21. "Boj demonu alkoholu!"Matej Muženič, 2009, diplomsko delo Ključne besede: alkoholizem, protialkoholno gibanje, Sveta vojska, katoliška morala, abstinenca, degeneracija, atavizem, medicina, psihiatrija, diplomska dela
Objavljeno v RUP: 15.10.2013; Ogledov: 3041; Prenosov: 91
 Celotno besedilo (1,71 MB) |
22. The presence of anxiety and depression in the adult population of family practice patients with chronic diseasesZalika Klemenc-Ketiš, Janko Kersnik, Erika Tratnik, 2009, izvirni znanstveni članek Opis: Background: The prevalence of multimorbidity in family practice is rising and psychiatric comorbidity presents a risk factor for premature mortality. Objective: The aim of this study was to determine the prevalence of anxiety and depression in the adult population of family practice patients with chronic somatic diseases, aged between 18 and 64 years old. Methods: We performed a cross sectional study in 500 consecutive patients from twelve family practices. Zung's self-assessment inventories for anxiety and depression were used to determine the presence of psychiatric comorbidity. The main outcome measures were depression and anxiety scores in patients with various comorbidities. Results: The response rate was 90.4 %. 8.4 % of family practice visitors suffered from anxiety symptoms and 15.2 % from depressive symptoms. At least one chronic disease was present in 40.7 % of the patients. Significantly higher rates of depression and anxiety were found among patientswith chronic somatic disease (p=0.001, P<0.001, respectively; ?2 test)or chronic pain (p<0.001, p<0.001, respectively; ?2 test). Significantly more patients with rheumatic diseases had depression in comparison to those without them (p=0.018; ?2 test). Significantly more patients with migraine or rheumatic diseases had anxiety in comparison to those without them (p=0.010, p=0.030, respectively; ?2 test). Chronic pain was present in significantly more patients with a particular chronic disease in comparison to the patients without it (p<0.050; ?2 test). Conclusions: Family doctors should actively search and treat psychiatric comorbidity also in the population of patients with chronic somatic diseases, aged between 18 and 64 years old.
Ključne besede: družinske medicina, anksioznost, depresija, kronična bolezen, bolečina
Objavljeno v RUP: 15.10.2013; Ogledov: 3532; Prenosov: 48
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27. Communication with elderly patients through an intermediary in family medicineDanica Rotar-Pavlič, Igor Švab, Marko Kolšek, 2008, izvirni znanstveni članek Opis: Background: Accurate reporting of a patient's story is an important skill in medicine. A doctor's interpretation of the patient's story reflects not only what was actually said, but also the doctor's view of the problem. Additional problems may appear when an intermediary is used for communication with patients. This problems may be influenced by the circumstances of the interview and the personal characteristics of an intermediary. Objectives: The aim of the study was to identify common characteristics of information that is lost, added and matched in a consultation with an intermediary. Methods: The qualitative study was done on a sample of 39 elderly patients from 26 different practices. The first part of the study consisted of one-to-one semi-structured interviews with elderly patients that were transcribed and coded. In the second stage of the study the interviewers who were involved in the first stage of study were debriefed and questioned about their interviews with patients. All interviews were audiotaped and transcribed verba tim.The transcripts and the codes of the first stage were compared with the transcripts and codes of the second stage. Results: After the comparison of the patient's transcripts with the transcripts of the interviewers, the data could be divided in three cathegories of information: omitted data - data that appear in the transcripts of the patients, but not in the transcripts of the debriefing of the interviewers, added data - data that appear only in the transcripts of the debriefing of the interviewers and matchingdata - data that appear in the transcripts of the patients and in the debriefing of the interviewers. Conclusion: There are differences between what occurs in a medical interview and what is reported by the interviewer in a debriefing. Some information is omitted and new information may appear that may increase our understanding, but may also be a source of added bias.
Ključne besede: komunikacija, starejši bolniki, posredniki, družinska medicina
Objavljeno v RUP: 15.10.2013; Ogledov: 6187; Prenosov: 44
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