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Exploration of stressful psychological and environmental factors among the patients in hospitals at Jeddah / Saudi Arabia

Exploration of stressful psychological and environmental factors among the patients in hospitals at Jeddah / Saudi Arabia

Table of Contents Abstract Introducation signficance of the study Hypothesis Methodolgy Method………………………………………………………………………………………………….. Ethical considration Pilot study Administrative design………………………………………………………………………………………………….…….……………… Time table …………………………………………………………………………………………………………………………………………… Conclusion……………………………………………………………………………………………………… Reference ……………………………………………………………………………………………………….

Introduction

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Health is state of complete physical, mental and social wellbeing not merely the absence of disease or infirmity .The individual is treated in a holistic manner and realize his basic needs according to the basis of Maslow’s theory of motivation that consist of physiological needs, safety and security, social needs, esteem needs, self-actualizing. Needs at the bottom of pyramid are basic physical requirements include the need for food, air, water, and sleep. Once these lower-level needs have been met, people can move on to the next level of needs. Maslow’s hierarchy needs – the peak performance center ) Good health and wellbeing require a clean and harmonious environment in which physical, psychological, social factors are all given their due importance .The process of hospitalization is a very traumatic .People have to move their life setting from the familiar to unfamiliar environment, loosing their privacy, and sense of security and individuality. The strangeness of the hospital environment can act as a potential source of stress.( Stress among patient during hospitalization : a study from central India). Causing of the stress is may be psychological (surgery, illness, death, separation, divorce, failure),and the patient may face many psychological stress in the hospital Such as preoperative stress is present in most patients who are awaiting elective surgery, which has the potential to exceed their coping mechanisms. The anticipation of pain after surgery, separation from loved ones, incapacitation, loss of independence, fear of surgery or death are factors that trigger symptoms of perioperative emotional stress. So far, studies have addressed the impact of psychological, psychosocial and personality factors on several health indices.( Development, psychometric evaluation and validation of a brief measure of emotional preoperative stress)

While in hospital patients spend a great deal of time with perhaps rather less purpose than

in their normal lives. This may well make them even more susceptible to the

environment and more sensitive to it. A patient in hospital may get the personal attention

of a doctor for only a few minutes in a day and slightly longer periods of personal care

from nurses and therapists. However they lay in bed, sit, get pushed or walk around in

their environment for many hours. It is reasonable therefore to assume that this

environment may be a contributory factor to their sense of well-being and actual

recovery. Over a century ago Florence Nightingale had noted the importance of their

surroundings to her patients (Nightingale 1860). This work explores those ideas

empirically.

While in hospital patients spend a great deal of time with perhaps rather less purpose than

in their normal lives. This may well make them even more susceptible to the

environment and more sensitive to it. A patient in hospital may get the personal attention

of a doctor for only a few minutes in a day and slightly longer periods of personal care

from nurses and therapists. However they lay in bed, sit, get pushed or walk around in

their environment for many hours. It is reasonable therefore to assume that this

environment may be a contributory factor to their sense of well-being and actual

recovery. Over a century ago Florence Nightingale had noted the importance of their

surroundings to her patients (Nightingale 1860). This work explores those ideas

empirically.

While in hospital patients spend a great deal of time and this may well make them even more susceptible to the environment and more sensitive to it. A patient in hospital may get the personal attention of a doctor for only a few minutes in a day and slightly longer periods of personal care from nurses and therapists. However they lay in bed, sit, get pushed or walk around in their environment for many hours. It is reasonable therefore to assume that this environment may be a contributory factor to their sense of well-being and actual recovery. (The Effect of the Hospital Environment on the Patient Experience and Health Outcomes. )

Problem statement :

psycho is a normal response to an unknown situation or event. For most patients that being admitted to a hospital for any reason can be one of the more stressful events in their life. Because they face many stressful factors in hospital triggers some degree of fear and frustration and  that can affect the patient’s outlook, recovery process, and healing capabilities.

Despite the available literature, there has been few studies related to exploration of stressful psychological and environmental factors among the patients in hospitals in Saudi Arabic . Knowing the stressful factors that surround the patient helps in assessing the patient’s health status and improving the services that provided to him.

The present study aimed to investigate effects of psychological and environmental factors on level of anxiety .

Research question :

· What are the psychological and environmental factors that affect on patient health in medical-surgical word؟

· How to evaluate patient wellbeing during hospitalization?

· What is the effect of psychological and environmental on patients´ wellbeing?

Objectives :

· to identify patient need.

· To identify psychological and environmental factors that affect on patient health

· to Improves care for the patient.

· To assess psychological and environmental stress factors

Method and material :

The study design will be a quantitative(يتم تحديدها بعد الاستبيان) explorative research study .The objective of this research is to identify and explore the psychological and environmental stressful factors

Study time :

Study population :

All patients included from medical surgical suction from both gender (male and female ) at Jeddah hospital

Inclusion Criteria:

-Both gender ( male and female )

-from age 18 -60

Exclusion Criteria:

– Disagreed participant

– Very ill patient .

– Chronic psychiatric patient .

Sampling:

A sample of 58 patients male and female in medical surgical department at Makkah, Jeddah, East Jeddah general hospital, aged between 18-50 years, divide them into two groups: early adulthood(20-40), middle adulthood (41-65) (Evaluation of Stress Intensity and Anxiety Level in Preoperative Period of Cardiac Patients)

Data collection :

· Technique and tool :

· technique is interview , tool is questioner

Questioner : close answer , number of question , number of section ,

(pretest , Reliability and validity = فقط اكتب انه راح اعمل في المستقبل )

Data analysis

 

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Chi-Square Test of VarianceDataNull Hypothesiss^2=Level of SignificanceSample SizeSample Standard Deviation0.00040.05340.02236068 =SQRT(0.0005)Interm...

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