The experience of illness and hospitalizationexerts a great deal of psychological distress. Research demonstrated that the greater the stress and anxiety pre operatively, the slower and more complicated the post-operative recovery. And inversely, when psychosocial interventions were employed before surgery, they were shown to have positive physical and psychological effects post surgically.Research demonstrated that the greater the stress and anxiety pre operatively, the slower and more complicated the post-operative recovery. And inversely, when psychosocial interventions were employed before surgery, they were shown to have positive physical and psychological effects post surgically. This study, using a variety of questionnaires that were collected prior and following surgery [not repeated measures] explored the influence of genderand sense of coherencewhich were measured on patients who had malignant tumors, undergoing Ear Nose and Throat [ENT] surgery, on their experience of loneliness and the manner in which they coped with it. Multiple regression analyses revealed that gender and one’s sense of coherence or the belief that the situation is not beyond control and that we have the resources needed to address it, has been shown to be at least partially helpful in predicting the manner in which cancer afflicted patients cope with loneliness. Moreover, these two variables interacted, showing that coherence was associated differently with experience factors of loneliness for men and for women. None of these effects was evident for the coping factors. Taken together, these findings suggest that the Salutogenic model may be more perception related rather than coping related, and that patient's gender should be considered in order to better understand this model. Key words: surgery, loneliness, hospitalization, patients, illness.
Ami Rokach, Ph.D., is a clinical psychologist who has been researching and teaching about loneliness for the past 40 years. Ami is the Executive Editor of the Journal of Psychology: Interdisciplinary and Applied, and as a clinical psychologist who combines offering individual, couple and sex therapy with teaching and research. Ami is an associate professor and is teaching psychology at The Center for Academic Studies in Israel, and is also a member of the psychology departments at York University in Canada, and Walden University in the USA. His therapeutic and research interests include loneliness, sexuality, couple & sex therapy, anxiety and phobias, traumatic experiences and personal growth, stress management, and palliative care.
Heart failure (HF) is a major global health problem, which is estimated to affect 38 millions of people in both developed and industrialized countries leading to the financial burden on the healthcare system. HF affects patients' physical and mental functionality that result in low quality of life (QOL) and high hospital readmission. Tai Chi Qigong (TCQ), a traditional Chinese martial art with low to moderate intensity exercise, benefits to the cardiac system and its meditative component is beneficial to managing stress and mood, and mental health as well. This study aimed to evaluate the effectiveness of a TCQ program in improving QOL and hospital readmission. 195 patients with HF were recruited from the six medical wards. Subjects were randomly assigned to one of the three groups: intervention group, attention-control (information) and usual care group. Data were collected at baseline, four weeks, three months and six months. The outcome measures were the Six-minute Walk Test, Short-Form 36-Physical Health Summary Scale, Short-Form 36-Mental Health Summary Scale, and hospital readmission rate. Analyses involved pre-test and repeated post-test, within and between subjects tests. The results indicated that no significant difference was found in the demographic data. The results showed in the intervention group reported statistically significant higher scores in the six-minute walk, and QOL as well as lower hospital readmission rate than the control groups across the four-time study periods. To conclude, TCQ is an effective program that could be used for improving the quality of life and hospital readmission rate in patients with heart failure in the Hong Kong Chinese population.
Dr. CHAN, Keung-sum has completed his Ph.D. from Australian National University (Australia) in medicine faculty. He is an assistant professor and also the duty programme leader of the Bachelor of Health Science (Honours) in Applied Gerontology teaching in the School of Nursing of the Tung Wah College, Hong Kong. He has published papers in reputed journals and has been serving as a journal peer-reviewer in several renowned journals as well. In addition, he has got his fellow member of the Hong Kong Academy of Nursing with the designation of FHKAN since 2014.
Pain can negatively impact a pregnancy on physiological and psychological levels. However, pregnant women with pain are fearful of using pain medication, which can lead to adverse outcomes. In this study we evaluated the development of mice pups from mothers with neuropathic pain; and evaluated if exercise could diminish the negative effects (decreased born pups, birth defects) on newborns as well as lowering pain sensitivity in mothers. Thirty-two females were randomly assigned to four groups (8 mice/group): Sham surgery or Spare Nerve Injury (SNI) with standard (SE) or enriched (EE) environments. Mothers were evaluated for mechanical sensitivity with Von Frey filaments and exercise performance with computerized running wheels. Pups were weighted and measured in length at birth. Three days postpartum, they were evaluated for negative geotaxis, righting, forelimb grasping, rooting and crawling, as well as crawling at six days postpartum. At the end of the study, mothers’ brains (frontal cortex) were analyzed for selected neuropeptides. Following exercise exposure, only SNI-SE females were still neuropathic and exercise levels were similar between exposed groups. Some peptides (endorphins, enkephalins and oxytocin) in brain tissue from SNI females showed significant difference with exercise. Number of pups was significantly smaller only in SNI-SE group. The number of deaths at birth was more important in SNI-SE only however behavior tests were similar (except righting) across groups. In summary, exercise can reduce neuropathic pain in pregnant CD-1 female mice, however, neuropathic pain doesn’t impact the motor neurodevelopment of mice pups, but appears to affect placenta-uterus function.
Madeleine Parent-Vachon is a part-time registered nurse that has completed her Bachelor’s degree in nursing at the University of Montreal and is currently completing her Master’s degree in biomedical sciences.
Nursing education nurtures students to have adequate competence in managing current patient care with complex and sophisticated technology in healthcare service. Interdisciplinary collaboration is important for maintaining high quality and safe patient care. Small group work is effective for enhancing students’ theoretical knowledge and training in various skills. However, there is inadequate knowledge on how students develop higher-level intellectual skills to benefit their sense of collaboration through small group work. To understand how undergraduate nurse students develop advanced skills through small group work based on nurse students’ and educators’ learning and teaching experiences, a phenomenological qualitative study was conducted. Semi-structured focus group interviews with digital audio-recording was conducted at an educational institution. A total of 23 participants were interviewed including 13 students and 10 educators. Five skills including problem-solving, critical thinking, leadership and management, analytic and reasoning, and interpersonal communication, were derived. All skills were developed through individual self-learning and/or group learning to enhance collaborative abilities. A theoretical framework to illustrate the relationships among these skills through small group work.Although small group work is commonly adopted in professional education,advanced skill development is usually neglected. Fiveidentified advanced skills are developed through small group work and they are closely inter-related. All advanced skills are significant for students to enhance their capability for interdisciplinary collaboration to provide high quality and cost-effective care. The results also increase educators’ awareness in facilitating the development of these skills through small group work.
Dr. Florence WONG obtained her Registered Nurse (RN) License in Hong Kong. She had worked as a RN in the Intensive Care Unit and Coronary Care Unit in Hong Kong and in Canada for more than 20 years. She obtained her Specialty Nursing Degree in Canada and her Master’s Degree in Nursing in Hong Kong. She then received her Doctoral Degree in Hong Kong. Currently, Dr. Wong’s research interests include nursing education, quality of life, patient and family care in acute care and critical care settings, and infection control.
Emotional intelligence is the ability to recognize, understand and manage own emotions and the ability to recognize, understand and influence the emotions of others. Stress is one of the toughest things a student can face, and emotional intelligence should help a person to handle stress better. This research study want to assess the level of emotional intelligence, the stress level and the link between the two variables. This study will use descriptive-correlational design through the use of questionnaire, total enumeration was employed with 32 respondents. The data collected was analyzed using SPSS version 22, and mean and Pearson-r was utilized. The mean score reveals a score of 112.29, which means that the respondents have average emotional intelligence. The mean reveals a score of 20.59, which means that the respondents are experiencing a moderate level of stress. The Pearson-r yielded a score of (r= -0.32, n=34, p=0.70) which means that there is no significant relationship between the two variables. Conclusions include: the respondents can assess others’ emotion, moreover their emotion with acceptable level of emotional control, and thus they can interact satisfactorily with other people, and positively use their emotion with a positive outlook in life; the respondents are adapting to the stress they are experiencing; and the emotional intelligence of the respondents does not have a link with their stress level.
Dr. Jordan H. Llego has completed his PhD from Colegio de Dagupan, Philippines. He is a faculty member of the University of Luzon, Dagupan City, Philippines. He has published research papers and once the editor-in-chief of a University Department Journal in Urdaneta City University, Philippines. Ms. Jennie L. Corpus, is currently taking her Master of Arts in Nursing at the University of Luzon, she is the current Program Coordinator of the College of Nursing of the University of Luzon. She is also the current Managing Editor of their College Journal.
Vascularized lymph node flap transfer was the flap of choice for lymphedema. Although physical rehabilitation is important for lymphedema treatment, there is no standardized procedure for different stage lymphedema. This study was conducted to investigate the vascularized lymph node transfer (VLNT) and Complete Decongestive Therapy (CDT) long term result in lymphedema. An prospective study was performed of patients who underwent vascularized lymph node transfer for lymphedema. Patients who had either submental VLN transfer for limb lymphedema were isolated. Outcomes were assessed using improvement of circumference reduction, decreased number of episodes of cellulitis and health-related quality of life (HRQOL) metric. A total 138 patients were identified and met inclusion criteria. More identified patients underwent VLN (50.7%) as compared to CDT (49.3%) for lymphedema. Patient age, BMI, tobacco use, diabetes, hypertension, lymphedema grading and lymphedema reason were similar between groups. Circumference reduction was higher in the VLN group (35.3%) as compared to the CDT group (23.4%) and post-operative episodes of cellulitis was higher in the CDT group (4 ± 1.5 times per years) as compared to the VLN group (1.4 ± 1.3 times per years) during the 12-month follow-up evaluation, have statistical significance (p=0.03 and p=0.04, respectively). In HRQoL part, overall quality of life and function, body appearance, symptom, and mood domains were all significantly improved in the VNL group(p<0.01 within each domain). These improvements are mirrored by improvements in patient-reported outcomes and quality of life measures. These changes can be seen 12 month post-operatively and continued steady improvement can be expected.
Chia-Yu Lin, a Ph.D. candidate, is the lymphedema coordinator at the Center of Lymphedema Microsurgery. She is extremely knowledgeable in treating lymphedema patients and committed to strive for the continuous improvement of lymphedema care and treatment. She has been working at the center for over a decade. She is also a member of the Sigma Theta Tau International Honor Society of Nursing.
Urinary tract infections are a common iatrogenic infection in healthcare institutions. Catheter-associated urinary tract infections (CAUTIs) may result in sepsis, prolonged hospitalization, additional hospital costs, and mortality. In the neurological ward, the top ten diseases of the unit are diagnosed as: intracranial hemorrhage, subdural hemorrhage, head injury, lumbar disc displacement (including cervical vertebrae), subarachnoid hemorrhage, and unexplained tumors of the brain, with an average of 242 people per month. The patient underwent urinary catheter placement. The current catheters used were 14 to 18 Fr rubber catheters. Common causes of indwelling catheters were: neurological urinary retention, postoperative surgery, and comfort.
Objectives: to investigate the relationship between coping strategies and levels of depression and anxiety among adults in Kuwait with various degrees of burn trauma. Methods: Twenty adults with burn injuries participants in the study. Two standardized outcome measures were used to collect the data; the Depression Anxiety Stress Scale (DASS-21) to measure the participants' level of psychosocial problems, and the Brief COPE to assess the patients’ coping strategies. Results: The participants had moderate levels of anxiety (mean=11.5, SD=9.28), mild depression (mean= 12.75, SD=9.14), and mild stress (mean=15.1, SD=10.47). The time of burn injury was negatively correlated with depression (p=.01, r= -0.537), anxiety (p=.023, r= -0.505), and stress (p=.017, r= -0.527), indicating that psychosocial problems decreased with time. The most frequently used coping strategies in Kuwait were “religion” (mean=6.5, SD=1.7) and “acceptance” (mean=6.45, SD=1.4), whereas “substance use” was the least common coping strategy reported (mean=2.25, SD=0.7). Conclusion: Psychosocial problems for patients with burn injuries ranged from mild to moderate; however, the psychosocial problem decreased with time one year on from the injury. The healthcare system should have a stronger emphasis on psychosocial intervention for patients with burn injuries in Kuwait. Keywords: Depression, Anxiety, stress, burn injuries, coping strategies.
Hanan Al Hebaishi and Noura Al Jazzaf graduated from Kuwait University, Faculty of Allied Health Science with Bachelor’s degree of Occupational Therapy
The objective of this work is to determine the level of plasma selenium, the activity of glutathione peroxidase (Gpx 3) and to look for a possible correlation between these parameters and thethiobarbituric acid (TBAR) in apparently healthy elderly subjects from the west of Algeria. Selenium (Se) is an essential trace element. Glutathione peroxidase plays an important role in the fight against oxidative stress. TBAR is an important stress parameter. One hundred individuals, between the ages of 60 and 70years,were selected for the study. The selenium assay was performed by polarography. The plasma Gpx 3 level was determined by a method of Gunzler et al. (1974). The TBAR assay was performed by the method of Richard et al. (1992). The Pearson correlation coefficient was determined using the SPSS statistic version 17. The mean plasma selenium level in the study population was 68.08 ± 20.15 μg / L, the mean of Gpx 3 was 273.74 ± 65.91U / L and the TBAR rate was 2, 85 ± 0.51 μM / L. TBAR was significantly correlated with age, Gpx 3 activity, and Se (P <0.05). Moreover, a minimum concentration of 100 μg / L of plasma Se is necessary to ensure the optimal function of Gpx 3. Age is an important factor in the decline of physiological and biochemical functions. In some studies, age has no influence on the concentration of TBAR, when selected individuals have good eating habits and optimal activity of Gpx 3. Keywords: selenium; glutathione peroxidase 3; thiobarbituric acid; elderly subjects.
Nouria Dennouni-Medjati is a Ph.D. in science. She is a lecturer in molecular biology at Abou bakr Belkaid University in Tlemcen, Algeria. Her research is mainly based on genetics, environment and public health. She is team leader at the electrochemistry and analytical chemistry laboratory at the University of Tlemcen. She is currently interested in trace elements especially selenium, vitamins and their involvement in different pathologies among the population of western Algeria.
Background Rising life expectancy in western societies is accompanied by a rising incidence of dependence on assistance and care among elderly people. The purpose of this study was 1) to examine the effect of social determinants on care dependency onset and progression,and 2) to analyse the effect ofsocial determinants on various levels of care dependency. Methods We used data from the Berlin Initiative Study (BIS), a prospective, longitudinal, population-based cohort study including 2069 older participants (≥70 years of age) with visits in 2009, 2011 and 2013.Care dependency was assessedif participants require substantial assistance in at least two activities of daily living for 90 minutes daily (level 1) or three hours+ daily (level 2). Multi-state time to event regression modeling which simultaneously model several competing events were used to estimate the effects of social determinants (partnership status, education, income and gender) and morbidity (stroke, myocardial infarction, cancer, diabetes, kidney disease). Results During the study period, 556 participants (27.5%) changed their status of care dependency.Having no partner compared to having a partner was associated with a higher risk of transition from no care dependency to level 1 (HR: 1.25, 95%CI: 0.97-1.64). Both women and men without a partner had a higher risk for onset of care dependency. However, in our multistate models, these effects were not significant. The significant association between care dependency and income and between care dependency and education ceased in the multistate models. Conclusions Results indicate that older people without a partner tend to be on a higher risk of care dependency onset but not on a higher risk of care dependency progression. Inequality between education and income groups can be explained in terms of morbidity. Further research should focus on partnership status to get more knowledge about their possible role regarding the delay or prevention of care dependency.
Clinical nursing preceptors were an important person for new nurses, which can to help new nurses through the process of learning, orientation, and socialization to their working environment. They facilitate the development of knowledge, professional skills, and professional attitudes in nursing through supervision, role modeling, and personal development of the Preceptorship Program. To provide familiar for new nurses to reduce reality shock, decrease early burnout, and helps nurses become functioning members of the healthcare system. Currently, few studies have examined the factors of personality traits and teaching willingness in Clinical nursing preceptors. The main objective of this study were to understand the statuses of the big five personality traits in clinical nursing preceptors. This study method applied a cross-sectional design using structured questionnaires, including demographic characteristics, and the Big Five personality traits evaluation. A total of 200 questionnaires were distributed and 185 questionnaires were returned, with the recovery rate of 92.5%. there were 172 participants were recruited from a medical center and a regional hospital in south Taiwan through a convenient sampling procedure. Data were analyzed using descriptive statistics, independent t-tests, one-way ANOVA, and Pearson’s correlations. There are 60 items in the Big Five personality traits scale that includes five dimensions of Openness, Conscientiousness, Extraversion, Agreeableness and Neuroticism, with 12 questions in each dimension., the results of this study showed that clinical nursing preceptors that Big Five personality traits score from the highest to lowest was Conscientiousness, Agreeableness, Extraversion, Openness and Neuroticism. Personal characteristics job titles had significant difference with Conscientiousness. Years of teaching experience had significant positive relationships with the “Agreeableness” (r =.174), and the significant negative relationships with the “Neuroticism” (r = -.313). Age had significant negative relationships with the “Neuroticism” (r = -.269). The results of this study can be provide reference to talent selecting of clinical nursing preceptor for clinical nursing managers.
Work Organization and Department: CHI MEI Medical Center, Department of Nursing Education: B.S.1999 -- Chang Jung Christian University, Tainan, Taiwan -- Health Care Administration M.S.2016 -- Chang Jung Christian University, Tainan, Taiwan – Nursing Experience:Patient Safety of health care, Management of Nursing Quality, Nursing Education.
In the ICU, most of the patients suffer from pain and need medical control to relief. Agitation and delirium are also important issues and should be management properly. However, there were few studies about the association between the pain, agitation, delirium, and pain control. Methods From Oct. 2016 to Nov. 2018, all the patients admitted to our ICU were included. In our hospital, the Critical-Care Pain Observation Tool (CPOT) was used to assess patient pain, while the Richmond Agitation-Sedation Scale (RASS) was used to assess agitation, and delirium was evaluated by the Confusion Assessment Method for Intensive Care Units (CAM-ICU) to assess delirium. Patient’s pain was controlled according to a regular guideline of pain in our hospital and on-call doctor’s discretion. Results During the study period, the association of pain occurrence and agitation was 0.244( Person, P=0.11). There were no significant associations between the pain and delirium with delirium (-0.112, P=0.248; -0.022, P=0.818). Delirium was associated with medicines for pain(0.365, P<0.001). Conclusions The pain was found to associate with agitation. There were no statistical significances of the delirium between pain and agitation. Therefore, Pain may produce agitation; however, delirium was not associated with pain and agitation. In patients with delirium, medicines for pain control should be considered rather than pain and agitation.
Tsai-Qiu Yu has completed her Master from Kaohsiung Medical Unversity, Kaohsiung, Taiwan and praticing nurse in the Kaohsiung Veteran Hospital, Kaohsiung, Taiwan.
This cross-sectional surveyexplored the relationship between temperament and empathy in Japanese nurses. Between December 2018 and January 2019, 1,268 Japanese nurses answered a questionnaire that included the Temperament Evaluation of Memphis, Pisa and San Diego Auto questionnaire (TEMPS-A) and the Professional Quality of Life Scale (ProQOL). Analysis of covariance adjusted forage, gender, years of nursing experience, department, education, employment position, living with family, and experience of family death as covariateswas conducted to compare each TEMPS-A temperament (depressive, cyclothymic, hyperthymic, irritable, anxious) with average values ofthe MES subscales(emotional susceptibility, other-oriented emotional reactivity, fantasy, perspective-taking, and self-oriented emotional reactivity). Among the 1,268 nurses,805 (63.5%) had depressive temperament, 780 (61.5%) cyclothymic, 318 (25.1%) hyperthymic, 581(45.8%) irritable, and 300 (23.7%)anxious. Emotional susceptibility was significantly lower inthe hyperthymic group than in the other groups (p< 0.01). Other-oriented emotional reactivity was significantly higher in the hyperthymic group and significantly lower in the irritable group (p< 0.01). Fantasy was significantly higher in the depressive, cyclothymic, hyperthymic, irritable, and anxious groups(p< 0.01). Perspective-taking was significantly higher in the hyperthymic group and significantly lower in the irritable group(p< 0.01). Self-oriented emotional reactivity was significantly lowerin the hyperthymic group than in the other groups(p< 0.01). Empathetic nurseswere found to have temperaments (e.g., depressive, cyclothymic, anxious, hyperthymic) that arecorrelated with susceptibility to burnout. Temperament is important in nursing and support is needed to prevent burnout.
Dr. Koji Tanaka completed his PhD at the School of Health Sciences,College of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Japan. He has 11yeras of experience in psychiatric and mental health nursing. He has published more than 12 papers including 2 English papers in reputed journals. He has been a faculty member of the Kanazawa Medical University since 2013. He has been teaching the Certified Nurse Specialist Course and Research Course at the Graduate School from 2015.
Current increasing nuclear families and weakened relations with local communities may probably lead to lonely child-rearing. The increasing number of actions taken against suspected child abuse may suggest that current child-rearing circumstances can possibly induce child abuse. It is difficult to identify parents who need for such support. Therefore, we developed a scale of perceived difficulty in child-rearing as an attempt to identify parents who need for support by detecting their perception of difficulty in child rearing, a preceding stage of child abuse, on the basis of parents’ psychological characteristics. Research method is scale development by cross-sectional study. In parents who rear their infants in Japan, we investigated 37 questions (items) of a draft scale of perceived difficulty in child-rearing. Our procedures for developing the scale include examination of the construct validity (factor validity) and criterion-related validity (concurrent validity) and then validation of the reliability of the scale by testing the internal consistency (item analysis with Cronbach's coefficient α). The draft scale consists initially of 37 questions. However, 3 questions were excluded through examinations including factor analysis, resulting in 34 questions in 4 factors that may proper for the scale. Factors (respective Cronbach's coefficients α) of the scale consist of Factor I “abandonment anxiety” including 9 questions (α=.899), Factor II “Anxiety due to reduced self-confidence” including 13 questions (α=.868), Factor III “Suspicion” including 5 questions (α=.832), and Factor IV “Perfectionism” including 7 questions (α=.793). The results suggest that the scale has certain validity and reliability.
Takahiro Terai has completed his PhD from Ishikawa prefectural nursing university, Japan. He is a department of pediatric nursing, medical university. He is researching childcare support and abuse prevention. He has published about 15 papers in reputed journals.
Diabetes is a serious public health problem with serious secondary complications, one of these problems are coronary artery disease. The global burden of diabetes is large and growing, affecting populations in every region of the world.To assess the diabetic patients dietary habits after coronary artery bypasses graft surgery and find out the relationship between these patients dietary habits and their socio-demographic characteristics of. Age, Gender, Marital Status, Economic status. A descriptive analytical study was conducted on Non-probability (purposive sample) of (100) a diabetic patients who had done a coronary artery bypass graft surgery at (Ibn Al-Bitar specialized center for cardiac surgery).in Baghdad City A questionnaire was used as a tool of data collection for the period of 12th May to 12th July2016. Descriptive statistical analyses were used to analyze the data.The results of the study shows that the majority of the age group were (60- 69) years old (41%). Most of the study samples (73%) were male. Most of them (69%) were married and (62%) the test of (HbA1c) indicates more than seven. More than study samples (91%) do not follow the diet program. The study results indicate highly significant differences association between age group with knowledge of the dietary habits. There is indicated that high significant association between marital status and dietary habitshigh significant differences association between marital statuses food frequency which are more frequent among married patients. Therefore, it is highly recommended that DM self-management education (DSME) and support (DSMS) programs are appropriate for education and support to develop and maintain behaviors that can prevent or delay the onset of diabetes, a diet program to reduce excess weight, taking into account the patient's in general condition, Screening for and treatment of modifiable risk factors for cardiovascular disease is suggested follow-up for counseling may be important for health.
Dr.Khudur has completed her PhD from the University of Baghdad,College of Nursing, Iraq. Dr.Khudur is the chairperson of Adult nursing Departmnt at the aformentioned institution. She has published more than 17 papers in prestegious journals and has been supervising many post-graduate students.
The aim was to determine the effect of antidepressant consumption on the rate of hospitalization for depression, to reinforce the role of family physician in the early recognition and treatment of mild to moderate depressive disorders. Using the WHO Anatomical-Therapeutic-Chemical classification/Defined Daily Doses (ATC/DDD) methodology, the number of DDD was calculated from data collected from all Zagreb pharmacies on the number and size of drug packages, during the 2001-2010 period. Hospitalization data were collected for every patient hospitalized for depression. From 2001 to 2010, the rate of hospitalization for depression has increased from 168,26/100.000 to 337,04/100.000. The mean length of hospital stay was reduced from 35 to 34.5 days. Outpatient utilization of antidepressants increasedby 90% (11,4 DDD/TID vs 20,59 DDD/TID). The highest rise was recorded in the consumption of SSRI by 148%, with an increased proportion of sertralin and fluvoxamine. Outpatient consumption of nonselective inhibitors of monoamine reuptake decreased by 68%. In the subgroup of other antidepressants, a rise was recorded in the consumption of mirtazapine and venlafaxine in particular. Although the overall outpatient utilization of antidepressants increased during the study period, the rate of hospitalization for depression increased as well. Ratio indicator anxiolitics/ antidepressants was found to have improved. There still was an excessive use of anxiolytics and inadequate use of antidepressants. Continuous education of primary care physicians in early detection and treatment of mental disorders is required. Introduction of a questionnaire for early recognition of depression symptoms at the primary healthcare level would be highly useful.
Biography Marina Polić-Vižintin has graduated and completed her PhD from the School of Medicine, University of Zagreb. As specialist of Public health she is working at Dr Andrija Štampar Teaching Institute of Public Health Zagreb, as head of Public Health Department. Has been working on the public health and social medicine issues for years, professional interest being focused on interpretation of the population health parameters. Additional training: postgraduate study in Gerontology and in Public Health. Senior Lecturer at the University of Applied Health Studies in Zagreb, subject Public Health. She has published more than 15 papers in reputed journals
A descriptive correlational study was implemented to: (1) assess the level of stress among the victims of landmines in Missan, (2) identify the association between participants’ age, socioeconomic status (SES), body mass index (BMI), and coping strategies, and their level of PTSD, and (3) identify differences in PTSD level between the groups of age, gender, marital status, SES class, BMI, upper extremities injury, lower extremities injury, duration of accident, walking aids used, pain severity, and movement status. The study included a convenience sample of (100) adults victims of Landmines in Missan Governorat. The study instrument includes three parts; participants’ sociodemographic and health characteristics; the posttraumatic stress disorder (PTSD Checklist DSM-5 with Criterion A), and the BRIEF Coping Scale. The study results revealed that most of study participants experience a moderate degree of PTSD (n = 77; 77.0%), less than fifth experience severe PTSD (n = 13; 13.0%), and one tenth experience mild PTSD (n = 10; 10.0%). Moreover, there is no statistically significant difference in PTSD level between the gender groups. Poor individuals experience the highest level of PTSD than individuals who are categorized in the lower middle SE class and those who are categorized in the Very Poor or Below Poverty Line. Additionally, Individuals who have injuries at the metatarsal level experience the highest PTSD levels. Furthermore, there is a statistically significant difference in PTSD level among the right lower extremity injury groups. Ultimately, individuals who use prostheses as walking aid experience the highest PTSD level.
Dr. Kareem R. Sachit has completed his MSc and PhD from College of Nursing, University of Baghadad, Iraq. He is the chairman of Psychiatric-Mental Nursing Department, College of Nursing/ University of Baghdad. He has published more than 10 papers in prestigious journals.
Cardiovascular diseases (CVD) continue to become a global health problem, and affect millions of people worldwide. Also, the cardiovascular diseases affect people at all ages and it's not just a disease of elderly. To assess of patient’s adherence to therapeutic recommendations after ischemic heart diseases. And to find out the association between the patients’ demographic and clinical data and their adherence to therapeutic recommendations. A descriptive study is carried out in Al-Najaf Health Directorate / Al-Sadder Medical City/ Al-Najaf Center for Heart Diseases and Surgery, from June 5th, 2013 to April 10th, 2014. A non-probability (purposive sample) of (102) patients with ischemic heart diseases (angina and myocardial infarction), were included in the study. The data are collected through the use of a questionnaire, which consists of three parts one includes Sociodemographic and clinical data form, part two, includes patient’s adherence to therapeutic recommendations form. The data were described statistically and analyzed through use of the descriptive and inferential statistical analysis approaches. The study results show that the patients with ischemic heart diseases are fairly adhere to therapeutic recommendations. And there is a significant relationship of the residency, gender, and the patient’s occupational status on their adherence to therapeutic recommendations. There is a deficient in the patients' adherence to therapeutic recommendations. An intensive comprehensive study could be conducted to assess the patient’s adherence to therapeutic recommendations and the factors that may affect such adherence, with a suitable solution for these factors to improve the level of patient’s adherence.
Dr. Kadhim has completed her PhD from the University of Baghdad,College of Nursing, Iraq. Dr.Khudur is the former chairperson of Adult nursing Departmnt at the aformentioned institution. She has published more than 20 papers in prestegious journals and has been supervising many post-graduate students.
The incidence of urinary stone is increasing due to life style-related variables. Therefore, this study was designed to assess the patient's knowledge about avoidance of recurrent urolithiasis, and to identify the relationship between some variables (age, gender, level of education) and patient's knowledge. This study is a descriptive study that was carried out at Al- kindy teaching hospital from 11th July 2013 to 31th August 2014. A non-probability (Purposive sample) of (111) patient's with Urolithiasis who attended to Extra Corporal Shock Wave Lithotripsy (ESWL) department. The data were collected through the use of semi-constructed questionnaire, which consists of two parts (1) Sociodemographic data form that consist (6) items, (3) factors contributed to recurrent urolithiasis consist (22), by means of direct interview technique with the Urolithiasis patients. Reliability of the questionnaire was determined through a pilot study and the validity through a panel of (13) experts. The data were described statistically and analyzed through use of the descriptive and inferential statistical analysis procedures. The findings of the present study indicate that the patients have poor knowledge about stone formation and composition. factors of recurrent urolithiasis were diet, low fluid intake, family and medical history of urolithiasis, low physical activities level, medication intake. Conclusions were: Urolithiasis is more common in males who were married, low economic status, and had a family history of urinary stone. Of equal importance, the decrease fluid intake, increase (calcium, oxalate, protein) diet, decrease physical activities, and medication intake were essential cause of urolithiasis. Therefore, it has been recommended that nurse-led educational intervention is mandating to control the increasing incidence of such a preventable health problem.
Dr. Abdulrida has completed his PhD from the University of Baghdad,College of Nursing, Iraq. Dr. Abdul Rida has published more than 10 papers in prestigious journals and has been supervising many post-graduate students.
BACKGROUND:Whilst the dramatic development of disease management strategies for children and adolescents diagnosed with cystic fibrosis(CF) has led to an increasing proportion of the paediatric population surviving into adulthood, biopsychosocial therapeutic regimes are characterised by increasing complexities. Governed by a time-intensive and relentless program of long-term self-management, families are responsible for performing bi-daily interventions to mitigate the multi-system impact of this chronic disease.This high treatment burden poses challenges to disease self-management, particularly among adolescents.Hence, it is essential for paediatric nurses to understand the factors that may influence treatment adherence or non-adherence among the adolescent CF population. The aim of this extended literature review is to explore and promote the barriers and facilitators of adherence with nebulised antibiotics among adolescents with CF in the community. METHOD/APPROACH:This research takes the form of a scoping review. To search for literature, the databases utilised were CINAHL, Scopus, PsycINFO and ASSIA. Relevant literature was screened for eligibility against refined inclusion and exclusion criteria to ensure the studies included addressed the research aim. Each study was critically appraised using the Holland and Rees (2010) Qualitative/Quantitative frameworks to determine the quality of the evidence. RESULT:Lifestyle, family support and personal attitudes have the potential to act as both barriers and facilitators to adherence with nebulised antibiotics among adolescents diagnosed with CF in the community setting. CONCLUSION:The themes exposed by this review identify areas for intervention and the implementation of supportive strategies by community nursing teams seeking to ameliorate adherence and self-management strategies for adolescents with CF.
Nursing staff have to work shifts, tend to have poor sleep quality. Sleep quality is associated with HPA axis and cortisol secretion which affects the level of vigor after awakening. The purpose of the study was to explore the relationships between the nocturnal sleep quality and diurnal salivary cortisol profiles and attention on day shift nurses.This study was conducted with a prospective,cross-sectional study design. Participants completed CPSQI to distinguished poor sleepers (PSQI>5) and good sleepers (PSQI<5). Therandom sampling,32 nurses in the PSQI ≤ 5 group and 29 nurses in the PSQI > 5 group. Each participant collected their sleep diaries andactigraphy data, followed by 4 saliva samples and attention before work on a single work day in the fourth week. The study shows that, the poor sleep quality group exhibited earlier wake-up times, had a flatter cortisol awakening response (CAR) anda flatter morning to evening slope, andpoor attention than good sleep quality group.Poor sleepers had a smaller diurnal cortisol slope and poor attention than good sleepers, flat diurnal deviation and indicates the dysregulation of the HPA axis function affect attention. Nursing staff are advised to construct sleep patterns that are optimized for maintaining work safety.
Background: To evaluate the effects of using a novel intervention defining body shape, called the ‘Fat type level,' helped counsel and motivate overweight, hyperglycemic men to lose weight. Anthropometric measurements that assess visceral adiposity, body shape, and fat distribution are more predictive of future disease than body mass index. The Fat type level was proposed to fuse these findings into a compact, user-friendly assessment tool based on the waist-to-hip ratio and waist circumference. Methods: A pretest, post-test convenience sample of overweight, prediabetic and diabetic middle-aged men attended a 12-week lifestyle intervention to lose weight (N=30). Variances among two groups, Fat type level versus body mass index, were compared at every two-week primary care office visits. Outcome variables included changes in weight indices, glycemic control parameters, and health behaviors. Results: The mean change in body mass in kilograms was greater in the Fat type level group (-10.4 ±.2) than in the body mass index group (-3.88 ±1.06), p<.00l. There was a significantly greater decrease in the Fat Type Level group of fasting plasma glucose in mg/dL (p = .026) and in hemoglobin A1C percentage (p< .001). However, there was not a significant interaction between the Fat type level intervention and triglyceride reduction (p = .174). Conclusion: The Fat type level tool helped motivate men to lose more weight, exercise, and reduce fasting blood sugar and hemoglobin A1C.
Paulina Van, Ph.D., RN, CNE earned her Ph.D. from the University of California, San Francisco. She is a full Professor and program chair at Samuel Merritt University, School of Nursing(USA).In prior years, she held full time faculty or leadership positions in California Schools of Nursing at the University of San Francisco, the University of California, San Francisco, and California State University, East Bay. During the recent years she has served as committee chair for 12 doctoral projects (research or clinical practice innovation) and consultant for international doctoral students. She has earned over $3.75 million dollars in grants, published numerous papers, served on editorial boards, and delivered research presentations in five continents.
The study aimed to assess the psychological problems among the nurses- rescuers who are working at ambulance department in Baghdad city. A descriptive – analytic study that used the technique of assessment was conducted on 200 male nurses-rescuers staff who are working at ambulance department in Baghdad city from October 29th, 2007 to october15th 2008. A questionnaire was constricted to achieve the study objectives, which consisted of two major parts with (71) items. These parts were the demographic characteristics, psychological problems (Acute stress disorder, Phobia, Depression & Post traumatic disorder) of these Nurses-Rescuers. Data was analysis through the use of the suitable statically methods. The finding of the study showed that most of the NR were suffering from the psychological problems (ASD, Phobia, Depression, PTSD), and the results showed that there was significant relationship between psychological problems & age, marital status, educational level, monthly income, occupation area, years of experience & type of violence. While, there was no significant relationship between psychological problems & family size, residency, training sessions. According to the discussion and interpretation of the study findings, the researcher concluded the high prevalence of psychological problems symptoms (Acute stress disorder, phobia, depression and Post Traumatic Stress Disorder) in ambulance workers indicate an inability to cope with stress in daily work. Therefore, it that the Nurses-Rescuers needs vocational counseling to prevent or reduce their psychological problems. Of equal importance, an immediate psychological intervention should be considered to ameliorate the distress related disaster rescue work.
Dr. AL-Dakheely has completed his PhD from the University of Baghdad, College of Nursing, Iraq. His current position is a full-time faculty member at the University of AL-bayyan, College of Nursing. He has published many papers in scientific journals.
This research objective to evaluate a clinical nursing practice guideline (CNPG) applied to patient undergoing Laparoscopic cholecystectomy (LC) in surgical ward. This CNPG is conducted in accordance with the processes of Thailand Center for evidence-based nursing and midwifery model, Joana Briggs Institute branch at Chiengmai University. Applying this CNPG to 30 gall stone patients who selected by purposive sampling during 9 months on the year 2017, at one secondary hospital in Northeast area, Thailand . The assessors were selected by purposive sampling consist of 40 gall stone patients and nurses. The research instruments made up of the nursing care records form,and two questionnairesfor using CNPG and satisfaction evaluation. Beside this, also measure in a length of stay for caring outcomes. The data was analyzed by descriptive statistics such as percentage, mean and standard deviation. The results showed that; the nursespracticefollow the nursing practice guidelines 96%. The overall nurses’ opinions questionnaires and patient satisfaction to utilized CNPG were rate in high. Regarding to a caring outcomes found that the average length of stay lower than before use CNPG. In Concussion, This CNPG for LC has resulted in good patient care outcomes. Therefore, it is appropriate to applied to maintain continuity of patient under LC during hospitalization.
Dr.Atchara Meenasantirak has completed her PhD from Mahasarakham University, Thailand. She is the head of Research Department in Srimahasarakham Nursing College. Her expertise is all about nusing research and education research. She has published more than 10 papers in reputed journals.
This research aimed to examine the effect of the supplementary curriculumbased on contemplative education on nursing students’ competencies to care for the elderly living in their community.This study used a one group, pretest-posttest design.Participants were 178 third-year nursing students enrolled in the 2014 academic year at Srimahasarakham Nursing College, Thailand. The participants participated in the supplementary curriculum. The supplementary curriculum consisted of six elements: principle and rationale, objectives, content, learning activities, instructional media, and measurement and evaluation, with 6 learning units and 45 total hours. The curriculum focused on authentic learning through deep listening, contemplation, and meditation to enhance self-awareness based on contemplative education approach. Thenursing students’ competencies questionnaires, desirable attributes questionnaires, and satisfaction and opinion on the curriculum questionnaires were used for assessment at baseline and after participating in the curriculum.The data were analyzed using frequency, percentage, means, standard deviation, t-test, and content analysis. The result revealed that after participating in the supplementary curriculum, the overall scores of nursing students’ competencies and desirable attributes after implementing the curriculum were higher than at the baseline (p<.05).Nursing students had a high satisfaction level with the supplementary curriculum. The students, teachers, and community members expressed that the curriculum enhanced the competencies of the students Keywords: curriculum;competency; elderly; contemplative education; nursing student
Mrs.Sakaorat Kraichan(MSN,RN) has completed her MNS. (Nursing Administration)from KhonKaen University, Thailand. She is the Head of Departmentof Administration Nursing and Fundamental Nursing in Srimahasarakham Nursing College. She has published more than 10 papers in reputed journals and also has been serving as a peer review member of repute
This study aimed to examine the effect of the tank toy innovation on gross motor skills in Thai children ages 3-5 years with suspected developmental delays. Participants were 28 children ages 3-5 years with suspected developmental delays recruited from a child development center in rural area of Northeast Thailand. The participants received the tank toy innovation intervention during 4 weeks.Data were collected at the beginning of the intervention and at a 4-week follow-up.Grossmotorskills, were assessed using the Thai Developmental Surveillance and Promotion Manual (DSPM) in the domain of gross motor skills. All subjects performed six trials of each grossmotorskill, and the performances were scored. Assessment procedures were performed according to the standardized guidelines of the Thai DSPM. The result revealed that after using the tank toy innovation a 4-week period,gross motor skills of children were improved and 100 % of children met the standard of developmental stimulation.The results indicate that the tank toy innovation could stimulate gross motor skills in children ages 3-5 yearswith suspected developmental delays effectively. Keywords: Tank toy innovation,Developmental stimulation, Suspecteddevelopmental delay, Children ages 3-5 years
Dr. Nisakorn Vibulchai has completed her PhD (Nursing) from Chulalongkorn University, Thailand. She is the deputy director of Research and Academic Services Department in Srimahasarakham Nursing College. Her expertise is all about intervention research and action research. She has published more than 20 papers in reputed journals and also has been serving as a peer review member of repute.
This study was aimed to investigate the association between the ABO blood groups and the risk of mortality in the coronary artery disease (CAD) patients admitted to our ICU after coronary angiography. Methods From Jan. 2014 to Dec. 2018, we retrospectively collected 2269 patients (1760 men and 509 women) who underwent coronary angiography with the diagnosis of CAD in our hospital. Their ABO blood groups were tested during admission using standard agglutination techniques. The primary outcome was the patient’s 30-day in-hospital mortality. Results When compared to the Taiwan population (O, 44.07%; A, 26.00%; B, 23.91%, AB, 6.02%, respectively), patients with CAD showed a significantly different blood group distribution (O, 30.1%; A 39.7%; B, 26.5%; AB, 3.7%). Standardized incidence ratios of the blood groups were O, 0.68; A, 1.41; B, 1.10; AB, 0.61.There were no statistical differences of mortality and hospital length of stay between the blood groups. Conclusions We found that the CAD is higher in the blood group A population in Taiwan. However, the outcomes of the patients were no statistical differences in the mortality and length of hospital stay.
Ya-Hui.Chuang has completed her Master from Kaohsiung Medical Unversity, Kaohsiung, Taiwan and praticing nurse in the Kaohsiung Veteran Hospital, Kaohsiung, Taiwan.