Eleni Lahana - Academia.edu (original) (raw)

Papers by Eleni Lahana

Hellenic Journal of Nursing Science, 2021

The rising average age of passengers, the chronic illnesses that passengers suffer from and the s... more The rising average age of passengers, the chronic illnesses that passengers suffer from and the stress of flying are just some of the factors that contribute to emergencies in flight. Passengers at risk are those with heart or respiratory problems. Cardiopulmonary arrest, burns and gastrointestinal problems are the main reasons for first aid. The purpose of this review is to present the most common emergency health problems that may occur during a flight, as well as the first aid equipment available on the aircraft. To achieve this goal, a literature review of articles related to this field in Pubmed and Google Scholar databases was carried out in the period 2010-2020. Most conditions are treated by the crew with a simple painkiller. However, there are more complex conditions that require a different treatment, such as oxygen administration to patients with respiratory problems. In some cases, medical advice and assistance is sought from passengers who are healthcare professionals. ...

BACKGROUND: Sense Of Coherence" (SOC) is the central idea of Aaron Antonovsky’s concept of s... more BACKGROUND: Sense Of Coherence" (SOC) is the central idea of Aaron Antonovsky’s concept of salutogenesis. It is used to explain why some people become ill under stress and others stay healthy. OBJECTIVE: To specify sense of coherence (SOC) and the degree of its correlation with mental health in elderly. METHODS: We conducted crosssectional study in Health Center of Megalopolis. The number of the participants was 100 elderly (n=100). We excluded old suffering from dementia and psychosis. We used 2 questionnaires (SCL-90-R and Sence of Coherence). Data were analysed using SPSS 18.0. FINDINGS: Socio-demographic characteristics of the sample : mean age 71,68 years, 70% women, 50% married, 52% had received mandatory education. Mean score of sense of coherence ( SOC):137 ± SD:26,49. Mean score of SCL-90 : 66,89±6,146, Positive Symptom Total: 0,76±0,51, Global Severity Index: 6,82±17,76, Positive Symptom Distress Index: 1,56±0,51. Sense of coherence score and SCL-90 score are negative...

AIM. The aim of this study was to evaluate the relationship between clinical characteristics and ... more AIM. The aim of this study was to evaluate the relationship between clinical characteristics and the frequency of pressure ulcers in ICU patients. MATERIAL-METHOD. The study was performed in ICU, University Hospital of Larissa. All patients who have been nursed in the ICU between 1/1/2006 – 31/12/2006 were included in the study (n=210). Cubbin and Jackson Scale was used to identify high risk patients for pressure ulcers. RESULTS. The Prevalence of pressure ulcers in ICU patients was 24,3%. Multiple logistic regression showed that age (OR=1,04 P=0,027), duration of nursing (OR=1,17 P=0,000), haemodialysis (OR=4,09 P=0,033) and haematocrit (OR=0,91 P=0,045) were depend risk factors for the presence of pressure ulcers. CONCLUSIONS. The risk factors (determinants) of pressure ulcers were found, were similar than previously reported historical data. However, new therapeutic and preventive strategies and advances in nursing care are warranted to improve further the management for pressure...

Οι οργανισμοί υγείας αποτελούνται από ένα σύνολο ανθρώπων, οι οποίοι βρίσκονται σε συνεχή αλληλεπ... more Οι οργανισμοί υγείας αποτελούνται από ένα σύνολο ανθρώπων, οι οποίοι βρίσκονται σε συνεχή αλληλεπίδραση και, όπως είναι αναμενόμενο, συχνά ανάμεσά τους προκύπτουν διεπαγγελματικές συγκρούσεις. Οι νοσηλευτές απο-τελούν το μεγαλύτερο ποσοστό του παραγωγικού ιστού της φροντίδας υγείας, ενώ συχνά υφίστανται πολλές αλλαγές, πιέσεις και αντιμετωπίζουν στρεσογόνες καταστάσεις οι οποίες ευνοούν το φαινόμενο της σύγκρουσης. 1,2

Do place of residence and ethnicity affect health services utilization? evidence from greece

BMC Nursing, 2017

Background: In the healthcare sector, we often come across the burnout syndrome. It is an occupat... more Background: In the healthcare sector, we often come across the burnout syndrome. It is an occupational syndrome which causes, physical and emotional exhaustion. More information is needed on the dangers of burnout and how often it occurs in healthcare. The purpose of this study was to investigate burnout and factors associated with the syndrome among nurses working with people that are mentally challenged. Methods: A cross-sectional survey was conducted, among 180 nurses working in public health centers for the disabled in multiple regions of Greece. A self-administered questionnaire with questions about socio-demographic and work-related characteristics was used, as well as the Maslach Burnout Inventory (MBI) for burnout assessment. Univariate and multivariate analyzes were performed. Results: The burnout dimensions of emotional exhaustion (Mean = 31.36) and depersonalization (Mean = 11.27) were at high levels while personal accomplishment was at low levels (Mean = 44.02). Female nurses had a higher personal accomplishment score (Mean = 44.82, p = 0.047) than men (Mean = 42.10, p = 0.047). Marital status, daily routine and relationships with supervisors were significantly related with emotional exhaustion and personal accomplishment and professional experience with higher levels of emotional exhaustion and depersonalization. Reason for professional selection was an independent predictor for depersonalization and personal accomplishment, with those that have selected the nursing profession randomly or because of the fear of unemployment having higher scores. Moderate relationships with colleagues was an independent predictor for all burnout dimensions. Conclusions: Nurses working in services for people with intellectual disabilities in Greece show increased burnout levels. Burnout can be prevented by offering more opportunities for professional advancement and education, new ways to provide supervisor support, provide incentives for nurses to initiate or participate in innovative programs. Specific training on conflict resolution, collaboration, reinforcement and stress coping techniques must be implemented.

Global journal of health science, Jan 20, 2014

While medical ethics place a high value on providing truthful information to patients, disclosure... more While medical ethics place a high value on providing truthful information to patients, disclosure practices are far from being the norm in many countries. Transmitting bad news still remains a big problem that health care professionals face in their every day clinical practice. Through the review of relevant literature, an attempt to examine the trends in this issue worldwide will be made. Various electronic databases were searched by the authors and through systematic selection 51 scientific articles were identified that this literature review is based on. There are many parameters that lead to the concealment of truth. Factors related to doctors, patients and their close environment, still maintain a strong resistance against disclosure of diagnosis and prognosis in terminally ill patients, while cultural influences lead to different approaches in various countries. Withholding the truth is mainly based in the fear of causing despair to patients. However, fostering a spurious hope...

License, which permits unrestricted use, distribution, and reproduction in any medium, provided t... more License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background. Low socioeconomic status (SES) has been related by previous studies to low self-perceived HRQoL. Health is a major determinant of the society’s welfare, and few studies have determined the relevant elements that contribute to health and quality of life in Greece. Aim. The aim of the study was to evaluate and test for differences in HRQoL of Greek and Albanian immigrant population according to ethnicity and their demographic and SES characteristics. Methods.The study was conducted in a sample of 660 age-matched and gender-matched Greeks and Albanian immigrants. Moderate or severe decrease in HRQoL was assessed with the generic tool EQ-5D. Differences were statistically analyzed by t-test and ANOVA. Also, logistic and linear regression analyses were conducted for the dependent variables of the EQ-5D dimensions and VAS scores, respectively. Re...

Background. Low socioeconomic status (SES) has been related by previous studies to low self-perce... more Background. Low socioeconomic status (SES) has been related by previous studies to low self-perceived HRQoL. Health is a major determinant of the society's welfare, and few studies have determined the relevant elements that contribute to health and quality of life in Greece. Aim. The aim of the study was to evaluate and test for differences in HRQoL of Greek and Albanian immigrant population according to ethnicity and their demographic and SES characteristics. Methods. The study was conducted in a sample of 660 age-matched and gender-matched Greeks and Albanian immigrants. Moderate or severe decrease in HRQoL was assessed with the generic tool EQ-5D. Differences were statistically analyzed by t-test and ANOVA. Also, logistic and linear regression analyses were conducted for the dependent variables of the EQ-5D dimensions and VAS scores, respectively. Results. The Albanian immigrants reported better self-perceived health than their Greek counterparts. Health problems increase mo...

Background: Numerous of studies have been done to healthcare professionals about job satisfaction... more Background: Numerous of studies have been done to healthcare professionals about job satisfaction and workplace boredom, but very few to ambulance staff. The mental health and emotional well-being of ambulance staff appears to be affected by the emergency character of the work they provide. Aim: The aim of the present study was to investigate the degree of job satisfaction and workplace boredom to the ambulance staff of Crete. Material & Methods: It was a cross-sectional study. The ambulance personnel of Crete included in the study. The job satisfaction scale (23 items) and the Boredom Proneness Scale (28 items) were used for data collection. The statistical analysis was performed by the SPSS. V.22.0. Results: The studied sample consisted of 142 ambulance personnel. Most of them were male (81%), married (72.9%), and had attended secondary school (63.4%). The job satisfaction was 71.1±5.7 and was found to be negatively related to how often someone felt upset (r=-0.192, p=0.02), how o...

Objectives The impact of socioeconomic status (SES) on health previously studied demonstrates tha... more Objectives The impact of socioeconomic status (SES) on health previously studied demonstrates that low SES relates to lower health. In Greece, related studies are limited and focused on native population. The aim of this study was to assess the influence of residence, ethnicity and SES on health-related quality of life (HRQoL). Methods The study was carried out in Thessaly using a sample of 1,372 individuals (18? years old, response rate 91.4%) via face-to-face interview. Multiple stepwise linear regression analyses were performed investigating the impact of the above factors on HRQoL, measured by SF-36. Interaction effects between socioeconomic and demographic variables were performed. Results Disadvantage of SES, i.e. primary education and low income, was associated with impaired HRQoL in physical and mental health. Albanians reported better HRQoL compared to Greeks but after controlling for SES factors health disparities became insignificant. Rural residents were related to better general and mental health. Conclusions SES is an independent predictor of HRQoL, but ethnicity and place of residence had weak impact. Investigating the underline mechanisms that impair HRQoL, so as to take policies that will elucidate the risk of poor health in disadvantage groups, is important.

BMC Health Services Research

Background: The Patient Assessment of Chronic Illness Care plus is used in order to assess whethe... more Background: The Patient Assessment of Chronic Illness Care plus is used in order to assess whether provided care is congruent with the Chronic Care Model, according to patients. The purpose of this study was to correlate PACIC+ and the revised 5As "ask, advise, agree, assist and arrange" scoring of a sample of DM patients, with their QoL, depressive symptomatology, demographic and disease characteristics, self-management behaviours of healthy eating and physical activity. Methods: This is a cross-sectional study where data were collected between January and April 2018 by using three questionnaires (PACIC+, SF-36, CES-D) from a sample of 90 DM patients treated at a Public General Hospital of Central Greece. Anonymous self-completed questionnaires were used to collect the data. Data was processed in the Statistical Package for the Social Sciences (SPSS). Results: The mean age of the participants with DM was 52.8 years (SD = 21.2 years), with cardiovascular disease and arterial hypertension scoring as the most frequently reporting chronic comorbidities. The healthcare received by DM patients has been correlated with their QoL. More specifically SF-36 and PACIC+ scale scores showed a positive and low correlation in several subscales. The total score of PACIC+ scale as well as the Patient activation score were increased in higher scores of vitality (p = 0.034 & p = 0.028 respectively), hence both scores correlate significantly with latter. In addition, Delivery System / Practice Design score was increased in higher scores of mental health (p = 0.01) and MCS (p = 0.03). Conclusions: The shift from hospital care focusing on the disease to a more patient-oriented approach puts forward a dynamic holistic approach to chronic diseases and the reduction of their impact. Finding evidence-based and effective strategies to promote health, prevent and manage chronic diseases such as diabetes mellitus is deemed to be crucial and necessary. PACIC+, which is a tool of a patient-level assessment of CCM implementation, can be used by countries which intend to apply changes in the way their health systems provide chronic care and specifically wish to improve the quality of chronic disease care and the QoL of their patients.

International Journal of Healthcare Management

Nursing Department, TEI of Larissa ΠΕΡΙΛΗΨΗ Οι υπηρεσίες υγείας αποτελούν οικονομικές μονάδες, αφ... more Nursing Department, TEI of Larissa ΠΕΡΙΛΗΨΗ Οι υπηρεσίες υγείας αποτελούν οικονομικές μονάδες, αφού έχουν οικονομική δραστηριότητα με χρήστες, συντελεστές παραγωγής, κόστος και, τέλος, αποτέλεσμα, που συνίσταται στην καλύτερη χρήση των υπαρχόντων πόρων, στην παροχή καλύτερης ποιότητας υπηρεσιών και στη θεραπεία περισσοτέρων ατόμων μέσω των προγραμμάτων υγείας. Η οικονομική αξιολόγηση των προγραμμάτων υγείας αποτελεί ένα χρήσιμο εργαλείο λήψης αποφάσεων, που λαμβάνει υπόψη της δύο παραμέτρους: την οικονομική αποδοτικότητα και την κοινωνική δικαιοσύνη που πρέπει να έχει ένα πρόγραμμα υγείας. Χρησιμοποιεί πιο συχνά συγκεκριμένες μεθόδους για να εκτιμήσει το κόστος και το όφελος συγκρινόμενων προγραμμάτων, όπως την ανάλυση ελαχιστοποίησης του κόστους, του κόστους αποτελεσματικότητας, του κόστους οφέλους και του κόστους χρησιμότητας. Κάθε μέθοδος έχει τα δικά της πλεονεκτήματα και μειονεκτήματα, που την κατατάσσουν στην πιο εύχρηστη και αποδοτική ή στη σπανιότερα και σε ειδικές περι-ABSTRACT The health services constitute financial units, since they have a certain financial activity, with users, production coefficients, cost and result, that consists the better use of the existing resources, the benefit of better quality services and the offering treatment to more patients through the health programs. The financial evaluation of the health programs represents a useful tool for decision taking, which takes under consideration two parameters: the financial efficiency and the social justice a health program should carry. More often, it also uses some specific methods for evaluating the cost and the benefit of certain parallel programs, such as the analysis for cost minimization, cost efficiency, cost profit and cost use. Each method carries its own advantages and disadvantages which classify them as more manageable and efficient or as more rare and in special cases as applicable methods. The validity and credibility of the measurement indexes of all the analyses constitute criteria for a proper methodology and aim at the improvement of the quality of measuring the different aspects of the problem. All techniques of financial evaluation are useful despite the difficulties

Εισαγωγή: Η πνευματικότητα αποτελεί παγκοσμίως ζήτημα υψίστης σημασίας. Η συνειδητοποίηση της σημ... more Εισαγωγή: Η πνευματικότητα αποτελεί παγκοσμίως ζήτημα υψίστης σημασίας. Η συνειδητοποίηση της σημασίας της, σε όλες τις εκφάνσεις του ανθρώπινου βίου, παρέχει ένα πλαίσιο, ώστε να μπορέσουμε κατανοήσουμε τον κόσμο και να αντιμετωπίσουμε τη ζωή. Σκοπός της παρούσας μελέτης είναι να διερευνήσει τα πνευματικά και θρησκευτικά πιστεύω του γενικού πληθυσμού της Θεσσαλίας. Υλικό Μέθοδος: Συνολικά 393 Έλληνες πολίτες, κάτοικοι της περιοχής της Θεσσαλίας, συμπλήρωσαν το ερωτηματολόγιο. Η προσέγγιση του δείγματος έγινε τυχαία, μέσο χώρων εργασίας, σπιτιών και νοσοκομείων στην περιοχή της Θεσσαλίας. Ως ερευνητικό εργαλείο για την παρούσα μελέτη χρησιμοποιήθηκε το «The Royal Free Interview for Religious and Spiritual Beliefs». Η ανάλυση των δεδομένων έγινε με τη βοήθεια του στατιστικού πακέτου SPSS 12 χρησιμοποιώντας το τεστ για ανεξάρτητα δείγματα(t-test) και την ανάλυση διακύμανσης προς ένα παράγοντα(one way-anova). Αποτελέσματα: Η μέση ηλικία όσων απάντησαν στο ερωτηματολόγιο ήταν τα 36,39. Από τους 393 συμμετέχοντες οι 149 (37,9%) ήταν άνδρες και οι 244 ήταν γυναίκες σε ποσοστό 62,1%. Το 95.9% του δείγματος δήλωσε πως είναι Χριστιανοί Ορθόδοξοι. Βρέθηκε πως σε ποσοστό ΤΟ ΒΗΜΑ ΤΟΥ ΑΣΚΛΗΠΙΟΥ

International Journal of Public Health, 2010

BMC Nursing, 2017

Background: In the healthcare sector, we often come across the burnout syndrome. It is an occupat... more Background: In the healthcare sector, we often come across the burnout syndrome. It is an occupational syndrome which causes, physical and emotional exhaustion. More information is needed on the dangers of burnout and how often it occurs in healthcare. The purpose of this study was to investigate burnout and factors associated with the syndrome among nurses working with people that are mentally challenged. Methods: A cross-sectional survey was conducted, among 180 nurses working in public health centers for the disabled in multiple regions of Greece. A self-administered questionnaire with questions about socio-demographic and work-related characteristics was used, as well as the Maslach Burnout Inventory (MBI) for burnout assessment. Univariate and multivariate analyzes were performed.

Hellenic Journal of Nursing Science, 2021

The rising average age of passengers, the chronic illnesses that passengers suffer from and the s... more The rising average age of passengers, the chronic illnesses that passengers suffer from and the stress of flying are just some of the factors that contribute to emergencies in flight. Passengers at risk are those with heart or respiratory problems. Cardiopulmonary arrest, burns and gastrointestinal problems are the main reasons for first aid. The purpose of this review is to present the most common emergency health problems that may occur during a flight, as well as the first aid equipment available on the aircraft. To achieve this goal, a literature review of articles related to this field in Pubmed and Google Scholar databases was carried out in the period 2010-2020. Most conditions are treated by the crew with a simple painkiller. However, there are more complex conditions that require a different treatment, such as oxygen administration to patients with respiratory problems. In some cases, medical advice and assistance is sought from passengers who are healthcare professionals. ...

BACKGROUND: Sense Of Coherence" (SOC) is the central idea of Aaron Antonovsky’s concept of s... more BACKGROUND: Sense Of Coherence" (SOC) is the central idea of Aaron Antonovsky’s concept of salutogenesis. It is used to explain why some people become ill under stress and others stay healthy. OBJECTIVE: To specify sense of coherence (SOC) and the degree of its correlation with mental health in elderly. METHODS: We conducted crosssectional study in Health Center of Megalopolis. The number of the participants was 100 elderly (n=100). We excluded old suffering from dementia and psychosis. We used 2 questionnaires (SCL-90-R and Sence of Coherence). Data were analysed using SPSS 18.0. FINDINGS: Socio-demographic characteristics of the sample : mean age 71,68 years, 70% women, 50% married, 52% had received mandatory education. Mean score of sense of coherence ( SOC):137 ± SD:26,49. Mean score of SCL-90 : 66,89±6,146, Positive Symptom Total: 0,76±0,51, Global Severity Index: 6,82±17,76, Positive Symptom Distress Index: 1,56±0,51. Sense of coherence score and SCL-90 score are negative...

AIM. The aim of this study was to evaluate the relationship between clinical characteristics and ... more AIM. The aim of this study was to evaluate the relationship between clinical characteristics and the frequency of pressure ulcers in ICU patients. MATERIAL-METHOD. The study was performed in ICU, University Hospital of Larissa. All patients who have been nursed in the ICU between 1/1/2006 – 31/12/2006 were included in the study (n=210). Cubbin and Jackson Scale was used to identify high risk patients for pressure ulcers. RESULTS. The Prevalence of pressure ulcers in ICU patients was 24,3%. Multiple logistic regression showed that age (OR=1,04 P=0,027), duration of nursing (OR=1,17 P=0,000), haemodialysis (OR=4,09 P=0,033) and haematocrit (OR=0,91 P=0,045) were depend risk factors for the presence of pressure ulcers. CONCLUSIONS. The risk factors (determinants) of pressure ulcers were found, were similar than previously reported historical data. However, new therapeutic and preventive strategies and advances in nursing care are warranted to improve further the management for pressure...

Οι οργανισμοί υγείας αποτελούνται από ένα σύνολο ανθρώπων, οι οποίοι βρίσκονται σε συνεχή αλληλεπ... more Οι οργανισμοί υγείας αποτελούνται από ένα σύνολο ανθρώπων, οι οποίοι βρίσκονται σε συνεχή αλληλεπίδραση και, όπως είναι αναμενόμενο, συχνά ανάμεσά τους προκύπτουν διεπαγγελματικές συγκρούσεις. Οι νοσηλευτές απο-τελούν το μεγαλύτερο ποσοστό του παραγωγικού ιστού της φροντίδας υγείας, ενώ συχνά υφίστανται πολλές αλλαγές, πιέσεις και αντιμετωπίζουν στρεσογόνες καταστάσεις οι οποίες ευνοούν το φαινόμενο της σύγκρουσης. 1,2

Do place of residence and ethnicity affect health services utilization? evidence from greece

BMC Nursing, 2017

Background: In the healthcare sector, we often come across the burnout syndrome. It is an occupat... more Background: In the healthcare sector, we often come across the burnout syndrome. It is an occupational syndrome which causes, physical and emotional exhaustion. More information is needed on the dangers of burnout and how often it occurs in healthcare. The purpose of this study was to investigate burnout and factors associated with the syndrome among nurses working with people that are mentally challenged. Methods: A cross-sectional survey was conducted, among 180 nurses working in public health centers for the disabled in multiple regions of Greece. A self-administered questionnaire with questions about socio-demographic and work-related characteristics was used, as well as the Maslach Burnout Inventory (MBI) for burnout assessment. Univariate and multivariate analyzes were performed. Results: The burnout dimensions of emotional exhaustion (Mean = 31.36) and depersonalization (Mean = 11.27) were at high levels while personal accomplishment was at low levels (Mean = 44.02). Female nurses had a higher personal accomplishment score (Mean = 44.82, p = 0.047) than men (Mean = 42.10, p = 0.047). Marital status, daily routine and relationships with supervisors were significantly related with emotional exhaustion and personal accomplishment and professional experience with higher levels of emotional exhaustion and depersonalization. Reason for professional selection was an independent predictor for depersonalization and personal accomplishment, with those that have selected the nursing profession randomly or because of the fear of unemployment having higher scores. Moderate relationships with colleagues was an independent predictor for all burnout dimensions. Conclusions: Nurses working in services for people with intellectual disabilities in Greece show increased burnout levels. Burnout can be prevented by offering more opportunities for professional advancement and education, new ways to provide supervisor support, provide incentives for nurses to initiate or participate in innovative programs. Specific training on conflict resolution, collaboration, reinforcement and stress coping techniques must be implemented.

Global journal of health science, Jan 20, 2014

While medical ethics place a high value on providing truthful information to patients, disclosure... more While medical ethics place a high value on providing truthful information to patients, disclosure practices are far from being the norm in many countries. Transmitting bad news still remains a big problem that health care professionals face in their every day clinical practice. Through the review of relevant literature, an attempt to examine the trends in this issue worldwide will be made. Various electronic databases were searched by the authors and through systematic selection 51 scientific articles were identified that this literature review is based on. There are many parameters that lead to the concealment of truth. Factors related to doctors, patients and their close environment, still maintain a strong resistance against disclosure of diagnosis and prognosis in terminally ill patients, while cultural influences lead to different approaches in various countries. Withholding the truth is mainly based in the fear of causing despair to patients. However, fostering a spurious hope...

License, which permits unrestricted use, distribution, and reproduction in any medium, provided t... more License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background. Low socioeconomic status (SES) has been related by previous studies to low self-perceived HRQoL. Health is a major determinant of the society’s welfare, and few studies have determined the relevant elements that contribute to health and quality of life in Greece. Aim. The aim of the study was to evaluate and test for differences in HRQoL of Greek and Albanian immigrant population according to ethnicity and their demographic and SES characteristics. Methods.The study was conducted in a sample of 660 age-matched and gender-matched Greeks and Albanian immigrants. Moderate or severe decrease in HRQoL was assessed with the generic tool EQ-5D. Differences were statistically analyzed by t-test and ANOVA. Also, logistic and linear regression analyses were conducted for the dependent variables of the EQ-5D dimensions and VAS scores, respectively. Re...

Background. Low socioeconomic status (SES) has been related by previous studies to low self-perce... more Background. Low socioeconomic status (SES) has been related by previous studies to low self-perceived HRQoL. Health is a major determinant of the society's welfare, and few studies have determined the relevant elements that contribute to health and quality of life in Greece. Aim. The aim of the study was to evaluate and test for differences in HRQoL of Greek and Albanian immigrant population according to ethnicity and their demographic and SES characteristics. Methods. The study was conducted in a sample of 660 age-matched and gender-matched Greeks and Albanian immigrants. Moderate or severe decrease in HRQoL was assessed with the generic tool EQ-5D. Differences were statistically analyzed by t-test and ANOVA. Also, logistic and linear regression analyses were conducted for the dependent variables of the EQ-5D dimensions and VAS scores, respectively. Results. The Albanian immigrants reported better self-perceived health than their Greek counterparts. Health problems increase mo...

Background: Numerous of studies have been done to healthcare professionals about job satisfaction... more Background: Numerous of studies have been done to healthcare professionals about job satisfaction and workplace boredom, but very few to ambulance staff. The mental health and emotional well-being of ambulance staff appears to be affected by the emergency character of the work they provide. Aim: The aim of the present study was to investigate the degree of job satisfaction and workplace boredom to the ambulance staff of Crete. Material & Methods: It was a cross-sectional study. The ambulance personnel of Crete included in the study. The job satisfaction scale (23 items) and the Boredom Proneness Scale (28 items) were used for data collection. The statistical analysis was performed by the SPSS. V.22.0. Results: The studied sample consisted of 142 ambulance personnel. Most of them were male (81%), married (72.9%), and had attended secondary school (63.4%). The job satisfaction was 71.1±5.7 and was found to be negatively related to how often someone felt upset (r=-0.192, p=0.02), how o...

Objectives The impact of socioeconomic status (SES) on health previously studied demonstrates tha... more Objectives The impact of socioeconomic status (SES) on health previously studied demonstrates that low SES relates to lower health. In Greece, related studies are limited and focused on native population. The aim of this study was to assess the influence of residence, ethnicity and SES on health-related quality of life (HRQoL). Methods The study was carried out in Thessaly using a sample of 1,372 individuals (18? years old, response rate 91.4%) via face-to-face interview. Multiple stepwise linear regression analyses were performed investigating the impact of the above factors on HRQoL, measured by SF-36. Interaction effects between socioeconomic and demographic variables were performed. Results Disadvantage of SES, i.e. primary education and low income, was associated with impaired HRQoL in physical and mental health. Albanians reported better HRQoL compared to Greeks but after controlling for SES factors health disparities became insignificant. Rural residents were related to better general and mental health. Conclusions SES is an independent predictor of HRQoL, but ethnicity and place of residence had weak impact. Investigating the underline mechanisms that impair HRQoL, so as to take policies that will elucidate the risk of poor health in disadvantage groups, is important.

BMC Health Services Research

Background: The Patient Assessment of Chronic Illness Care plus is used in order to assess whethe... more Background: The Patient Assessment of Chronic Illness Care plus is used in order to assess whether provided care is congruent with the Chronic Care Model, according to patients. The purpose of this study was to correlate PACIC+ and the revised 5As "ask, advise, agree, assist and arrange" scoring of a sample of DM patients, with their QoL, depressive symptomatology, demographic and disease characteristics, self-management behaviours of healthy eating and physical activity. Methods: This is a cross-sectional study where data were collected between January and April 2018 by using three questionnaires (PACIC+, SF-36, CES-D) from a sample of 90 DM patients treated at a Public General Hospital of Central Greece. Anonymous self-completed questionnaires were used to collect the data. Data was processed in the Statistical Package for the Social Sciences (SPSS). Results: The mean age of the participants with DM was 52.8 years (SD = 21.2 years), with cardiovascular disease and arterial hypertension scoring as the most frequently reporting chronic comorbidities. The healthcare received by DM patients has been correlated with their QoL. More specifically SF-36 and PACIC+ scale scores showed a positive and low correlation in several subscales. The total score of PACIC+ scale as well as the Patient activation score were increased in higher scores of vitality (p = 0.034 & p = 0.028 respectively), hence both scores correlate significantly with latter. In addition, Delivery System / Practice Design score was increased in higher scores of mental health (p = 0.01) and MCS (p = 0.03). Conclusions: The shift from hospital care focusing on the disease to a more patient-oriented approach puts forward a dynamic holistic approach to chronic diseases and the reduction of their impact. Finding evidence-based and effective strategies to promote health, prevent and manage chronic diseases such as diabetes mellitus is deemed to be crucial and necessary. PACIC+, which is a tool of a patient-level assessment of CCM implementation, can be used by countries which intend to apply changes in the way their health systems provide chronic care and specifically wish to improve the quality of chronic disease care and the QoL of their patients.

International Journal of Healthcare Management

Nursing Department, TEI of Larissa ΠΕΡΙΛΗΨΗ Οι υπηρεσίες υγείας αποτελούν οικονομικές μονάδες, αφ... more Nursing Department, TEI of Larissa ΠΕΡΙΛΗΨΗ Οι υπηρεσίες υγείας αποτελούν οικονομικές μονάδες, αφού έχουν οικονομική δραστηριότητα με χρήστες, συντελεστές παραγωγής, κόστος και, τέλος, αποτέλεσμα, που συνίσταται στην καλύτερη χρήση των υπαρχόντων πόρων, στην παροχή καλύτερης ποιότητας υπηρεσιών και στη θεραπεία περισσοτέρων ατόμων μέσω των προγραμμάτων υγείας. Η οικονομική αξιολόγηση των προγραμμάτων υγείας αποτελεί ένα χρήσιμο εργαλείο λήψης αποφάσεων, που λαμβάνει υπόψη της δύο παραμέτρους: την οικονομική αποδοτικότητα και την κοινωνική δικαιοσύνη που πρέπει να έχει ένα πρόγραμμα υγείας. Χρησιμοποιεί πιο συχνά συγκεκριμένες μεθόδους για να εκτιμήσει το κόστος και το όφελος συγκρινόμενων προγραμμάτων, όπως την ανάλυση ελαχιστοποίησης του κόστους, του κόστους αποτελεσματικότητας, του κόστους οφέλους και του κόστους χρησιμότητας. Κάθε μέθοδος έχει τα δικά της πλεονεκτήματα και μειονεκτήματα, που την κατατάσσουν στην πιο εύχρηστη και αποδοτική ή στη σπανιότερα και σε ειδικές περι-ABSTRACT The health services constitute financial units, since they have a certain financial activity, with users, production coefficients, cost and result, that consists the better use of the existing resources, the benefit of better quality services and the offering treatment to more patients through the health programs. The financial evaluation of the health programs represents a useful tool for decision taking, which takes under consideration two parameters: the financial efficiency and the social justice a health program should carry. More often, it also uses some specific methods for evaluating the cost and the benefit of certain parallel programs, such as the analysis for cost minimization, cost efficiency, cost profit and cost use. Each method carries its own advantages and disadvantages which classify them as more manageable and efficient or as more rare and in special cases as applicable methods. The validity and credibility of the measurement indexes of all the analyses constitute criteria for a proper methodology and aim at the improvement of the quality of measuring the different aspects of the problem. All techniques of financial evaluation are useful despite the difficulties

Εισαγωγή: Η πνευματικότητα αποτελεί παγκοσμίως ζήτημα υψίστης σημασίας. Η συνειδητοποίηση της σημ... more Εισαγωγή: Η πνευματικότητα αποτελεί παγκοσμίως ζήτημα υψίστης σημασίας. Η συνειδητοποίηση της σημασίας της, σε όλες τις εκφάνσεις του ανθρώπινου βίου, παρέχει ένα πλαίσιο, ώστε να μπορέσουμε κατανοήσουμε τον κόσμο και να αντιμετωπίσουμε τη ζωή. Σκοπός της παρούσας μελέτης είναι να διερευνήσει τα πνευματικά και θρησκευτικά πιστεύω του γενικού πληθυσμού της Θεσσαλίας. Υλικό Μέθοδος: Συνολικά 393 Έλληνες πολίτες, κάτοικοι της περιοχής της Θεσσαλίας, συμπλήρωσαν το ερωτηματολόγιο. Η προσέγγιση του δείγματος έγινε τυχαία, μέσο χώρων εργασίας, σπιτιών και νοσοκομείων στην περιοχή της Θεσσαλίας. Ως ερευνητικό εργαλείο για την παρούσα μελέτη χρησιμοποιήθηκε το «The Royal Free Interview for Religious and Spiritual Beliefs». Η ανάλυση των δεδομένων έγινε με τη βοήθεια του στατιστικού πακέτου SPSS 12 χρησιμοποιώντας το τεστ για ανεξάρτητα δείγματα(t-test) και την ανάλυση διακύμανσης προς ένα παράγοντα(one way-anova). Αποτελέσματα: Η μέση ηλικία όσων απάντησαν στο ερωτηματολόγιο ήταν τα 36,39. Από τους 393 συμμετέχοντες οι 149 (37,9%) ήταν άνδρες και οι 244 ήταν γυναίκες σε ποσοστό 62,1%. Το 95.9% του δείγματος δήλωσε πως είναι Χριστιανοί Ορθόδοξοι. Βρέθηκε πως σε ποσοστό ΤΟ ΒΗΜΑ ΤΟΥ ΑΣΚΛΗΠΙΟΥ

International Journal of Public Health, 2010

BMC Nursing, 2017

Background: In the healthcare sector, we often come across the burnout syndrome. It is an occupat... more Background: In the healthcare sector, we often come across the burnout syndrome. It is an occupational syndrome which causes, physical and emotional exhaustion. More information is needed on the dangers of burnout and how often it occurs in healthcare. The purpose of this study was to investigate burnout and factors associated with the syndrome among nurses working with people that are mentally challenged. Methods: A cross-sectional survey was conducted, among 180 nurses working in public health centers for the disabled in multiple regions of Greece. A self-administered questionnaire with questions about socio-demographic and work-related characteristics was used, as well as the Maslach Burnout Inventory (MBI) for burnout assessment. Univariate and multivariate analyzes were performed.