Assessment Of Physical Well-being Research Articles

STATISTICAL DEPENDENCIES OF INDICATORS OF PHYSICAL WELL-BEING OF THE POPULATION OF A BIOSPHERE-COMPATIBLE CITY

Background. In the near future, one should ensure a radical increase in the comfort of the urban environment and its quality index and reduce the number of cities with unfavorable living environments. The deterioration of the ecological situation in many cities poses the task of developing new principles of urban life that regulate the biosphere compatibility of cities and the development of human capital.
 Purpose. The research aimed to identify the statistical regularities of the population’s livelihoods in residential areas of Russian cities, depending on the functional and spatial organization of these areas.
 Materials and Methods. The theoretical basis of the research is the paradigm of the livelihoods of bio spherically compatible cities and settlements that develop humans and its following principles: (1) assessment of physical well-being and progress in human development in the city, (2) satisfaction of rational human needs with city functions, (3) implementation of social standards in public relations.
 The practical methods used to solve the scientific problem were the methods of correlation and regression analysis, used to identify statistical dependencies in various municipal entities, mainly in large cities in Russia with high population density.
 Results. Statistical data on the level of the population’s livelihood environment and the results of providing social infrastructure objects in the process of implementing public urban functions in 17 residential micro-districts in 15 cities were analyzed. Based on the obtained data, a type of regression model was chosen, and its parameters were numerically evaluated.
 Conclusion. The identified statistical regularities can serve as a characteristic of the physical well-being of the population and be the subject of further scientific discussion of the multifactorial processes of livelihoods in a biospherically compatible city to achieve indicators of its comfort and safety.

Variables determining higher health care effectiveness in patients with cardiovascular disease

Abstract Funding Acknowledgements Type of funding sources: None. Introduction The projected incidence of cardiovascular disease and the aging population (deaths from cardiovascular disease increase after age 50) are expected to increase in the coming years. It is therefore imperative to improve health care for patients with CVD in primary care. Objective The aim of this study was to analyze the variables that influence the efficiency of health care delivery, which is synonymous with high quality of life, intensification of health behaviors, and high satisfaction of needs in patients with chronic cardiovascular disease. Methods The study was conducted on 157 patients with chronic cardiovascular disease who came to a follow-up appointment with a general practitioner. The WHOQOL-BREF Quality of Life Questionnaire, the Health Behavior Inventory Questionnaire (HBI), the Camberwell Assessment of Need Short Appraisal Schedule (CANSAS), and the Hospital Anxiety and Depression Scale-Modified Version (HADS-M) were used for the study. The Wilcoxon test and Fisher's exact test, as well as Spearman's rank correlation coefficient and logistic regression, were used for the analyzes. Results Analysis of patients revealed an association between home care effectiveness and the following variables (OR per unit): age (OR = 0.96, 95% CI: 0.92-0.99), educational level (OR = 1.45, 95% CI: 1.13-1.91), financial status (OR = 0.98, 95% CI: 0.20-0.89), assessment of physical well-being (OR = 2.60, 95% CI: 1.29-5.65), improvement in psychological well-being after a nurse visit (OR = 1.36, 95% CI: 0.00-0.17), and medication irregularity (OR = 0.30, 95% CI: 0.09-0.86). There was no association between effectiveness of care and duration of cardiovascular disease (p = 0.149), number of visits to a cardiology clinic (p = 0.414), number of visits to a PHC (p = 0.223), interventions by a family nurse practitioner (p = 0.075), and health care services provided by a physician such as ae.g., medical interview (p = 0.064), physical examination (p = 0.731), blood pressure measurement (p = 0.558). Conclusions Patients with CVD characterized by lower educational status, poorer financial status, poorer self-perception of physical well-being, expectation that the GP will provide information about disease progression, expectation that a social worker will provide information about the possibility of receiving social services, and the expectation that the family nurse would be more accessible when needed, as well as being characterized by irregular medication adherence and nonadherence to good eating habits, were much more likely to receive worse health care. Patients with cardiovascular disease can be well supported in primary care settings as long as the model of care is tailored to their specific needs. This includes care coordination within the health care team, home care, and support from general practice.

Assessment of Physical Well-Being and Leisure Time of Polish Students during the COVID-19 Outbreak.

This project aims to recognize the school experiences of Polish students during the COVID-19 outbreak; we focused on the area of assessment of physical well-being and leisure time. Nearly two thousand primary or secondary school students aged 9 to 20 participated in the survey. Running descriptive statistics, frequency analysis, and significant difference tests, we found that 45% of students thought their physical well-being during the COVID-19 outbreak worsened compared to pre-pandemic times. Boys declared they felt better in their physical well-being than girls (p < 0.001). Most students noticed changes in the quality of their leisure time activities; boys were happier than girls in their free time during the outbreak (p < 0.001). Learners’ ages also differentiated the assessment of their physical well-being (p < 0.001) and leisure time (p < 0.001). The youngest students more often assessed their experiences in the researched fields as good or increased, while the older groups more often noticed a decrease. Multinomial logistic regression proved that the differences in the assessments of physical well-being and leisure time could be explained to the greatest extent by age and gender, whereas the place of residence and school location were insignificant. All in all, our study confirms the dominance of the adverse effects of the COVID-19 pandemic on physical well-being and changes in leisure time. As such, it is advisable (during and after outbreaks) to support children and adolescents by targeting individual and institution levels. We recommend developing techniques to reduce stress and information overload, increasing creative ways of spending leisure time, supporting families in navigating children’s free time, and expanding social support networks.

Childhood Cancer Patients in a Family-Oriented Rehabilitation Program: Goals and Change in Physical Functioning

Childhood cancer often leads to physical and psychosocial burdens that can persist beyond the end of treatment. Family-oriented rehabilitation programs (FOR) focus on long-term consequences and support families in returning to daily life. The objectives of this study were to describe rehabilitation goals and goal attainment, to analyze the relationship between physical functioning and physical well-being and to examine predictors of changes in physical functioning during the FOR. In a prospective observational study, statements of physicians regarding rehabilitation goals, goal achievement and physical functioning of 175 children (<18 years of age at the time of diagnosis of leukemia or central nervous system tumor) at the beginning and the end of a FOR were analyzed. The physical well-being of the patients was assessed from a parent and child perspective. Correlation coefficients were calculated to analyze the relation between physical functioning and physical well-being. Predictors of changes in physical functioning were examined with a multiple regression analysis. The most frequently mentioned rehabilitation goals were the increase of physical functioning and the integration into the peer group. Overall, the goal achievement ranged from 82 to 100%. Physical functioning improved significantly during the FOR. A significant positive correlation between the physician's assessment of physical functioning and the parental assessment of physical well-being could be found at the beginning of the FOR. According to the regression model, female gender of the child and a longer time since diagnosis were associated with a lower change in physical functioning. Furthermore, a higher degree of physical consequential damages was associated with a larger change. The 4-week multimodal rehabilitation program of the FOR addressed various physical and psychosocial burdens and was accompanied by a significant improvement of the physical functioning of childhood cancer patients. The change in physical functioning was associated with different sociodemographic and medical factors (eg, sex). The consideration of these factors could help with optimizing the program.

Physical health assessment in forensic settings: A dual diagnosis case study

The recent publication of the Mental Health Taskforce's five-year national strategy places the physical healthcare of mental health patients high on the agenda for the future of mental health nursing. Despite efforts to address the disparity, people with serious mental illness (SMI) remain significantly more likely than those without SMI to die prematurely due to common illnesses such as diabetes and liver disease. Patients in forensic settings often have lengthy admissions and complex health needs, making comprehensive assessment of physical wellbeing particularly important. However, research suggests that physical health assessment by mental health nurses is lacking in practice. This case study highlights the principles of comprehensive physical health assessment for those with SMI and the benefits to patients by identifying risks to wellbeing. In this instance, physical health assessment as a part of a student nurse module identified significant unmet needs regarding long-standing substance misuse and exposure to blood-borne viruses.