17 results on '"Vislava Globevnik Velikonja"'
Search Results
2. Incidence of postpartum depression after treatment of postpartum anaemia with intravenous ferric carboxymaltose, intravenous ferric derisomaltose or oral ferrous sulphate: A randomized clinical trial
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Lea Bombač Tavčar, Hana Hrobat, Lea Gornik, Vislava Globevnik Velikonja, and Miha Lučovnik
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Postpartum anemia ,Postpartum depression ,Intravenous iron treatment ,Oral iron treatment ,Patient oriented outcome ,Gynecology and obstetrics ,RG1-991 - Abstract
Objectives: This study aimed to explore whether the type of iron preparation used to treat postpartum anaemia affects the incidence of postpartum depression and whether the risk of postpartum depression is higher in postpartum patients with anaemia who were adequately treated compared to the general postpartum population. Study design: Single-center, open-label, randomized trial. Women were allocated to receive intravenous ferric carboxymaltose, intravenous ferric derisomaltose or oral ferrous sulphate. Intravenous iron was given in one or two doses, while ferrous sulphate as two 80 mg tablets once daily. Primary outcome was postpartum depression measured by Edinburgh Postnatal Depression Scale (EPDS) six weeks postpartum. Haematological parameters were analyzed as secondary outcomes. Kruskal-Wallis test was used for group comparison (p
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- 2023
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3. COVID-19 vaccination intention at the beginning of COVID-19 pandemic in Slovenia
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Nevenka Kregar Velikonja, Mohsen Hussein, Ivan Verdenik, Vislava Globevnik Velikonja, and Karmen Erjavec
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covid-19 ,vaccination ,vaccination intention ,healthcare professionals ,Medicine - Abstract
Background: With the successful development and introduction of vaccines to protect against COVID-19 disease, the pandemic is expected to end. The success of a vaccination programme depends on the uptake rates in the Slovenian population and especially among healthcare workers (HCWs), who are at higher risk of infection. Recently, several studies have examined the readiness of different population groups worldwide to be vaccinated. This study compares COVID-19 vaccination intentions between lay people and HCWs, and relationships between socio-demographic characteristics, attitudes and beliefs about COVID-19 vaccination, and vaccination intentions reported in the early stages of epidemics. Methods: A cross-sectional study based on an online survey was performed in Slovenia between 13 and 14 March 2020, when the epidemic was officially announced in the country. Data from 2,494 eligible respondents were analysed. Results: The study has shown that 33.2% of all respondents expressed the intention to get vaccinated against COVID-19 disease. This intention was expressed slightly more frequently among HCWs (38.9%) than among lay respondents (30.3%). Men compared to women, older and younger HCWs compared to middle-aged adults, and university graduates compared to HCWs with lower levels of education were more likely to get vaccinated against the disease. More HCWs than lay respondents believed that the COVID-19 vaccine would be safe and effective, and they were also more in favour to support vaccination of high-risk groups than mandatory vaccination of the general population. Conclusion: It is critical to communicate the importance of vaccination against COVID-19 appropriately and on a sound scientific basis through various health education programmes and the media, as only one-third of respondents and less than a half of HCWs indicated that they would be willing to get vaccinated once a vaccine is available.
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- 2022
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4. Influence of Psychological Factors on Vaccination Acceptance among Health Care Workers in Slovenia in Three Different Phases of the COVID-19 Pandemic
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Vislava Globevnik Velikonja, Ivan Verdenik, Karmen Erjavec, and Nevenka Kregar Velikonja
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healthcare workers ,COVID-19 ,vaccination intention ,vaccination ,anxiety ,perceived infectability ,Medicine - Abstract
COVID-19 vaccination acceptance among healthcare workers (HCWs) is very important to control the pandemic and to ensure the safety of HCWs and patients. As psychological factors may affect the decision to be vaccinated, the aim of this study was to investigate the influence of psychological factors on vaccination acceptance in different phases of the COVID-19 pandemic. A cross-sectional study using a web-based survey was conducted among HCWs in Slovenia at the beginning of the pandemic (N = 851), one month later (N = 86), and one year later (N = 145) when vaccines were already available. The results showed that the influence of psychological factors (anxiety, psychological burden, perceived infectability, and germ aversion) was specific for each survey period. At the beginning of the pandemic, vaccination intention was positively associated with anxiety. In the third survey period, anxiety was not exposed as a predictive factor for vaccination intention. However, comparison of vaccination status among groups with different levels of anxiety revealed an interesting distinction within those in favour of vaccination; in the group with minimal levels of anxiety, there was a relatively high share of respondents that were already vaccinated, whereas in the group with severe anxiety, most individuals intended to be vaccinated but hesitated to take action.
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- 2022
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5. The bond between a mother and her unborn child
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Lucija Pavše, Nataša Tul Mandić, and Vislava Globevnik Velikonja
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prenatal attachment ,pregnancy ,mothers ,caregiving system ,Psychology ,BF1-990 - Abstract
The bond between a mother and a child starts to develop before birth, increases with the gestational age of the child and is related to the quality of postpartum mother–infant interaction. Even though the expression maternal-fetal or prenatal attachment is commonly used to describe the parent's emotions, behaviors and perceptions that are related to the fetus, its use seems to be unsuitable. Considering Bowlby's and Ainsworth's theory of attachment, the relationship between mother and her unborn child is guided by the caregiving system. The purpose of this article is to lay out the dilemmas about the terminology, to present different definitions, measurements and variables, related to the relationship between the mother and her fetus. This relationship is a predictor of various maternal and child outcomes postnatally, which is why the goals of future investigation should be directed towards greater clarity in conceptualization, definition and measurement of the concept, and in exploration of the risks and mediating factors.
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- 2017
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6. Duševní stav málo a pravidelně tělesně aktivních žen ve druhém trimestru těhotenství The state of mind of less physically active and regularly physically active women in the second trimester of their pregnancies
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Damir Karpljuk, Eda Bokal Vrtačnik, Vislava Globevnik Velikonja, Mateja Videmšek, and Anja Podlesnik Fetih
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Emotions ,organised ,unorganised physical activity ,inventory investigating the state of mind ,Sports medicine ,RC1200-1245 - Abstract
V okamžiku, kdy žena zjistí, že je těhotná, se její život v mnoha ohledech změní, protože se začne přizpůsobovat dítěti ve svém těle. Přeje si dobře se cítit, v bezpečí dosáhnout stanoveného termínu a porodit zdravé dítě. Průzkum jsme prováděli u 163 těhotných žen na konci druhého trimestru těhotenství. Článek představuje vztah mezi sportovní aktivitou a duševním stavem během těhotenství. Srovnávali jsme dvě skupiny žen – ženy s pravidelnou tělesnou aktivitou (PTA) a ženy s nízkou úrovní tělesné aktivity (NTA) – a zkoumali vztah mezi tělesnou aktivitou a duševním stavem. První část výzkumu se zaměřovala na tělesnou aktivitu, a to zvláště na její četnost, formu a typ. Skupina PTA sestávala z 69 těhotných žen, které se pravidelně věnují organizovaným sportovním aktivitám ve sportovních střediscích nebo které jsou tělesně aktivní neorganizovaně třikrát až čtyřikrát za týden. V potaz jsme brali aktivity trvající 30 a více minut. Skupina NTA sestávala z 94 těhotných žen, které se tělesným aktivitám věnují pouze příležitostně nebo které nejsou tělesně aktivní. Druhá část výzkumu týkajícího se duševního stavu těhotných žen obsahovala 45 položek, které se týkaly jejich duševního stavu. U každé položky ženy určovaly svůj duševní stav na pětistupňové škále (nikdy, málo, občas, často, skoro pořád). Z celkového počtu mělo 20 položek prevalenci pozitivního duševního stavu a 25 prevalenci negativního duševního stavu. U obou skupin jsme analyzovali duševní stav a vztahy mezi pravidelnou sportovní aktivitou a nízkou sportovní aktivitou a duševním stavem v druhém trimestru, kdy jsou těhotné ženy nejčastěji a nejsnáze tělesně aktivní. Pomocí faktorové analýzy jsme prokázali, že u skupiny PTA je prvním eliminovaným faktorem faktor spojený s pozitivními emocemi, což vysvětluje 23,51 % variance z celkových 34,91 % vysvětlené variance. Těhotné ženy skupiny PTA tedy svůj stav defi novaly většinou jako pozitivní, s následujícími emocemi: uvolněný, spokojený, příjemný, nepesimistický, přitažlivý, hrdý a šťastný. U skupiny NTA byl prvním eliminovaným faktorem faktor spojený s negativními emocemi, což vysvětluje 19,45 % variance z celkových 34,68 % vysvětlené variance. Tato skupina těhotných žen defi novala svůj stav většinou jako negativní, s následujícími opakujícími se emocemi: melancholický, napjatý, vznětlivý, depresivní a nervózní. Zjištěná fakta ukazují, že pravidelná sportovní aktivita prospívá duševnímu stavu a duševnímu zdraví těhotných žen. The moment a woman fi nds out that she is pregnant, her life changes in many aspects as she starts to adjust to the baby growing in her body. Her wish is to feel well, to safely reach the due date and give birth to a healthy child. We conducted a survey among 163 pregnant women at the end of the second trimester of their pregnancies and this article presents the relationship between their sport activity and their state of mind during pregnancy. Two groups of pregnant women, namely those who were regularly physically active (RPA) and those with a low level of being physically active (LPA) were compared and the relationship between their level of sport activity and their state of mind was established. The first part of the inventory focused on sport activity, namely – the frequency, forms and types of their sport activities. The RPA group consisted of 69 pregnant women who regularly engage in organised sport activities at sport centres or are physically active 3 to 4 times a week in an unorganised way. Activities which lasted for 30 minutes or more were considered. The LPA group consisted of 94 pregnant women who were physically active only occasionally or were physically inactive. The second part of the inventory investigating pregnant women's state of mind included 45 items which probed into their state of mind; for each item the study subjects defined their psychological state of mind on a five degree scale (never, rarely, sometimes, often, nearly always). Of all items, 20 had a prevalence of a positive state of mind and 25 a prevalence of a negative state of mind. In both groups, the state of mind of the women was analysed and relationships were established between regular sport activity and a low level of sport activity and the state of mind of the women in the second trimester, which is the time when pregnant women are most frequently and most easily physically active. By using a factor analysis we proved that, in the RPA, the first factor to be eliminated is the one associated with positive emotions, explaining 23.51 percent of the variance of the total 34.91 percent of the explained variance. Hence, the RPA pregnant women defined their state of mind as being mostly positive, with the following emotions: relaxed, satisfied, agreeable, not pessimistic, attractive, proud and happy. In the LPA group, the first eliminated factor was the one associated with negative emotions, explaining 19.45 percent of the variance of the total 34.68 percent of the explained variance. This group of pregnant women defined their state of mind mostly as negative, with the following recurring emotions: melancholic, tense, irritable, depressed and nervous. The findings show that regular sport activity benefits the psychological state of mind and the mental health of pregnant women.
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- 2008
7. COVID-19 vaccination intention at the beginning of COVID-19 pandemic in Slovenia
- Author
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Karmen Erjavec, Vislava Globevnik Velikonja, Ivan Verdenik, Mohsen Hussein, and Nevenka Kregar Velikonja
- Abstract
Background: With the successful development and introduction of vaccines to protect against COVID-19 disease, the pandemic is expected to end. The success of a vaccination programme depends on the uptake rates in the Slovenian population and especially among healthcare workers (HCWs), who are at higher risk of infection. Recently, several studies have examined the readiness of different population groups worldwide to be vaccinated. This study compares COVID-19 vaccination intentions between lay people and HCWs, and relationships between socio-demographic characteristics, attitudes and beliefs about COVID-19 vaccination, and vaccination intentions reported in the early stages of epidemics. Methods: A cross-sectional study based on an online survey was performed in Slovenia between 13 and 14 March 2020, when the epidemic was officially announced in the country. Data from 2,494 eligible respondents were analysed. Results: The study has shown that 33.2% of all respondents expressed the intention to get vaccinated against COVID-19 disease. This intention was expressed slightly more frequently among HCWs (38.9%) than among lay respondents (30.3%). Men compared to women, older and younger HCWs compared to middle-aged adults, and university graduates compared to HCWs with lower levels of education were more likely to get vaccinated against the disease. More HCWs than lay respondents believed that the COVID-19 vaccine would be safe and effective, and they were also more in favour to support vaccination of high-risk groups than mandatory vaccination of the general population. Conclusion: It is critical to communicate the importance of vaccination against COVID-19 appropriately and on a sound scientific basis through various health education programmes and the media, as only one-third of respondents and less than a half of HCWs indicated that they would be willing to get vaccinated once a vaccine is available.
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- 2022
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8. Vaccination intention among healthcare workers during the first wave of the coronavirus disease 2019 pandemic in relation to knowledge: a cross-sectional study in Croatia, Slovenia, Serbia, and Poland
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Nevenka Kregar Velikonja, Vislava Globevnik Velikonja, Ivan Verdenik, Ivan Jurišić, Sanja Stanisavljević, Beata Dobrowolska, and Karmen Erjavec
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COVID-19 Vaccines ,Croatia ,SARS-CoV-2 ,Health Personnel ,Slovenia ,Vaccination ,education ,COVID-19 ,virus diseases ,Intention ,General Medicine ,Cross-Sectional Studies ,Surveys and Questionnaires ,Humans ,Poland ,Pandemics ,Serbia - Abstract
Aim To analyze SARS-CoV-2 vaccination intention and acceptance in relation to the knowledge about coronavirus disease 2019 (COVID-19) among healthcare workers (HCWs) in Croatia, Slovenia, Serbia, and Poland. Methods In spring 2020, an online survey was distributed among HCWs by using snowball sampling. The questionnaire was fully completed by 623 respondents: 304 from Croatia, 86 from Slovenia, 90 from Serbia, and 143 from Poland. The survey collected data on demographic characteristics (age, gender, education), vaccination acceptance, and knowledge about COVID-19. Results A total of 31% of respondents declared their intention to be vaccinated when a vaccine against COVID-19 is available, and 45% were undecided. Vaccination intention was associated with age, educational level, and knowledge about the pandemic, and differed significantly among the countries. Younger HCWs (18-25 years) and those with higher education more frequently expressed vaccination acceptance. Vaccination acceptance score was not associated with gender. Conclusions HCWs with higher knowledge were more likely to express vaccination intention. Improving the knowledge about COVID-19 and increasing HCWs’ education might also increase vaccination acceptance among HCWs, and consequently in the general population.
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- 2022
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9. Association between preventive behaviour and anxiety at the start of the COVID-19 pandemic in Slovenia
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Ivan Verdenik, Vislava Globevnik Velikonja, Karmen Erjavec, Nevenka Kregar Velikonja, and Mohsen Hussein
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medicine.medical_specialty ,sars-cov-2 epidemic ,030231 tropical medicine ,Population ,Disease ,Computer-assisted web interviewing ,Affect (psychology) ,03 medical and health sciences ,0302 clinical medicine ,perceived ,cov-2 ,Pandemic ,infectability ,medicine ,preventivno vedenje ,030212 general & internal medicine ,Psychiatry ,education ,preventive behaviour ,education.field_of_study ,percepcija dovzetnosti za okužbo ,business.industry ,javno zdravje ,Public health ,Social distance ,public health ,Public Health, Environmental and Occupational Health ,anksioznost ,anxiety ,epidemija sars ,preventive measures ,Anxiety ,Public aspects of medicine ,RA1-1270 ,medicine.symptom ,business ,Research Article - Abstract
The first large outbreak of SARS-CoV-2 in Europe occurred in Northern Italy in February 2020. The relatively fast spread of the infection to Slovenia was expected, and preventive measures for its suppression were widely discussed.An online questionnaire was designed to evaluate adherence to preventive measures and the extent to which the taking of preventive measures was associated with people's anxiety level, psychological burden, their perceived vulnerability to disease, germ aversion and a number of demographic characteristics in the early stage of Covid-19 spread. The survey was active for 24 hours (13-14 March 2020). There were 12,307 responses and 7,764 questionnaires were completed in full.Higher preventive behaviour was found in individuals who experienced greater psychological distress, were more anxious, and expressed greater perceived infectability and germ aversion. Greater compliance with preventive behaviour was found among women, those sharing a household with people aged over 65, the elderly and those who knew somebody who had been infected. These groups also showed higher anxiety levels, which appeared to be significantly increased in general as a result of the specific situation. Quarantine was evaluated as the most efficient preventive measure, and was respected relatively strictly even before it became an officially announced protective measure.This research reveals a strong association between preventive behaviour and anxiety. Anxiety, together with social distancing, may affect physical and psychological health in the population in the long term. Other aspects of public health might therefore be influenced by the measures currently being enforced to prevent the spread of SARS-CoV-2.Prvi večji izbruh koronavirusa SARS-CoV-2 v Evropi se je zgodil februarja 2020 na severu Italije. Ker sta Slovenija in Italija sosednji državi z relativno visoko stopnjo prehajanja meje, ki je še izrazitejše v času zimske turistične sezone, je bilo pričakovati razmeroma hitro širjenje okužbe v Slovenijo. V strokovni in laični javnosti se je razvila široka razprava o preventivnih ukrepih za omejevanje širjenja okužbe. Namen raziskave je bil v splošni javnosti oceniti izvajanje preventivnih ukrepov ter povezanost upoštevanja preventivnih ukrepov z doživljanjem situacije in nekaterimi demografskimi značilnostmi v zgodnji fazi širjenja covida-19 v Sloveniji.Anketni vprašalnik je vseboval sklope vprašanj o upoštevanju preventivnih ukrepov, mnenju o učinkovitosti preventivnih ukrepov, vprašalnik za oceno anksioznosti, samooceno psihološke obremenitve, vprašalnik za oceno dojemanja dovzetnosti za okužbo in averzije do potencialno kužnih predmetov ter demografske značilnosti respodentov. Spletni vprašalnik je bil razširjen preko elektronskih medijev z metodo snežene kepe. Raziskava je bila aktivna 24 ur (13. in 14. marca 2020). Odzvalo se je 12.307 respondentov, v celoti je bilo izpolnjenih 7.764 vprašalnikov.Posamezniki, ki doživljajo večjo psihično stisko, so bolj zaskrbljeni, se počutijo bolj dovzetne za okužbe in izražajo večjo averzijo do potencialno kužnih predmetov, v večji meri izvajajo preventivne ukrepe za preprečevanje širjenja okužb. O večjem upoštevanju preventivnih ukrepov so poročale ženske, osebe, ki živijo v skupnem gospodinjstvu s starejšimi od 65 let, starejši in tisti, ki poznajo koga, ki je okužen s SARS-CoV-2. Te skupine ljudi kažejo tudi višje stopnje anksioznosti, ki je bila v dani situaciji tudi na splošno znatno povečana. Karantena je bila ocenjena kot najučinkovitejši preventivni ukrep in respondenti so jo izvajali v velikem deležu, še preden je bila socialna izolacija uradno določena kot preventivni ukrep.Raziskava je pokazala statistično pomembno povezavo med preventivnim vedenjem in anksioznostjo ter drugimi vidiki doživljanja ob širjenju okužbe SARS-CoV-2. Anksioznost lahko skupaj s socialno izolacijo in pomanjkanjem socialnih interakcij dolgoročno vpliva na fizično in psihično zdravje, zato bo treba ukrepe za preprečevanje širjenja SARS-CoV-2, ki so bili uveljavljeni med epidemijo, obravnavati tudi v širšem kontekstu učinkov na javno zdravje.
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- 2020
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10. Analiza notranje strukture slovenskega prevoda Lestvice vezi med nosečnico in plodom (PAI)
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Vislava Globevnik Velikonja, Lucija Pavše, and Nataša Tul
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Psychology ,General Psychology ,Developmental psychology - Published
- 2019
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11. Attitudes of Nursing Students towards Vaccination and Other Preventive Measures for Limitation of COVID-19 Pandemic: Cross-Sectional Study in Three European Countries
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Karmen Erjavec, Vislava Globevnik Velikonja, Ivan Verdenik, Nevenka Kregar Velikonja, Sanja Stanisavljević, and Beata Dobrowolska
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Coronavirus disease 2019 (COVID-19) ,Higher education ,Leadership and Management ,Cross-sectional study ,030231 tropical medicine ,Health Informatics ,Disease ,advising vaccination ,Article ,03 medical and health sciences ,0302 clinical medicine ,Health Information Management ,Nursing ,Health care ,Pandemic ,vaccination intention ,Medicine ,030212 general & internal medicine ,nursing students ,business.industry ,Health Policy ,Social environment ,COVID-19 ,Vaccination ,preventive behavior ,business - Abstract
Several preventive measures have been applied to limit the COVID-19 pandemic, including successful the development and introduction of vaccines. The aim of this study was to investigate adherence to preventive measures and vaccination intentions among nursing students in three European countries and the factors associated with vaccination intention and advising vaccination. A cross-sectional study using convenience/snow-ball sampling strategy was performed in Slovenia, Poland, and Serbia between 12 February and 5 March 2021. Data from 872 eligible respondents were analyzed (mean age 23.5 ± 6.5 years, 89% female). Higher adherence to preventive behavior was declared by those working in healthcare (p <, 0.001), engaged in COVID-19 departments (p <, 0.001), had not had the disease yet (p <, 0.001), and had children (p = 0.01). Those groups also expressed higher vaccination intention and advised vaccination to others. Higher vaccination intention and advising vaccination were mostly associated with belief in benefits of vaccine, trust in institutions, perceived effectiveness of vaccine, influence of social environment, protection of patients and perceived health care professionals’ duty. Fear of side effects and general refusal of vaccines are the main reasons for vaccination hesitancy. The results of the study indicate how higher education institutions can support the development of appropriate professional attitudes and behaviors among nursing students.
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- 2021
12. Vez med nosečnico in njenim nerojenim otrokom
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Lucija Pavše, Nataša Tul Mandić, and Vislava Globevnik Velikonja
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03 medical and health sciences ,030219 obstetrics & reproductive medicine ,0302 clinical medicine ,Unborn child ,Bond ,030212 general & internal medicine ,Psychology ,General Psychology ,Developmental psychology - Published
- 2017
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13. The Quality of Life in Pregnant Women Conceiving Through In Vitro Fertilization
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Ivan Verdenik, Eda Vrtačnik Bokal, Gaja Leban, Vislava Globevnik Velikonja, and Tina Lozej
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medicine.medical_specialty ,03 medical and health sciences ,0302 clinical medicine ,Quality of life ,nosečnost ,medicine ,oploditev v epruveti ,kvaliteta življenja ,030212 general & internal medicine ,Social isolation ,Prospective cohort study ,reproductive and urinary physiology ,Gynecology ,Response rate (survey) ,Pregnancy ,030219 obstetrics & reproductive medicine ,business.industry ,Obstetrics ,Public Health, Environmental and Occupational Health ,Beck Depression Inventory ,psihično blagostanje ,medicine.disease ,quality of life ,Psychological well-being ,Gestation ,psychological well-being ,pregnancy ,medicine.symptom ,Public aspects of medicine ,RA1-1270 ,business ,in vitro fertilization ,Research Article - Abstract
The aim was to determine whether pregnant women conceiving through in vitro fertilization (IVF) differ from those conceiving spontaneously in terms of psychological well-being and the quality of life.In a prospective study we included 75 women conceived after IVF and 78 who conceived spontaneously in the same time period (control group). All the women were sent a self-report questionnaire about demographic and reproductive history, health, pregnancy concerns, containing Subjective Quality of Life Scale (QLS), Positive and Negative Affect Schedule (PANAS), the Psychological Well-Being Scale (PWB), Beck Depression Inventory (BDI), and Zung Self-Assessment Anxiety Scale (SAS); obstetric and newborn's data were obtained from medical records. Response rate was 66.6% in the IVF and 83.3% in control group.The mean women's age was 33.8 years in the IVF, and 32.5 years in the control group (NS). There were no significant differences between groups on the most of the outcome measures assessing psychological status. IVF mothers were just less satisfied in "friend/acquaintances" (P=0.03), a higher percentage had sexual problems prior to conception (P=0.03); the length of hospitalization during pregnancy was longer (P=0.02), and the preterm delivery rate was higher (P=0.01). Withingroup changes over gestation time indicated that IVF women, not controls, showed an increase in positive affect (P=0.04) and purpose in life (P=0.05).IVF women are inclined to social isolation. Despite more medical problems during pregnancy, they reported improved positive emotions and purpose in life as the pregnancy progressed.Namen študije je bil ugotoviti, ali se počutje in stopnja kvalitete življenja žensk, ki zanosijo s pomočjo postopkov oploditve z biomedicinsko pomočjo (in vitro fertilization - IVF), razlikuje od počutja in stopnje kvalitete življenja žensk, ki zanosijo spontano.V prospektivno študijo smo vključili 153 nosečnic; 75 žensk je zanosilo po IVF-metodi (IVF-skupina), 78 pa spontano v istem časovnem obdobju (kontrolna skupina). Odzvalo seje 66,6% žensk v IVF-skupini in 83,3% žensk v kontrolni skupini. Vsem je bil poslan anamnestični vprašalnik o biografskih in reproduktivnih podatkih, zdravstveni zgodovini in doživljanju nosečnosti, ki je vseboval tudi lestvico subjektivne kvalitete življenja (QLS), lestvico pozitivnih in negativnih čustev (PANAS), lestvico dobrega počutja (PWB), Beckov vprašalnik depresije (BDI) in Zinged vprašalnik anksioznosti (SAS). Podatke o porodu in novorojencu smo dobili iz porodnega zapisnika.Povprečna starost žensk v IVF-skupini je bila 33,8 leta in v kontrolni skupini 32,5 leta. Skupini se po psihičnem statusu žensk nista razlikovali v večini merjenih spremenljivk. Ženske v IVF-skupini so izražale le manjše zadovoljstvo s svojim socialnim življenjem (P=0,03), imele so več težav v spolnosti pred zanositvijo (P=0,03), odstotek hospitalizacij pri njih je bil višji (P=0,02) in tudi delež prezgodnjih porodov je bil višji (P=0,01). Testiranje sprememb znotraj skupin je pokazalo naraščanje pozitivnih čustev (P=0,04) in občutenja smisla življenja (P=0,05) z napredovanjem nosečnosti v IVF-skupini.Ženske v IVF-skupini težijo k socialni izolaciji. Kljub večjemu številu zdravstvenih težav pa se z napredovanjem nosečnosti krepijo njihova pozitivna čustva in občutenje smisla življenja.
- Published
- 2016
14. The Role of Health Services in Encouraging Disclosure of Violence Against Women
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Tanja Premru Sršen, Vislava Globevnik Velikonja, Ivan Verdenik, Vesna Leskošek, Miha Lucovnik, Megie Krajnc, and Lucija Pavše
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medicine.medical_specialty ,encouraging disclosure of violence in health care ,razlike glede na vrsto nasilja ,Health care service ,differences by type of violence ,razkritje ,spodbujanje razkritja v zdravstvu ,Unit (housing) ,03 medical and health sciences ,Health services ,0302 clinical medicine ,Health care ,medicine ,Chi-square test ,030212 general & internal medicine ,Response rate (survey) ,030219 obstetrics & reproductive medicine ,Social work ,business.industry ,Public Health, Environmental and Occupational Health ,Original Scientific Article ,General partnership ,Family medicine ,Public aspects of medicine ,RA1-1270 ,business ,Psychology ,disclosure - Abstract
The aim of the survey was to assess the differences in disclosure by the type of violence to better plan the role of health services in identifying and disclosing violence.A validated, anonymous screening questionnaire (NorAQ) for the identification of female victims of violence was offered to all postpartum women at a single maternity unit over a three-month period in 2014. Response rate was 80% (1018 respondents). Chi square test was used for statistical analysis (p0.05 significant).There are differences in disclosure by type of violence. Nearly half (41.5%) of violence by health care services was not reported, compared to 33.7% physical, 23.4% psychological, and 32.5% sexual that was reported. The percentage of violence in intimate partnership reported to health care staff is low (9.3% to 20.8%), but almost half of the violence experienced by heath care services (44%) is reported. Intimate partnership violence is more often reported to the physician than to the psychologist or social worker. Violence in health care service is reported also to nurses.Disclosure enables various institutions to start with the procedures aimed at protecting victims against violence. Health workers should continuously encourage women to speak about violence rather than asking about it only once. It is also important that such inquiries are made on different levels of health care system and by different health care professions, since there are differences to whom women are willing to disclose violence.Namen raziskave je ugotoviti razlike v razkritju nasilja glede na različne vrste nasilja, da bi lahko ustrezneje načrtovali vlogo zdravstvenih institucij v identificiranju in razkrivanju nasilja.Na Ginekološki kliniki v Ljubljani smo leta 2014 opravili raziskavo z naslovom Nasilje med nosečnostjo – NANOS. Prevod in priredbo vprašalnika The NorVold Abuse Questionnaire – NorAQ smo na poporodnem oddelku tri mesece v anonimizirani obliki ponujali v izpolnjevanje vsem ženskam po porodu. Vprašalnik je razdeljen v 9 poglavij, ima 101 vprašanje in obsega 11 strani. Odzivnost je bila 80-odstotna (1018 respondentk) Rezultati so bili obdelani s statističnim paketom SPSS (SPSS for Windows version 21, IBM Corp., Armonk, NY, ZDA). Razlike med skupinami so bile testirane, upoštevajoč 95-odstotni interval zaupanja in statistično pomembnost pri p0,05.Rezultati kažejo na razlike v razkritju med različnimi vrstami nasilja. Podatki so pokazali, da približno tretjina žensk nikoli ne razkrije nasilja, ki ga doživljajo, in manj kot polovica tistih, ki o tem spregovorijo, razkrije celotno dogajanje. Manj kot polovico nasilja (41,5%) zdravstvenih delavcev respondentke niso prijavile, kar je višji odstotek kot pri drugih vrstah nasilja, kjer niso prijavile 33,7% fizičnega, 23,4% psihičnega in 32,5% spolnega nasilja. Zdravstvenemu osebju razkrije psihično, fizično ali spolno nasilje v intimnih razmerjih od 9,3 do 20,8% anketirank in 44% jih razkrije nasilje zdravstvenega osebja. Najpogosteje nasilje v intimnih razmerjih razkrijejo zdravnikom, psihologom in socialnim delavcem, nasilje zdravstvenih delavcev pa razkrijejo zdravnikom in medicinskim sestram. Najmanj posledic doživljajo zaradi nasilja zdravstvenih delavcev (posledice trpi 16,2%) in največ, če doživijo spolno nasilje (posledice trpi 55,3%). Pri spolnem nasilju tudi največ žensk ne razkrije nasilja, vendar zelo trpijo zaradi posledic (30,3%). Pomoč poišče manj žensk, kot jih trpi posledice nasilje. Pri fizičnem nasilju jih pomoč poišče le 10,9%, pri psihičnem 20,4% in pri spolnem 25%.Razkritje je ključno dejanje, ki omogoča, da različne institucije lahko sprožijo postopke zaščite žrtve pred nasiljem. Zdravstveni delavci bi morali kontinuirano (in ne le enkrat) spodbujati ženske, da spregovorijo o nasilju. Pomembno je, da o tem sprašujejo in k razkritju spodbujajo različni zdravstveni delavci na različnih ravneh zdravstvenega sistema. čeprav razkritje v zdravstvu ni pogosto, se ravno zdravstvo srečuje z vsemi ženskami, zato lahko pomembno vpliva na razkritje.
- Published
- 2017
15. Depression and Anxiety in Women During Pregnancy in Slovenia / Depresija In Anksioznost Pri Ženskah Med Nosečnostjo V Sloveniji
- Author
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Peter Praper, Nuša Podvornik, and Vislava Globevnik Velikonja
- Subjects
medicine.medical_specialty ,Depression scale ,prevalence ,Obstetrics and gynaecology ,nosečnost ,medicine ,Trait anxiety ,prevalenca ,Psychiatry ,Pregnancy Trimesters ,Depression (differential diagnoses) ,Pregnancy ,business.industry ,Public Health, Environmental and Occupational Health ,anksioznost ,depresija ,anxiety ,medicine.disease ,depression ,Anxiety ,pregnancy ,Public aspects of medicine ,RA1-1270 ,medicine.symptom ,business ,State-Trait Anxiety Inventory - Abstract
Objective. The aim of the study was to evaluate the prevalence of elevated depression and anxiety among pregnant women and to examine its correlation with medical complications and socio-demographic characteristics. Methods. The study is based on a cross-sectional design of a sample of 348 women in three trimesters of pregnancy who received routine obstetrical care at the University Medical Centre Ljubljana, Department of Obstetrics and Gynaecology. The responding women filled out a questionnaire on socio-demographic variables, the Centre for Epidemiologic Studies Depression Scale CES-D and the State Trait Anxiety Inventory STAI. Results. 21.7% of pregnant women were identified as suffering from elevated depression symptomatology, 15.7% reported high state anxiety and 12.5% had high trait anxiety. No significant differences in depression and anxiety across pregnancy trimesters were found. The women who have suffered from health complications during previous pregnancies showed higher state anxiety; those experiencing complications during their current pregnancy reported more intense symptoms of depression and of state and trait anxiety than women free of complications. Less educated, lower income and mothers of many children in the third pregnancy trimester reported more intensive symptoms of depression and trait anxiety. Conclusions. Elevated depression and anxiety are frequent among pregnant women. The results draw attention to the need for early detection and treatment of depression and anxiety during pregnancy
- Published
- 2014
- Full Text
- View/download PDF
16. 960: Impact of abuse before and during pregnancy on preterm birth and small for gestational age neonatal birth weight
- Author
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Ivan Verdenik, Miha Lucovnik, Lucija Pavše, Megie Kranjc, Marijana Vidmar-Simic, Ksenija Gersak, Vesna Leskošek, Tanja Premru-Srsen, and Vislava Globevnik Velikonja
- Subjects
medicine.medical_specialty ,Pregnancy ,Obstetrics ,business.industry ,Birth weight ,medicine ,Obstetrics and Gynecology ,Small for gestational age ,business ,medicine.disease - Published
- 2018
- Full Text
- View/download PDF
17. Sociodemographic characteristics of pregnant women as indicators of domestic violence victims
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Vesna Leskošek, Miha Lucovnik, Tanja Premru Sršen, Lucija Pavše, Ivan Verdenik, Vislava Globevnik Velikonja, and Megie Krajnc
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Reproductive Medicine ,business.industry ,Environmental health ,Obstetrics and Gynecology ,Medicine ,Domestic violence ,business - Published
- 2016
- Full Text
- View/download PDF
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