RESUMEN
This descriptive study examined depressive symptoms impacting the performance of self-care behaviors in patients (N = 62) who have experienced a myocardial infarction (MI). Having had a prior MI is inversely associated with decreased self-care behaviors at 30 days. Depressive symptoms of agitation and loss of energy significantly impacted self-care performance 30 days after discharge from the hospital. A variance of 21% (P < .05) in patients who experienced a prior MI and exhibited depressive symptoms of agitation and loss of energy at 30 days suggests patient vulnerability after discharge and a window for therapeutic interventions.
Asunto(s)
Depresión/etiología , Infarto del Miocardio/psicología , Autocuidado/psicología , Adulto , Factores de Edad , Anciano , Anciano de 80 o más Años , Depresión/psicología , Femenino , Conductas Relacionadas con la Salud , Humanos , Masculino , Persona de Mediana Edad , Infarto del Miocardio/complicaciones , Escalas de Valoración PsiquiátricaRESUMEN
Self-care is especially important after a heart attack when daily lifestyle changes are needed. Performance of self-care behaviors after a myocardial infarction assists individuals in minimizing the progression of coronary heart disease. Uncovering patients' reflections after myocardial infarction provides a therapeutic window to target self-care interventions.
Asunto(s)
Actitud Frente a la Salud , Pacientes Internos/psicología , Infarto del Miocardio/psicología , Autocuidado/psicología , Pensamiento , Adulto , Anciano , Anciano de 80 o más Años , Convalecencia/psicología , Femenino , Conductas Relacionadas con la Salud , Salud Holística , Enfermería Holística , Humanos , Estilo de Vida , Estudios Longitudinales , Masculino , Maryland , Persona de Mediana Edad , Infarto del Miocardio/prevención & control , Investigación Metodológica en Enfermería , Investigación Cualitativa , Autocuidado/métodos , Encuestas y CuestionariosRESUMEN
PURPOSE: This article focuses on the ways rehabilitation nurses use the therapeutic relationship to lessen barriers some veterans experience when a referral to mental health treatment is recommended. DESIGN: Veterans presenting with posttraumatic stress symptoms are discussed, and possible interventions within the therapeutic relationship are proposed. METHOD: Veterans' perception of mental health stigma, building a collaborative therapeutic relationship, recommending a referral and assessments of stress responses, posttraumatic stress symptoms, suicide risk, and intervention strategies are proposed. FINDINGS: When changes in functioning and suicidality occur in veterans with posttraumatic stress disorder symptoms, it is important to screen and engage veterans at risk. CONCLUSIONS AND CLINICAL RELEVANCE: When veterans in the rehabilitation process present with a need for mental health referral, barriers to treatment may include the stigma of mental health treatment. Rehabilitation nurses using the therapeutic relationship act as change agents to assist veterans in overcoming these barriers to treatment. The therapeutic relationship provides nurses with a foundation to provide opportunities for veterans to be supported and to seek treatment.
Asunto(s)
Percepción , Derivación y Consulta/normas , Veteranos/psicología , Adulto , Campaña Afgana 2001- , Femenino , Humanos , Guerra de Irak 2003-2011 , Masculino , Servicios de Salud Mental/normas , Enfermería en Rehabilitación/métodos , Enfermería en Rehabilitación/normas , Trastornos por Estrés Postraumático/epidemiología , Trastornos por Estrés Postraumático/terapia , Estados Unidos/epidemiologíaRESUMEN
Access to care, client vulnerabilities, technology, and health costs affect not only the delivery of health care but also the roles, responsibilities, and opportunities for nurses. Patients are often managed in the home or discharged from hospitals before they or their families are ready. To address some of these needs, nurses are utilizing telehealth opportunities. For many nurses, telehealth translates to telephonic nursing. This article provides an algorithm that nurses can utilize in order to safely monitor patients in their homes. This can be a cost-effective program, particularly for those who are homebound or for persons, such as the elderly or those with chronic illness, who have long-term needs that vary between relative health and acute illness. This algorithm serves as a guide in our nursing practice for the telephonic supervision of patients in the home environment.