D. Anita, Astriningrum Titipangesti, Siti Fadhillah, Wantonoro Wantonoro
Background: Chemotherapy patients commonly experience depression due to various physical complaints suffered and the length of treatment therapy. Depression is closely related to morbidity and mortality. Therefore, a good coping mechanism is needed to overcome it. This research aims to determine the relationship between coping mechanisms and depression in chemotherapy patients. Patients and methods: The design used was a quantitative correlation with a cross-sectional approach. The respondents recruited were 52 patients using an accidental sampling technique. The research instrument used was a questionnaire. Data were analysed using the contingency coefficient test. Results: The results showed that most respondents had maladaptive coping mechanisms (53.2%), experienced depression (59.6%), and there was no relationship between coping mechanisms and depression (p = 0.213). Conclusions: many factors can influence the depression level of cancer patients. These factors contribute together, but some of them do not directly contribute to depression. One of the factors that do not directly contribute is the coping mechanism.
{"title":"Coping mechanism and depression among Moslem patients treated with chemotherapy","authors":"D. Anita, Astriningrum Titipangesti, Siti Fadhillah, Wantonoro Wantonoro","doi":"10.5603/pmpi.2022.0014","DOIUrl":"https://doi.org/10.5603/pmpi.2022.0014","url":null,"abstract":"Background: Chemotherapy patients commonly experience depression due to various physical complaints suffered and the length of treatment therapy. Depression is closely related to morbidity and mortality. Therefore, a good coping mechanism is needed to overcome it. This research aims to determine the relationship between coping mechanisms and depression in chemotherapy patients. Patients and methods: The design used was a quantitative correlation with a cross-sectional approach. The respondents recruited were 52 patients using an accidental sampling technique. The research instrument used was a questionnaire. Data were analysed using the contingency coefficient test. Results: The results showed that most respondents had maladaptive coping mechanisms (53.2%), experienced depression (59.6%), and there was no relationship between coping mechanisms and depression (p = 0.213). Conclusions: many factors can influence the depression level of cancer patients. These factors contribute together, but some of them do not directly contribute to depression. One of the factors that do not directly contribute is the coping mechanism.","PeriodicalId":19965,"journal":{"name":"Palliative Medicine in Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48520633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Use of opioid analgesics in chronic kidney disease","authors":"A. Sołtysik, M. Graczyk, J. Woroń","doi":"10.5603/pmpi.2022.0010","DOIUrl":"https://doi.org/10.5603/pmpi.2022.0010","url":null,"abstract":"","PeriodicalId":19965,"journal":{"name":"Palliative Medicine in Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46326620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article is available in open access under Creative Common Attribution-Non-Commercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0) license, allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially. Wojciech Leppert 2 Chair of Palliative Medicine, Institute of Medical Sciences Collegium Medicum University of Zielona Góra, Poland University Hospital of Heliodor Święcicki, Partner of Poznań University of Medical Sciences, Poland
{"title":"Palliative care — looking at new directions","authors":"W. Leppert","doi":"10.5603/pmpi.2022.0025","DOIUrl":"https://doi.org/10.5603/pmpi.2022.0025","url":null,"abstract":"This article is available in open access under Creative Common Attribution-Non-Commercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0) license, allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially. Wojciech Leppert 2 Chair of Palliative Medicine, Institute of Medical Sciences Collegium Medicum University of Zielona Góra, Poland University Hospital of Heliodor Święcicki, Partner of Poznań University of Medical Sciences, Poland","PeriodicalId":19965,"journal":{"name":"Palliative Medicine in Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48676860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical cannabis is attracting more and more interest among both patients and healthcare professionals. Despite the long history of using this plant for medicinal purposes, the current approach to medicine, which is primarily based on facts, forces us to take a scientific approach in the selection of products and substances from the cannabinoid group. More and more scientific and clinical studies are providing evidence of their effectiveness. Clinical trials with small groups of patients as well as case reports show the benefits of medical cannabis, while larger trials often do not confirm clear improvement compared to other available treatments. Both physicians and their patients need to know in which indications clinical benefits are possible and whether the proposed therapy is safe. Only after analysing the patient’s history, interviewing and examining, in a highly individualized and detailed manner (including relative and absolute contraindications) can cannabinoid therapy be considered. They are more often used as an addition to basic and standard therapy, which can improve its effectiveness. Less frequently we choose cannabinoids as drugs of the first choice used in monotherapy. The article aims to present 10 reasons why cannabinoids are worth considering for use in everyday clinical practice and to prepare practitioners to answer the questions most asked by patients
{"title":"Ten reasons to consider cannabinoids in everyday clinical practice","authors":"A. Lewandowska, M. Graczyk","doi":"10.5603/pmpi.2022.0013","DOIUrl":"https://doi.org/10.5603/pmpi.2022.0013","url":null,"abstract":"Medical cannabis is attracting more and more interest among both patients and healthcare professionals. Despite the long history of using this plant for medicinal purposes, the current approach to medicine, which is primarily based on facts, forces us to take a scientific approach in the selection of products and substances from the cannabinoid group. More and more scientific and clinical studies are providing evidence of their effectiveness. Clinical trials with small groups of patients as well as case reports show the benefits of medical cannabis, while larger trials often do not confirm clear improvement compared to other available treatments. Both physicians and their patients need to know in which indications clinical benefits are possible and whether the proposed therapy is safe. Only after analysing the patient’s history, interviewing and examining, in a highly individualized and detailed manner (including relative and absolute contraindications) can cannabinoid therapy be considered. They are more often used as an addition to basic and standard therapy, which can improve its effectiveness. Less frequently we choose cannabinoids as drugs of the first choice used in monotherapy. The article aims to present 10 reasons why cannabinoids are worth considering for use in everyday clinical practice and to prepare practitioners to answer the questions most asked by patients","PeriodicalId":19965,"journal":{"name":"Palliative Medicine in Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48811148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Recent advances in prevention and treatment of post-radiotherapy xerostomia in patients with head and neck cancer","authors":"Z. Żylicz, Agnieszka Solarska","doi":"10.5603/pmpi.a2022.0026","DOIUrl":"https://doi.org/10.5603/pmpi.a2022.0026","url":null,"abstract":"","PeriodicalId":19965,"journal":{"name":"Palliative Medicine in Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42292643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Development of pain management nursing care program for children with cancer","authors":"N. Naseri, A. Irajpour, Atefeh Shamsi","doi":"10.5603/pmpi.a2022.0024","DOIUrl":"https://doi.org/10.5603/pmpi.a2022.0024","url":null,"abstract":"","PeriodicalId":19965,"journal":{"name":"Palliative Medicine in Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43805973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: The main task of palliative care is to improve the quality of life of a patient, and the therapy of chronic pain with opioids is a significant problem for palliative care patients in Ukraine. Therefore, this study aimed to assess the opioid availability for palliative care patients in Ukraine. Methods: Analysis of the list and consumption of opioids according to the scientific publications and legal documents. Results: It was found that in Ukraine as of June 2021, 12 international non-proprietary names of opioids were registered, most of which are represented by several dosage forms, which makes it possible for patients to receive adequate pain relief through non–invasive therapy with oral forms. It was shown that two thirds (63.2%) of trade names of opioids registered in Ukraine were of domestic origin. Based on a comparative analysis of the range of opioids, available in current regulatory documents, it was established that in the State Register of Medicines of Ukraine and the Unified clinical protocol there is an almost identical list of opioids (12 drugs). However, in the State Drug Formulary and the National List of Essential Medicines, this list is much smaller (8 and 5 drugs, respectively). Since 2013 changes in the regulatory documents on the medical use of opioids in Ukraine have occurred, and oral morphine was registered for the first time, allowing access to adequate pain relief. Analysis of the morphine con sumption level by dosage forms has shown that before 2013, the pharmacies sold only morphine in injections, and since 2013, the consumption of oral morphine increased. Conclusions. Changes in regulatory documents partially simplified the complicated process of obtaining opioids by patients. However, more than 80% of patients still do not receive adequate pain therapy due to the hesitancy of doctors to prescribe opioids and an extremely insufficient number of pharmacies (1.8%) that sell opioids for the population.
{"title":"The use of opioid analgesics in palliative care in Ukraine: Changes in legislation and availability","authors":"S. Shunkina, Iryna Chukhray","doi":"10.5603/pmpi.2022.0004","DOIUrl":"https://doi.org/10.5603/pmpi.2022.0004","url":null,"abstract":"Introduction: The main task of palliative care is to improve the quality of life of a patient, and the therapy of chronic pain with opioids is a significant problem for palliative care patients in Ukraine. Therefore, this study aimed to assess the opioid availability for palliative care patients in Ukraine. Methods: Analysis of the list and consumption of opioids according to the scientific publications and legal documents. Results: It was found that in Ukraine as of June 2021, 12 international non-proprietary names of opioids were registered, most of which are represented by several dosage forms, which makes it possible for patients to receive adequate pain relief through non–invasive therapy with oral forms. It was shown that two thirds (63.2%) of trade names of opioids registered in Ukraine were of domestic origin. Based on a comparative analysis of the range of opioids, available in current regulatory documents, it was established that in the State Register of Medicines of Ukraine and the Unified clinical protocol there is an almost identical list of opioids (12 drugs). However, in the State Drug Formulary and the National List of Essential Medicines, this list is much smaller (8 and 5 drugs, respectively). Since 2013 changes in the regulatory documents on the medical use of opioids in Ukraine have occurred, and oral morphine was registered for the first time, allowing access to adequate pain relief. Analysis of the morphine con sumption level by dosage forms has shown that before 2013, the pharmacies sold only morphine in injections, and since 2013, the consumption of oral morphine increased. Conclusions. Changes in regulatory documents partially simplified the complicated process of obtaining opioids by patients. However, more than 80% of patients still do not receive adequate pain therapy due to the hesitancy of doctors to prescribe opioids and an extremely insufficient number of pharmacies (1.8%) that sell opioids for the population.","PeriodicalId":19965,"journal":{"name":"Palliative Medicine in Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45313385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Armento, A. Parisi, G. Ravoni, G. Spinelli, V. Cofini, S. Necozione, L. Verna, G. Porzio
{"title":"Palliative sedation at home: A medical act practicable everywhere","authors":"G. Armento, A. Parisi, G. Ravoni, G. Spinelli, V. Cofini, S. Necozione, L. Verna, G. Porzio","doi":"10.5603/pmpi.2022.0001","DOIUrl":"https://doi.org/10.5603/pmpi.2022.0001","url":null,"abstract":"","PeriodicalId":19965,"journal":{"name":"Palliative Medicine in Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47456882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Palliative care — moving forward","authors":"W. Leppert","doi":"10.5603/pmpi.2022.0009","DOIUrl":"https://doi.org/10.5603/pmpi.2022.0009","url":null,"abstract":"","PeriodicalId":19965,"journal":{"name":"Palliative Medicine in Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46887644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"COVID-19 and multidimensional deprivation in rural women with cancer in Iran","authors":"Mozhgan Moshtagh","doi":"10.5603/PMPI.2021.0032","DOIUrl":"https://doi.org/10.5603/PMPI.2021.0032","url":null,"abstract":"","PeriodicalId":19965,"journal":{"name":"Palliative Medicine in Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48434249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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