Agoraphobia and nursing care
Introduction: Agoraphobia is a form of anxiety that some people experience in places or situations in which they feel they cannot leave or that they cannot get help. Many people develop Agoraphobia after experiencing one or more panic attacks. They fear that the panic attack will happen again, so avoidance occurs. The most common symptoms of Agoraphobia are; fear of standing in crowds or queues, fear of closed spaces (elevators, theatres), fear of open spaces (parking lots or shopping centres) and fear of using public transport.
Objectives: Since there are many patients suffering from Agoraphobia, the role of the nurse in their treat-ment is a key role, so follow-up and health education are the main focus of the treatment. The objectives of this paper are mainly to improve and increase the quality of nursing interventions associated with psy-chotherapeutic treatment.
Methodology: This paper has been developed from various didactic materials as well as the experiences of health professionals in the follow-up of these patients. It also aims to provide an important overview of nursing interventions with the findings and researches carried out to reach a higher quality level of nursing service in the country and mainly for patients with an unstable health condition.
Results: Nursing interventions in patients with Agorafonbi are in a different picture and these are associ-ated with high performance teams and improved patient care. Also, further researches are warranted to strengthen the empirical references, this can be done by improving the operational definition and explor-ing the specific mechanisms through which health education and nursing interventions affect health care outcomes in these patients.
Conclusions: The nursing role in the treatment of these patients is very important in the step-by-step fol-low-up of the progress and the unstable condition they may have. Undoubtedly, the creation of a treatment plan and nursing intervention has high efficiency in the continuous improvement of these patients. Family members also have a key role; through which they manage to receive effective health education in the follow-up of patients in home conditions.
Pharmacogenetics and personalized treatment in chronic congenital anemias: Integrated perspectives and a systematic review
Objective: This comprehensive article explores the emerging role of pharmacogenetics in optimizing treatment for chronic congenital anemias, including β-thalassemia, sickle cell disease (SCD), and rare erythropoietic disorders. It integrates a systematic review with an in-depth clinical analysis of personal-ized medicine strategies.
Methods: A systematic literature review (2015 - 2024) was conducted using PubMed, Scopus, and Web of Science, following PRISMA guidelines.
Results: Genetic profiling significantly improves drug selection, dosing, and toxicity management in
congenital anemias.
Conclusion: Pharmacogenetics supports a transformative shift toward personalized therapy in hema-tology by improving efficacy, reducing adverse effects, and enabling the integration of novel targeted treatments.
Stress and depression among nurses: Impact on quality of life in Tirana’s hospital centers
Introduction:
The mental health of healthcare professionals, particularly nurses, is an increasingly important issue in modern healthcare systems. Daily exposure to stressful situations, multiple responsibilities, and emotion-al burdens significantly affect the mental well-being of these professionals. However, in many cases, their psychological needs remain underestimated, impacting not only their personal quality of life but also the effectiveness of patient care.
Objective:
The aim of this study is to assess the impact of stress and depression on the quality of life of nursing staff in hospital centers in the city of Tirana. Through a questionnaire distributed across five hospital centers, the study aims to identify the levels of stress and depression, and their correlation with the physical, emotional, and social dimensions of quality of life.
Methodology:
The research method is based on data collection using standardized questionnaires: the Perceived Stress Scale (PSS) for stress, the Beck Depression Inventory (BDI) for depression, and the WHOQOL-BREF for quality of life. Data collection was conducted between February 2025 and May 2025 (over a four-month period). The questionnaire was completed via the Google Forms platform. Responses were gath-ered from 410 nursing staff members working in hospital centers in the city of Tirana.
Conclusions:
The findings of this study demonstrate a strong correlation between high levels of stress and depressive symptoms with a significant reduction in quality of life among nursing staff. The negative effects of these psychological phenomena manifest as persistent fatigue, deterioration of interpersonal relation-ships, and a noticeable decline in professional performance, which directly affects the quality of care provided to patients. The study highlights the need for structured interventions such as psychological support, improved working conditions, and early identification of symptoms, in order to maintain men-tal health and improve the quality of healthcare services.