07. Master Thesis of Public Health Program
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Browsing 07. Master Thesis of Public Health Program by Subject "Astana city"
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Item Open Access Bullying among adolescents in Astana, Kazakhstan: Prevalence and Associated Factors(Nazarbayev University School of Medicine, 2018-05) Turegeldiyeva, MadinaBullying is one of the main negative phenomenon in children’s mental health development. Studies worldwide showed the association of bullying with different factors, such as gender, race, family and peer relationships, perceptions related to life, health etc. The situation of bullying is not yet explored in Kazakhstan due to absence of proper monitoring tools. The aim of this study was to (1) assess the prevalence of the bullying among school children aged 11-15 years old, and (2) examine patterns of the association between bullying and socio-demographic, mental and physical health characteristics among schoolchildren of Astana city, Kazakhstan.Item Open Access Burnout of Medical Workers in Astana, Kazakhstan: Prevalence and Associated Factors.(Nazarbayev University School of Medicine, 2018-05) Abdiorazova, AigerimBurnout is a state of physical, mental, and emotional exhaustion that arises as a result of being involved in emotionally demanding work situations. It has been reported that burnout is associated with high employee turnover, absenteeism, and poor performance. Research suggests that medical workers are more susceptible to burnout due to the challenging nature of their work, compared to other occupations. Health problems, including incapacity to deal with stress and development of major diseases, shortage of medical workforce due to burnt out specialists leaving the field, reduced quality of care and increased risk of medical errors are the risks associated with burnout in medical workers. This cross-sectional study aimed to identify prevalence of burnout among medical workers in Astana, Kazakhstan using Copenhagen Burnout Inventory questionnaire, to determine associated factors, and to give recommendations based on the findings. The final sample of data collected from an online survey included 363 responses in total. Prevalence of high personal burnout showed to be 82.1% among Astana medical workers, high work-related burnout – 66.9%, and high patient-related burnout – 53.1%. Multiple logistic regression analysis showed that self-rated health status and overwork were the factors statistically significantly associated with personal burnout; age, self-rated health status and overwork were associated with work-related burnout; and overwork was associated with patient-related burnout. It is recommended that healthcare organizations promote healthy lifestyle among their workers, and trainings on burnout could be provided for staff as a measure of identifying and preventing burnout.Item Open Access Determinants of nonadherence to hypertension treatment among patients in Astana city: A pilot study(Nazarbayev University School of Medicine, 2018-05) Salkhayeva, BotagozThe purpose of this study was to assess the level of nonadherence to hypertension treatment and to identify the associated factors among patients with hypertension. This was a cross-sectional study. 48 participants were recruited at the urban polyclinic #8 in Astana city for this pilot study. The study participants were patients enrolled to the therapeutics appointment with diagnosis of hypertension. Overall, 48 patients consented to participate and filled out the self-administered questionnaires. The survey consisted of five sections, including questions on socio-demographic characteristics, health lifestyles, dietary habits, antihypertensive drug adherence, and perceptions of severity and susceptibility to hypertension, perception of barriers and benefits of hypertension treatment. Descriptive, bivariate and multivariate logistic regression analyses were conducted in Stata 12.Item Open Access Patient satisfaction with physician-patient communication in outpatient care: A pilot study(Nazarbayev University School of Medicine, 2018-05) Tursynkhan, AigerimMeasurement of patient satisfaction plays an important role in the health care practice to improve overall health care delivery of health care organizations, to do effective strategic decision making and monitoring of health care performance. There is a shortage of studies conducted about patient satisfaction with health system of former Soviet Union countries, as the range of patient satisfaction studies is limited mainly to countries of the USA and Europe (Footman et.al. 2013). Consequently, there is no standard scale which can be used for studies about patient satisfaction with physician-patient communication. Aim. 1) to identify the level of patient satisfaction with physician – patient communication in outpatient care; 2) to explore factors associated with patients’ satisfaction with physician-patient communication.Item Open Access Prevalence and associated factors of job satisfaction among physicians working in public hospitals in Astana, Kazakhstan(Nazarbayev University School of Medicine, 2018-05) Makhanov, KuatPhysician job satisfaction is an important factor of quality and sustainability of health care provision, as it determines lengths of care and subsequently health care costs. It is also associated with such aspects of healthcare as quality of the care and physician work efficiency There is a general tendency in declining job satisfaction among health care workers in many countries; although there were no studies found in the literature on job satisfaction among physicians in Kazakhstan. The purpose of the study is to estimate the prevalence and to determine factors of working conditions associated with job satisfaction among physicians working in public hospitals in Astana city of KazakhstanItem Open Access Prevalence and associated factors of postpartum depression in Astana, Kazakhstan(Nazarbayev University School of Medicine, 2018-05) Zhanasbayeva, ZhansayaPostpartum depression (PPD) is recognized as the major public psychological health issue that affects 13% of women at postnatal period worldwide (O’Hara and Swain, 1996). Currently, there is a lack of information about the state of PPD in Kazakhstan, Central Asian country with population of 17.8 million. To bridge this gap, PPD prevalence and risk factors among women in Astana, the capital of Kazakhstan, were evaluated.