
- Kalvach Z, Zadák Z, Jirák R et al. Geriatrické syndromy a geriatrický pacient. Grada: Praha 2008. e-kniha.
- Kaas J, Stasková V, Šulistová R. The concept of health literacy in contemporary nursing. Kontakt 2016; 18: e219-e223. Dostupné z DOI: <http://dx.doi.org/10.1016/j.kontakt.2016.10.001>.
- Holčík J. Systém péče o zdraví a zdravotní gramotnost: k teoretickým základům cesty ke zdraví. Masarykova univerzita: Brno 2010. ISBN 978–80–210–5239–0
- Albus Ch, Hermann-Lingen Ch. Behaviour and motivation. In: Gielen G, De Backer G, Piepoli M et al. (eds). The ESC Textbook of Preventive Cardiology. Oxford University Press: Oxford 2015: 105–112. ISBN 978–0199656653.
- Mandysová P. Příprava na edukaci v ošetřovatelství. Fakulta zdravotnických studií, Univerzita Pardubice: Pardubice 2016. ISBN 978–80–7395–971–5.
- Špirudová L. Doprovázení v ošetřovatelství. I. Pomáhající profese, doprovázení a systém podpor pro pacienty. Grada: Praha 2015. 978–80–247–5710–0
- Elwyn G, Dehlendorf C, Epstein RM et al. Shared decision making and motivational interviewing: achieving patient-centered care across the spectrum of health care problems. Ann Fam Med 2014; 12(3): 270–275. Dostupné z DOI: <http://dx.doi.org/10.1370/afm.1615>. Erratum in Ann Fam Med. 2014; 12(4): 301.
- Astin F, Timmins F, Carroll DL et al. Education for nurses working in cardiovascular care: A European survey. Eur J Cardiovasc Nurs 2014; 13(6): 532–540. Dostupné z DOI: <http://dx.doi.org/10.1177/1474515113514864>.
- Magurová D, Majerníková Ľ. Edukácia a edukačný proces v ošetrovateľstve. Martin: Osveta 2009. ISBN 9788080633264.
- Šulistová R, Trešlová M. Pedagogika a edukační činnost v ošetřovatelské péči. České Budějovice: Jihočeská univerzita: České Budějovice 2012. ISBN 978–80–7394–246–5.
- Dart MA Motivational Interviewing in Nursing Practice. Jones and Bartlett: Sadbury, Mass 2011. ISBN 978–0763773854.
Labels
Diabetology Endocrinology Internal medicineArticle was published in
Internal Medicine
2019 Issue 7-8
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