Now showing 1 - 10 of 37
  • 2019Journal Article
    [["dc.bibliographiccitation.firstpage","201"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","American Journal of Hospice & Palliative Medicine"],["dc.bibliographiccitation.lastpage","213"],["dc.bibliographiccitation.volume","37"],["dc.contributor.author","Oechsle, Karin"],["dc.contributor.author","Ullrich, Anneke"],["dc.contributor.author","Marx, Gabriella"],["dc.contributor.author","Benze, Gesine"],["dc.contributor.author","Wowretzko, Feline"],["dc.contributor.author","Zhang, Youyou"],["dc.contributor.author","Dickel, Lisa-Marie"],["dc.contributor.author","Heine, Julia"],["dc.contributor.author","Wendt, Kim Nikola"],["dc.contributor.author","Nauck, Friedemann"],["dc.contributor.author","Bokemeyer, Carsten"],["dc.contributor.author","Bergelt, Corinna"],["dc.date.accessioned","2020-12-10T18:38:29Z"],["dc.date.available","2020-12-10T18:38:29Z"],["dc.date.issued","2019"],["dc.identifier.doi","10.1177/1049909119872755"],["dc.identifier.eissn","1938-2715"],["dc.identifier.issn","1049-9091"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/77341"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-354"],["dc.relation.orgunit","Klinik fĂĽr Palliativmedizin"],["dc.title","Prevalence and Predictors of Distress, Anxiety, Depression, and Quality of Life in Bereaved Family Caregivers of Patients With Advanced Cancer"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]
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  • 2014Review
    [["dc.bibliographiccitation.firstpage","394"],["dc.bibliographiccitation.issue","4"],["dc.bibliographiccitation.journal","Current Opinion in Supportive and Palliative Care"],["dc.bibliographiccitation.lastpage","398"],["dc.bibliographiccitation.volume","8"],["dc.contributor.author","Marx, Gabriella"],["dc.contributor.author","Boakye, Sonja Owusu"],["dc.contributor.author","Jung, Antje"],["dc.contributor.author","Nauck, Friedemann"],["dc.date.accessioned","2018-11-07T09:32:17Z"],["dc.date.available","2018-11-07T09:32:17Z"],["dc.date.issued","2014"],["dc.description.abstract","Purpose of review Patients' autonomy is seen as a major issue in modern medicine but requires the ability to understand and rate an issue without being influenced by others. However, near the end of life, patients often decide considering the consequences for their relatives. Recent findings Our study results and recent literature suggest that existing relational patterns determine experiences, family dynamics, and decision-making processes at the end of life. Relatives as a resource can promote patients' autonomy. In doubt of the patients' judgment or prioritizing their own needs, relatives can undermine patient's autonomy in a paternalistic way. Trust in others should be seen as a reciprocal process. Summary With respect to the patient's autonomy, healthcare providers need to consider the family structure and its relations."],["dc.description.sponsorship","Volkswagen Foundation"],["dc.identifier.doi","10.1097/SPC.0000000000000096"],["dc.identifier.isi","000344737500014"],["dc.identifier.pmid","25232680"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/31723"],["dc.notes.status","zu prĂĽfen"],["dc.notes.submitter","Najko"],["dc.publisher","Lippincott Williams & Wilkins"],["dc.relation.issn","1751-4266"],["dc.relation.issn","1751-4258"],["dc.relation.orgunit","Klinik fĂĽr Palliativmedizin"],["dc.title","Trust and autonomy in end of life: considering the interrelation between patients and their relatives"],["dc.type","review"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]
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  • 2013Conference Abstract
    [["dc.bibliographiccitation.journal","Intensive Care Medicine"],["dc.bibliographiccitation.volume","39"],["dc.contributor.author","Schaedler, D."],["dc.contributor.author","Porzilius, C."],["dc.contributor.author","Brederlau, J."],["dc.contributor.author","Joerres, A."],["dc.contributor.author","Marx, G."],["dc.contributor.author","Meier-Hellmann, Andreas"],["dc.contributor.author","Putensen, Christian"],["dc.contributor.author","Quintel, M."],["dc.contributor.author","Spies, C. D."],["dc.contributor.author","Engel, C."],["dc.contributor.author","Kellurn, J."],["dc.contributor.author","Weiler, Norbert"],["dc.contributor.author","Kuhlmann, M. K."],["dc.date.accessioned","2018-11-07T09:19:39Z"],["dc.date.available","2018-11-07T09:19:39Z"],["dc.date.issued","2013"],["dc.identifier.isi","000342431600016"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/28689"],["dc.notes.status","zu prĂĽfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.publisher.place","New york"],["dc.relation.conference","ESICM 26th Annual Congress"],["dc.relation.eventlocation","Paris, FRANCE"],["dc.title","EXTRACORPOREAL CYTOKINE HEMOADSORPTION IN SEVERELY SEPTIC PATIENTS: A MULTICENTER RANDOMIZED CONTROLLED TRIAL"],["dc.type","conference_abstract"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dspace.entity.type","Publication"]]
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  • 2007Journal Article Research Paper
    [["dc.bibliographiccitation.firstpage","18"],["dc.bibliographiccitation.journal","Zeitschrift für Allgemeinmedizin"],["dc.bibliographiccitation.volume","82"],["dc.contributor.author","Marx, Gabriella"],["dc.contributor.author","Witte, Nicole"],["dc.contributor.author","Simmenroth-Nayda, Anne"],["dc.contributor.author","Kühnel, Steffen M."],["dc.contributor.author","Kochen, Michael M."],["dc.contributor.author","Koschack, Janka"],["dc.date.accessioned","2022-04-28T13:12:48Z"],["dc.date.available","2022-04-28T13:12:48Z"],["dc.date.issued","2007"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/106980"],["dc.title","\"Manche Ärzte nehmen sich gar nicht die Zeit\" - Zur Bedeutung der Arzt-Patient-Interaktion innerhalb der Hypertoniebehandlung"],["dc.title.subtitle","Eine qualitative Studie"],["dc.type","journal_article"],["dc.type.internalPublication","unknown"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]
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  • 2009Journal Article Research Paper
    [["dc.bibliographiccitation.firstpage","339"],["dc.bibliographiccitation.issue","6"],["dc.bibliographiccitation.journal","Das Gesundheitswesen"],["dc.bibliographiccitation.lastpage","348"],["dc.bibliographiccitation.volume","71"],["dc.contributor.author","Marx, G."],["dc.contributor.author","Puesche, K."],["dc.contributor.author","Ahrens, Dirk"],["dc.date.accessioned","2018-11-07T08:29:17Z"],["dc.date.available","2018-11-07T08:29:17Z"],["dc.date.issued","2009"],["dc.description.abstract","Background: Due to the aging population and the associated increase in multi-morbidity, polypharmacy will become an important issue. Little is known about general practitioners' perception of polypharmacy. We have explored this issue within the framework of a research course organised by the German Society for General Practice and Family Medicine (Deutsche Gesellschaft fur Allgemeinmedizin und Familienmedizin, DEGAM.) Methods: A total of 21 participants were divided in three homogeneous groups and one heterogeneous group according to their professional concentration (full-time general practitioners, junior researchers, senior researchers). Each group was supervised by two non-directing moderators. A two-step analysis was performed. In a fist step, mind maps were generated and in a second step, mind maps were interpreted according to the grounded theory. Results: We identified three core aspects of polypharmacy in general practice: overview of prescribed medication, communication between doctors, patients and other health care professionals as well as evidence for managing multi-morbidity. General practitioners are torn between providing individual medical care and guideline stipulations. Pharmacotherapy is influenced by interprofessional communication, prescriptions by multiple physicians, patient expectations, adherence, advertisements, guidelines and costs. One's view on polypharmacy is influenced by professional background and experience. Conclusions: From the general practitioner's perspective, interprofessional and doctor-patient communication are highly important for a good medication overview as well as dealing with uncertainties in daily medical care. Simply improving evidence for the care of patients with multi-morbidities in the form of meta-guidelines would not be sufficient to overcome the effects of the many other influencing factors."],["dc.identifier.doi","10.1055/s-0029-1192004"],["dc.identifier.isi","000267982800004"],["dc.identifier.pmid","19326334"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/16612"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","0941-3790"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.title","Polypharmazie: ein hausärztliches Dilemma?"],["dc.title.alternative","Polypharmacy: A Dilemma in Primary Care? Results of Group Discussions with General Practitioners"],["dc.title.subtitle","Ergebnisse aus Gruppendiskussionen mit Allgemeinärztinnen und Allgemeinärzten"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]
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  • 2010Journal Article Research Paper
    [["dc.bibliographiccitation.firstpage","299"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Journal of Clinical Epidemiology"],["dc.bibliographiccitation.lastpage","306"],["dc.bibliographiccitation.volume","63"],["dc.contributor.author","Koschack, Janka"],["dc.contributor.author","Marx, Gabriella"],["dc.contributor.author","Schnakenberg, Joerg"],["dc.contributor.author","Kochen, Michael M."],["dc.contributor.author","Himmel, Wolfgang"],["dc.date.accessioned","2018-11-07T08:45:31Z"],["dc.date.available","2018-11-07T08:45:31Z"],["dc.date.issued","2010"],["dc.description.abstract","Objective: In cases of insufficiently controlled blood pressure, it is important for practitioners to distinguish between \"nonadherence\" and \"nonresponse\" to anti hypertensive drug treatment. A reliable and valid adherence measurement based on the patient's self-report may be helpful in daily practice. Study Design and Setting: In a primary care sample with 353 hypertensive patients, we applied two self-rating instruments to assess medication adherence (the \"Hill-Bone Compliance to High Blood Pressure Therapy Scale\" and Morisky's \"Self-Reported Measure of Medication Adherence\") and compared their psychometric properties. Results: Both scales showed low acceptability and insufficiency to moderate internal consistency (Cronbach's alpha = 0.25 and 0.73, respectively). Their convergent validity as indexed by kappa = 0.39 could be judged as \"fair\" at best. Testing the power to predict blood pressure > 140/90 mm Hg, both scales showed an accuracy of 57% and 62%, respectively. The positive likelihood, that is, the increase in likelihood of high blood pressure in cases of nonadherence was 1.00 and 1.32, respectively. Conclusion: The use of both scales cannot be recommended. They showed considerable floor effects, and their ability to identify medication adherence was inconsistent for nearly every third patient. The power of both scales to predict uncontrolled blood pressure was essentially a chance. The underlying conceptual framework of medication adherence therefore needs to be rethought. (C) 2010 Elsevier Inc. All rights reserved."],["dc.identifier.doi","10.1016/j.jclinepi.2009.06.011"],["dc.identifier.isi","000274750500009"],["dc.identifier.pmid","19762213"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/6195"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/20461"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prĂĽfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","0895-4356"],["dc.relation.orgunit","Institut fĂĽr Allgemeinmedizin"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Comparison of two self-rating instruments for medication adherence assessment in hypertension revealed insufficient psychometric properties"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dc.type.version","submitted_version"],["dspace.entity.type","Publication"]]
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  • 2016Journal Article Research Paper
    [["dc.bibliographiccitation.firstpage","1"],["dc.bibliographiccitation.issue","05"],["dc.bibliographiccitation.journal","Zeitschrift für Palliativmedizin"],["dc.bibliographiccitation.lastpage","59"],["dc.bibliographiccitation.volume","17"],["dc.contributor.author","Isermeyer, Leonie"],["dc.contributor.author","Ilse, Benjamin"],["dc.contributor.author","Marx, Gabriella"],["dc.contributor.author","Seidemann, S"],["dc.contributor.author","Jünger, J"],["dc.contributor.author","Nauck, Friedemann"],["dc.contributor.author","Alt-Epping, Bernd"],["dc.date.accessioned","2022-03-07T07:26:21Z"],["dc.date.available","2022-03-07T07:26:21Z"],["dc.date.issued","2016"],["dc.identifier.doi","10.1055/s-0036-1594125"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/104369"],["dc.language.iso","de"],["dc.relation.issn","1615-2921"],["dc.relation.issn","1615-293X"],["dc.relation.orgunit","Klinik für Palliativmedizin"],["dc.title","Förderliche und hinderliche Faktoren bei der Implementierung des Querschnittsbereich 13 Palliativmedizin (Q13)"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]
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  • 2017Journal Article
    [["dc.bibliographiccitation.artnumber","31"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","BMC Palliative Care"],["dc.bibliographiccitation.volume","16"],["dc.contributor.author","Ullrich, Anneke"],["dc.contributor.author","Ascherfeld, Lilian"],["dc.contributor.author","Marx, Gabriella"],["dc.contributor.author","Bokemeyer, Carsten"],["dc.contributor.author","Bergelt, Corinna"],["dc.contributor.author","Oechsle, Karin"],["dc.date.accessioned","2019-07-09T11:43:21Z"],["dc.date.available","2019-07-09T11:43:21Z"],["dc.date.issued","2017"],["dc.description.abstract","Abstract Background This pilot study aimed to investigate quality of life, psychological burden, unmet needs, and care satisfaction in family caregivers of advanced cancer patients (FCs) during specialized inpatient palliative care (SIPC) and to test feasibility and acceptance of the questionnaire survey. Methods During a period of 12 weeks, FCs were recruited consecutively within 72 h after the patient’s admission. They completed validated scales on several outcomes: quality of life (SF-8), distress (DT), anxiety (GAD-7), depression (PHQ-9), supportive needs (FIN), palliative care outcome (POS), and satisfaction with care (FAMCARE-2). We used non-parametric tests, t-tests and correlation analyses to address our research questions. Results FCs showed high study commitment: 74 FCs were asked to participate whereof 54 (73%) agreed and 51 (69%) returned the questionnaire. Except for “bodily pain”, FCs’ quality of life (SF-8) was impaired in all subscales. Most FCs (96%) reported clinically significant own distress (DT), with sadness, sorrows and exhaustion being the most distressing problems (80–83%). Moderate to severe anxiety (GAD-7) and depression (PHQ-9) were prevalent in 43% and 41% of FCs, respectively. FCs scored a mean number of 16.3 of 20 needs (FIN) as very or extremely important (SD 3.3), 20% of needs were unmet in >50% of FCs. The mean POS score assessed by FCs was 16.6 (SD 5.0) and satisfaction (FAMCARE-2) was high (73.4; SD 8.3). Conclusions This pilot study demonstrated feasibility of the questionnaire survey and showed relevant psychosocial burden and unmet needs in FCs during SIPC. However, FCs’ satisfaction with SIPC seemed to be high. A current multicenter study evaluates these findings longitudinally in a large cohort of FCs."],["dc.identifier.doi","10.1186/s12904-017-0206-z"],["dc.identifier.pmid","28486962"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/14448"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/58867"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.publisher","BioMed Central"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","Quality of life, psychological burden, needs, and satisfaction during specialized inpatient palliative care in family caregivers of advanced cancer patients"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]
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  • 2007Journal Article Research Paper
    [["dc.bibliographiccitation.firstpage","23"],["dc.bibliographiccitation.issue","Suppl. 1"],["dc.bibliographiccitation.journal","Prävention und Gesundheitsförderung"],["dc.bibliographiccitation.lastpage","24"],["dc.bibliographiccitation.volume","2"],["dc.contributor.author","Marx, Gabriella"],["dc.contributor.author","Witte, Nicole"],["dc.contributor.author","Simmenroth-Nayda, Anne"],["dc.contributor.author","Kühnel, Steffen"],["dc.contributor.author","Kochen, Michael M."],["dc.contributor.author","Koschack, Janka"],["dc.date.accessioned","2022-04-28T13:12:44Z"],["dc.date.available","2022-04-28T13:12:44Z"],["dc.date.issued","2007"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/106979"],["dc.title","\"So kann ein Arzt auch sein\" - Zur Relevanz einer patientenorientierten ärztlichen Gesprächshaltung für die Behandlung der Hypertonie"],["dc.title.subtitle","Eine qualitative Studie"],["dc.type","journal_article"],["dc.type.internalPublication","unknown"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]
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  • 2011Conference Abstract
    [["dc.bibliographiccitation.journal","Onkologie"],["dc.bibliographiccitation.volume","34"],["dc.contributor.author","Alt-Epping, Bernd"],["dc.contributor.author","Marx, G."],["dc.contributor.author","Janski, M."],["dc.contributor.author","Simon, Alfred"],["dc.contributor.author","Nauck, F."],["dc.date.accessioned","2018-11-07T08:52:22Z"],["dc.date.available","2018-11-07T08:52:22Z"],["dc.date.issued","2011"],["dc.format.extent","291"],["dc.identifier.isi","000295160600781"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/22147"],["dc.notes.status","zu prĂĽfen"],["dc.notes.submitter","Najko"],["dc.publisher","Karger"],["dc.publisher.place","Basel"],["dc.relation.issn","0378-584X"],["dc.relation.orgunit","Klinik fĂĽr Palliativmedizin"],["dc.title","Implementing ethics consultation at a university hospital - what do staff members expect, desire or object?"],["dc.type","conference_abstract"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]
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