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1.
J Nurs Adm ; 51(3): 156-161, 2021 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-33570373

RESUMEN

OBJECTIVE: The purpose of this study was to test the effectiveness of a daylong resilience retreat on healthcare professionals' anxiety levels, intention to engage in mindfulness practices, and self-efficacy around mindfulness. BACKGROUND: Caregiver burnout is a concern that needs to be addressed at the organizational level so that professionals can reduce their risk of psychological injury while providing high-quality care. The COVID-19 (novel coronavirus) pandemic has exacerbated symptoms of burnout among nurses nationally. METHODS: Ten sessions of daylong resilience retreats were delivered to independent groups of nurses, nurse practitioners, and other healthcare professionals. Preretreat and postretreat assessments were completed using a 19-item survey developed by the research team to assess state anxiety, intention to engage in mindfulness practices, and self-efficacy around mindfulness. RESULTS: One hundred six healthcare professionals completed the resilience retreats. There was a statistically significant decrease in state anxiety scores following the retreat. The majority of the participants reported high intentions to engage in mindfulness practices and felt confident about incorporating mindfulness in their lives. CONCLUSIONS: Brief resilience retreats endorsed by nurse leadership can reduce perceived anxiety and facilitate engagement in contemplative practices, which are associated with a decrease in the risk of burnout.


Asunto(s)
Ansiedad/prevención & control , Agotamiento Profesional/psicología , /psicología , Atención Plena , Atención de Enfermería/psicología , Personal de Enfermería en Hospital/psicología , Adulto , Agotamiento Profesional/prevención & control , Femenino , Humanos , Liderazgo , Masculino , Persona de Mediana Edad , Enfermeras Administradoras/psicología , Pandemias , Resiliencia Psicológica , Estados Unidos
2.
Medicine (Baltimore) ; 100(4): e23753, 2021 Jan 29.
Artículo en Inglés | MEDLINE | ID: mdl-33530174

RESUMEN

ABSTRACT: To evaluate the utility of low-concentration nitrous oxide (N2O) anesthesia in ptosis surgeryThis study was a retrospective consecutive case series that included 54 successive patients with blepharoptosis who underwent bilateral levator aponeurosis advancement and on whom skin resection performed by the same surgeon between August 2016 and July 2017. Among these patients, 27 were operated with a local anesthesia injection (air group) and 27 with a local anesthesia injection and low-concentration N2O anesthesia (N2O group). All N2O cases used a total of 6 L of gas comprising 70% oxygen and 30% N2O. Preoperative and postoperative blood pressure (BP) and heart rate (HR) and intraoperative pain, anxiety, nausea, and memory were measured immediately after surgery using visual analog scale score (VASS). Additionally, perioperative side effects were examined.There was no significant difference in age, sex, and preoperative and postoperative margin reflex distance (MRD) between the 2 groups (all P > .05). The intraoperative mean peripheral oxygen saturation was significantly higher (97.5% ±â€Š1.6% vs 99.5% ±â€Š.6%, P < .001), intraoperative HR was significantly lower (78.2 ±â€Š12.8 vs 70.7 ±â€Š11.6 bpm, P = .02), and operation time was significantly shorter (33.1 ±â€Š8.1 vs 29.4 ±â€Š10.3 minutes, P = .03) in the N2O group than in the air group.Difference between intraoperative and preoperative systolic BP (BPs) (+15.8 ±â€Š18.0 vs + 3.1 ±â€Š21.7 mm Hg, P = .02), diastolic BP (BPd) (+7.0 ±â€Š17.4 vs -2.3 ±â€Š13.6 mm Hg, P = .04), and HR (3.2 ±â€Š8.5 vs -3.9 ±â€Š9.4 bpm, P = .01) was significantly lower in the N2O group than in the air group.VASS of intraoperative pain was significantly lower in the N2O group than in the air group (49.5 ±â€Š24.7 vs 22.6 ±â€Š14.9, P < .001), whereas intraoperative anxiety and memory did not present significant differences between the groups (P = .09 and P = .45, respectively). Intraoperative nausea score was 0 for all cases in both groups. There was no other side effect.Ptosis surgery with anesthesia using 30% N2O may effectively suppress intraoperative BP and HR along with pain and shorten the operation time without side effects such as nausea.


Asunto(s)
Anestésicos por Inhalación/administración & dosificación , Anestésicos por Inhalación/efectos adversos , Blefaroplastia/métodos , Blefaroptosis/cirugía , Óxido Nitroso/administración & dosificación , Óxido Nitroso/efectos adversos , Anciano , Anciano de 80 o más Años , Anestésicos Locales/administración & dosificación , Ansiedad/prevención & control , Presión Sanguínea/efectos de los fármacos , Femenino , Frecuencia Cardíaca/efectos de los fármacos , Humanos , Periodo Intraoperatorio , Masculino , Memoria/efectos de los fármacos , Persona de Mediana Edad , Náusea/inducido químicamente , Tempo Operativo , Manejo del Dolor , Estudios Retrospectivos , Signos Vitales
3.
J Drugs Dermatol ; 20(1): 112-113, 2021 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-33400409

RESUMEN

The coronavirus disease 2019 pandemic has quickly and abruptly altered workflow and education across medical specialties. As the health crisis persists in the United States, change will be the norm for the foreseeable future. Dermatology residents report high levels of anxiety, with concerns ranging from redeployment to career prospects.1.


Asunto(s)
Ansiedad/prevención & control , Competencia Clínica , Dermatología/educación , Dermatología/métodos , Educación a Distancia/métodos , Internado y Residencia/métodos , Ansiedad/psicología , Competencia Clínica/normas , Dermatología/normas , Humanos , Internado y Residencia/normas
4.
Eur Rev Med Pharmacol Sci ; 25(1): 498-502, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-33506941

RESUMEN

OBJECTIVE: The study aimed to explore the effects of psychological intervention on alleviating anxiety in patients in novel coronavirus (2019-nCoV) isolation wards. PATIENTS AND METHODS: Between January 24th, 2020 and March 5th, 2020, 103 patients were studied. Among these, 32 were patients in the isolation ward of the Infectious Disease Department in Baoding Second Hospital with suspected 2019-nCoV, and 71 patients diagnosed with 2019-nCoV were in the Tangshan Infectious Disease Hospital. Of the 103 patients included, 97 cases were observed in isolation. Using a self-control study design, each patient's anxiety was scored on a self-rating anxiety scale before receiving the psychological intervention (on the 7th day of isolation) and after receiving the intervention (on the 14th day of isolation). The severity of anxiety was evaluated based on the anxiety score before receiving the intervention. The anxiety scores before and after receiving the intervention were then compared using the paired t-test, and p<0.05 was considered statistically significant. RESULTS: After receiving the psychological intervention once or twice a week, the anxiety of the patients improved significantly after one week. CONCLUSIONS: The anxiety of patients with 2019-nCoV in isolation wards can be alleviated through psychological intervention. By alleviating patient anxiety, this intervention also helps patients maintain their psychological wellbeing, which promotes rehabilitation and helps with the control of 2019-nCoV.


Asunto(s)
Ansiedad/prevención & control , Hospitales de Aislamiento , Calidad de Vida/psicología , Adaptación Psicológica , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Ansiedad/psicología , China , Autoevaluación Diagnóstica , Femenino , Humanos , Masculino , Persona de Mediana Edad , Escalas de Valoración Psiquiátrica , Encuestas y Cuestionarios , Adulto Joven
5.
PLoS One ; 16(1): e0244873, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33400700

RESUMEN

BACKGROUND: Multiple studies have highlighted the negative impact of COVID-19 and its particular effects on vulnerable sub-populations. Complementing this work, here, we report on the social patterning of self-reported positive changes experienced during COVID-19 national lockdown in Scotland. METHODS: The CATALYST study collected data from 3342 adults in Scotland during weeks 9-12 of a national lockdown. Using a cross-sectional design, participants completed an online questionnaire providing data on key sociodemographic and health variables, and completed a measure of positive change. The positive change measure spanned diverse domains (e.g., more quality time with family, developing new hobbies, more physical activity, and better quality of sleep). We used univariate analysis and stepwise regression to examine the contribution of a range of sociodemographic factors (e.g., age, gender, ethnicity, educational attainment, and employment status) in explaining positive change. RESULTS: There were clear sociodemographic differences across positive change scores. Those reporting higher levels of positive change were female, from younger age groups, married or living with their partner, employed, and in better health. CONCLUSION: Overall our results highlight the social patterning of positive changes during lockdown in Scotland. These findings begin to illuminate the complexity of the unanticipated effects of national lockdown and will be used to support future intervention development work sharing lessons learned from lockdown to increase positive health change amongst those who may benefit.


Asunto(s)
/psicología , Cuarentena/psicología , Aislamiento Social/psicología , Adulto , Ansiedad/epidemiología , Ansiedad/prevención & control , /prevención & control , Control de Enfermedades Transmisibles/métodos , Estudios Transversales , Ejercicio Físico/psicología , Familia/psicología , Femenino , Humanos , Masculino , Escocia/epidemiología , Sueño/fisiología , Higiene del Sueño , Estrés Psicológico/prevención & control , Estrés Psicológico/psicología , Encuestas y Cuestionarios
6.
BMC Pregnancy Childbirth ; 21(1): 80, 2021 Jan 25.
Artículo en Inglés | MEDLINE | ID: mdl-33494723

RESUMEN

BACKGROUND: Prenatal anxiety has been a significant public health issue globally, leading to adverse health outcomes for mothers and children. The study aimed to evaluate the sociodemographic characteristics, knowledge, attitudes, and practices (KAP), and anxiety level of pregnant women during the coronavirus disease 2019 (COVID-19) epidemic in Wuhan and investigate the influencing factors for prenatal anxiety in this specific context. METHODS: Pregnant subjects' KAP towards COVID-19 and their sociodemographics and pregnancy information were collected using questionnaires. The Zung Self-Rating Anxiety Scale (SAS) was used to assess anxiety status. Factors associated with the level of prenatal anxiety were analyzed by Pearson's chi-square test and multivariable logistic regression analyses. RESULTS: The prenatal anxiety prevalence in this population was 20.8%. The mean score of knowledge was 13.2 ± 1.1 on a 0 ~ 14 scale. The attitudes and practices data showed that 580/ 817 (71.0%) were very concerned about the news of COVID-19, 455/817 (55.7%) considered the official media to be the most reliable information source for COVID-19, and 681/817 (83.4%) were anxious about the possibility of being infected by COVID-19. However, only 83/817 (10.2%) worried about contracting COVID-19 infection through the ultrasound transducer during a routing morphology scan. About two-thirds 528/817 (64.6%) delayed or canceled the antenatal visits. Approximately half of them 410/817 (50.2%) used two kinds of personal protection equipments (PPEs) during hospital visits. Logistic regression analysis revealed that the influential factors for prenatal anxiety included previous children in the family, knowledge score, media trust, worry of contracting the COVID-19 infection and worry about getting infected with COVID-19 from the ultrasound probe antenatal care (ANC) schedule. CONCLUSION: Prenatal anxiety was prevalent among pregnant women in Wuhan during the outbreak of COVID-19. The current findings identified factors associated with the level of prenatal anxiety that could be targeted for psychological care.


Asunto(s)
Ansiedad/psicología , Conocimientos, Actitudes y Práctica en Salud , Complicaciones Infecciosas del Embarazo/psicología , Adulto , Ansiedad/epidemiología , Ansiedad/prevención & control , /prevención & control , China/epidemiología , Estudios Transversales , Parto Obstétrico/psicología , Femenino , Humanos , Embarazo , Complicaciones Infecciosas del Embarazo/epidemiología , Complicaciones Infecciosas del Embarazo/prevención & control , Atención Prenatal/psicología
7.
Midwifery ; 92: 102877, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-33157497

RESUMEN

AIM: This study aims to examine pregnancy and birth planning during COVID-19 and the effects of a tele-education offered to pregnant women for this planning process on prenatal distress and pregnancy-related anxiety. METHOD: The population of this quasi-experimental study was composed of pregnant women who applied for the antenatal education class of a public hospital in the east of Turkey during their past prenatal follow-ups and wrote their contact details in the registration book to participate in group trainings. The sample of the study consisted of a total of 96 pregnant women, including 48 in the experiment and 48 in the control groups, who were selected using power analysis and non-probability random sampling method. The data were collected between April 22 and May 13, 2020 using a "Personal Information Form", the "Revised Prenatal Distress Questionnaire (NuPDQ)" and the "Pregnancy Related Anxiety Questionnaire-Revised 2 (PRAQ-R2)". An individual tele-education (interactive education and consultancy provided by phone calls, text message and digital education booklet) was provided to the pregnant women in the experiment group for one week. No intervention was administered to those in the control group. The data were statistically analyzed using descriptive statistics (frequency, percentage, mean, standard deviation, min-max values) and t-test in dependent and independent groups. RESULTS: The posttest NuPDQ total mean scores of pregnant women in the experiment and control groups were 8.75±5.10 and 11.50±4.91, respectively, whereby the difference between the groups was statistically significant (t=-2.689, p=0.008). Additionally, the difference between their mean scores on both PRAQ-R2 and its subscales of "fear of giving birth" and "worries of bearing a physically or mentally handicapped child" was statistically significant (p<0.05), where those in the experiment group had lower anxiety, fear of giving birth and worries of bearing a physically or mentally handicapped child. CONCLUSION: The tele-education offered to the pregnant women for pregnancy and birth planning during COVID-19 decreased their prenatal distress and pregnancy-related anxiety.


Asunto(s)
Ansiedad/psicología , Parto/psicología , Complicaciones del Embarazo/psicología , Mujeres Embarazadas/psicología , Telemedicina/métodos , Adulto , Ansiedad/prevención & control , Estudios de Casos y Controles , Femenino , Humanos , Embarazo , Complicaciones del Embarazo/prevención & control , Encuestas y Cuestionarios , Turquia
8.
Anaesthesia ; 76(1): 82-90, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-32761611

RESUMEN

Prehabilitation aims to increase the endurance capacity of patients who are awaiting major surgery. However, there are no studies investigating the implementation of this demanding and expensive intervention in low-income countries. This study aimed to assess the impact of a 4-week trimodal prehabilitation program on the physical and psychological health of patients waiting for colorectal surgery compared with a control group managed according to enhanced recovery after surgery principles supplemented by nutritional care. This study was a single-centre, randomised controlled trial. The primary outcome measures for the physical aspects were 6-minute walking distance (6MWD) and incentive spirometry, whereas the psychological elements were measured using the 36-item short form survey questionnaire and the hospital anxiety and depression score. In total, data from 149 patients were analysed (77 in the prehabilitation group and 72 in the control group). At the time of surgery, patients in the prehabilitation group had improved 6MWD and incentive spirometry compared with the control group (median (IQR [range]) percentage improvement 131% (112-173 [68-376]) vs. 107% (99-120 [63-163]); p < 0.001 and 113% (100-125 [75-200]) vs. 100% (100-112 [86-167]); p < 0.001 respectively). Patients in the prehabilitation group also had reduced anxiety scores compared with the control group (mean (SD) anxiety score (4 (3) vs. 5 (3) respectively; p = 0.032). However, these effects did not translate into improvements in postoperative mortality and morbidity, or a reduction in duration of hospital stay. Trimodal (physical, emotional and nutritional) prehabilitation is able to improve functional status as well as some parameters of emotional and physical well-being of patients waiting for colorectal surgery.


Asunto(s)
Cirugía Colorrectal/psicología , Estado de Salud , Salud Mental , Cuidados Preoperatorios/métodos , Anciano , Anciano de 80 o más Años , Ansiedad/prevención & control , Ansiedad/psicología , Depresión/prevención & control , Depresión/psicología , Femenino , Humanos , Tiempo de Internación , Masculino , Persona de Mediana Edad , Estado Nutricional , Complicaciones Posoperatorias/epidemiología , Complicaciones Posoperatorias/mortalidad , Cuidados Preoperatorios/psicología , Espirometría , Encuestas y Cuestionarios , Resultado del Tratamiento
10.
Med Sci Monit ; 26: e930340, 2020 Dec 16.
Artículo en Inglés | MEDLINE | ID: mdl-33323916

RESUMEN

Alterations in complex behavioral patterns during the extended period of the COVID-19 pandemic are predicted to promote a variety of psychiatric disease symptoms due to enforced social isolation and self-quarantine. Accordingly, multifaceted mental health problems will continue to increase, thereby creating a challenge for society and the health care system in general. Recent studies show that COVID-19 can directly or indirectly influence the central nervous system, potentially causing neurological pathologies such as Alzheimer disease and Parkinson disease. Thus, chronic COVID-19-related disease processes have the potential to cause serious mental illnesses, including depression, anxiety, and sleep disorders. Importantly, mental health problems can foster systemic changes in functionally-linked neuroendocrine conditions that heighten a person's susceptibility to COVID-19 infection. These altered defense mechanisms may include compromised "self-control" and "self-care", as well as a "lack of insight" into the danger posed by the virus. These consequences may have serious social impacts on the future of COVID-19 survivors. Compounding the functionally related issues of altered mental health parameters and viral susceptibility are the potential effects of compromised immunity on the establishment of functional herd immunity. Within this context, mental health takes on added importance, particularly in terms of the need to increase support for mental health research and community-based initiatives. Thus, COVID-19 infections continue to reveal mental health targets, a process we must now be prepared to deal with.


Asunto(s)
/complicaciones , Salud Mental , Sobrevivientes/psicología , Enfermedad de Alzheimer/epidemiología , Enfermedad de Alzheimer/prevención & control , Enfermedad de Alzheimer/virología , Ansiedad/epidemiología , Ansiedad/prevención & control , Ansiedad/psicología , /psicología , Depresión/epidemiología , Depresión/prevención & control , Depresión/psicología , Susceptibilidad a Enfermedades/psicología , Humanos , Pandemias , Enfermedad de Parkinson/epidemiología , Enfermedad de Parkinson/prevención & control , Enfermedad de Parkinson/virología , Autocuidado/psicología , Autocontrol/psicología , Aislamiento Social/psicología
11.
Artículo en Inglés | MEDLINE | ID: mdl-33339317

RESUMEN

The increasing prevalence of mental health disorders and psychosocial distress among young people exceeds the capacity of mental health services. Social and systemic factors determine mental health as much as individual factors. To determine how best to address multi-level risk factors, we must first understand the distribution of risk. Previously, we have used psychometric methods applied to two epidemiologically-principled samples of people aged 14-24 to establish a robust, latent common mental distress (CMD) factor of depression and anxiety normally distributed across the population. This was linearly associated with suicidal thoughts and non-suicidal self-harm such that effective interventions to reduce CMD across the whole population could have a greater total benefit than those that focus on the minority with the most severe scores. In a randomised trial of mindfulness interventions in university students (the Mindful Student Study), we demonstrated a population-shift effect whereby the intervention group appeared resilient to a universal stressor. Given these findings, and in light of the COVID-19 pandemic, we argue that population-based interventions to reduce CMD are urgently required. To target all types of mental health determinants, these interventions must be multi-level. Careful design and evaluation, interdisciplinary work, and extensive local stakeholder involvement are crucial for these interventions to be effective.


Asunto(s)
Trastornos Mentales/prevención & control , Prevención Primaria , Adolescente , Adulto , Ansiedad/epidemiología , Ansiedad/prevención & control , Depresión/epidemiología , Depresión/prevención & control , Humanos , Trastornos Mentales/epidemiología , Pandemias , Conducta Autodestructiva/prevención & control , Ideación Suicida , Adulto Joven
12.
Nursing (Säo Paulo) ; 23(271): 4961-4970, dez.2020.
Artículo en Portugués | LILACS, BDENF - Enfermería | ID: biblio-1146993

RESUMEN

Objetivo: Identificar os riscos para depressão e ansiedade em gestantes de uma unidade de saúde da Atenção Primária. Métodos: Estudo descritivo exploratório de abordagem quantitativa realizado entre fevereiro a abril de 2020 em uma unidade de Saúde de Olinda-PE (Brasil); foi utilizado o instrumento validado "Cartão de Babel". A análise dos dados foi realizada pelo Statistical Package for Social Sciencies por meio do teste Qui-quadrado com correção de Yates (significância de 5% - p≤0,05). Resultados: 71 gestantes foram analisadas, dentre os quais 32,3% referiram já ter sofrido violência psicológica. Por meio do Cartão de Babel verificou-se que 49,3% das gestantes tinham alto risco para o desenvolvimento de transtorno de ansiedade (p-valor: 0,004) e 29,5% apresentou risco moderado para depressão (p-valor: 0,004). Conclusão: Iniciativas preventivas à ocorrência da depressão e ansiedade na gestação, como o monitoramento da saúde mental e o seu rastreio durante a consulta de pré-natal são necessários.(AU)


Objective: To identify the risks for depression and anxiety in pregnant women in a Primary Health Care unit. Methods: Descriptive exploratory study with a quantitative approach carried out between February and April 2020 at a Health Unit in Olinda-PE (Brazil); the validated instrument "Babel Card" was used. Data analysis was performed using the Statistical Package for Social Sciencies using the Chi-square test with Yates correction (significance of 5% - p≤0.05). Results: 71 pregnant women were analyzed, among which 32.3% reported having suffered psychological violence. Through the Babel Card, it was found that 49.3% of pregnant women were at high risk for the development of anxiety disorder (p-value: 0.004) and 29.5% had a moderate risk for depression (p-value: 0.004). Conclusion: Preventive initiatives for the occurrence of depression and anxiety during pregnancy, such as monitoring mental health and tracking it during the prenatal consultation are necessary.(AU)


Objetivo: Identificar los riesgos de depresión y ansiedad en gestantes en una unidad de Atención Primaria de Salud. Métodos: Estudio descriptivo exploratorio con abordaje cuantitativo realizado entre febrero y abril de 2020 en una Unidad de Salud de Olinda-PE (Brasil); Se utilizó el instrumento validado "Babel Card". El análisis de los datos se realizó mediante el paquete estadístico para ciencias sociales mediante la prueba de Chi-cuadrado con corrección de Yates (significancia del 5% - p≤0.05). Resultados: Se analizaron 71 mujeres embarazadas, de las cuales el 32,3% refirió haber sufrido violencia psicológica. A través de la Tarjeta Babel, se encontró que el 49,3% de las mujeres embarazadas tenían alto riesgo de desarrollar trastorno de ansiedad (valor p: 0,004) y el 29,5% tenían un riesgo moderado de depresión (valor p: 0,004). Conclusión: Son necesarias iniciativas preventivas para la aparición de depresión y ansiedad durante el embarazo, como el seguimiento de la salud mental y su seguimiento durante la consulta prenatal.(AU)


Asunto(s)
Humanos , Femenino , Embarazo , Atención Prenatal , Atención Primaria de Salud , Enfermería Maternoinfantil , Depresión/complicaciones , Salud Materna , Ansiedad/prevención & control , Salud Mental , Factores de Riesgo
13.
Eur Rev Med Pharmacol Sci ; 24(21): 11381-11385, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-33215459

RESUMEN

OBJECTIVE: This study aims to discuss the effects of simulation training on improving the pre-examination, triage, prevention, and control of coronavirus disease 2019 (COVID-19), explain the psychological states of pre-examination and triage staff in general hospitals during the COVID-19 epidemic, and analyze relevant influencing factors. This study may serve as a reference of psychological consultation services to medical staff. SUBJECTS AND METHODS: This study included 60 nurses assigned in the pre-examination department, fever clinics, and isolation wards of a general hospital from January 26th to February 1st, 2020. Before assuming the posts, the nurses received simulation training on the clinical reception of suspected patients with COVID-19. Operation skills of the nurses before and after the training were assessed. RESULTS: The percent of passing significantly increased from 65% before the training to 98.33% after training (p<0.05). Training also significantly relieved the anxiety and depression of the nurses (p<0.05). CONCLUSIONS: Scenario-simulation training can increase the emergency abilities of pediatric nurses in the prevention and control of the COVID-19 epidemic and relieve the anxiety of nurses.


Asunto(s)
Infecciones por Coronavirus/prevención & control , Control de Infecciones/organización & administración , Enfermeras Pediátricas/psicología , Estrés Laboral/prevención & control , Pandemias/prevención & control , Neumonía Viral/prevención & control , Entrenamiento Simulado/organización & administración , Adulto , Ansiedad/prevención & control , Ansiedad/psicología , Betacoronavirus/patogenicidad , Competencia Clínica , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/psicología , Depresión/prevención & control , Depresión/psicología , Servicio de Urgencia en Hospital/organización & administración , Femenino , Hospitales Pediátricos/organización & administración , Humanos , Control de Infecciones/instrumentación , Transmisión de Enfermedad Infecciosa de Paciente a Profesional/prevención & control , Enfermeras Pediátricas/organización & administración , Exposición Profesional/efectos adversos , Estrés Laboral/psicología , Equipo de Protección Personal , Neumonía Viral/diagnóstico , Neumonía Viral/epidemiología , Neumonía Viral/psicología , Carga de Trabajo/psicología , Adulto Joven
14.
Mayo Clin Proc ; 95(11): 2487-2498, 2020 11.
Artículo en Inglés | MEDLINE | ID: mdl-33153636

RESUMEN

In light of the coronavirus disease 2019 pandemic, we explore the role of stress, fear, and the impact of positive and negative emotions on health and disease. We then introduce strategies to help mitigate stress within the health care team, and provide a rationale for their efficacy. Additionally, we identify strategies to optimize patient care and explain their heightened importance in today's environment.


Asunto(s)
Infecciones por Coronavirus/psicología , Miedo/psicología , Personal de Salud/psicología , Neumonía Viral/psicología , Relaciones Profesional-Paciente , Estrés Psicológico/etiología , Adaptación Psicológica , Ansiedad/etiología , Ansiedad/fisiopatología , Ansiedad/prevención & control , Enfermedad Crítica , Miedo/fisiología , Salud Global , Humanos , Relaciones Interpersonales , Salud Mental , Salud Laboral , Pandemias , Resiliencia Psicológica , Estrés Psicológico/fisiopatología , Estrés Psicológico/prevención & control
15.
Trials ; 21(1): 929, 2020 Nov 17.
Artículo en Inglés | MEDLINE | ID: mdl-33203440

RESUMEN

OBJECTIVES: Primary Objective: To determine the feasibility of delivering a protocolised, remote, online, Eye Movement Desensitisation and Reprocessing (EMDR) intervention, within 12-weeks of hospital discharge, for adult survivors of Covid-19 related critical illness. Secondary objectives: To investigate whether remotely delivered EMDR can improve psychological outcome following Covid-19 related critical illness, specifically Post-Traumatic Stress Disorder (PTSD), anxiety and depression. TRIAL DESIGN: This is a single centre, randomised controlled cohort feasibility trial. PARTICIPANTS: Participants will be recruited following discharge from the Intensive Care Unit at University Hospital Southampton, United Kingdom. Eligible patients will have received mechanical ventilation for a minimum of 24 hours, tested Covid-19 positive by polymerase chain reaction, will be over the age of 18 years and have the capacity to provide informed consent. Patients will be excluded if they have pre-existing cognitive impairment, pre-existing psychotic diagnosis or are not expected to survive post-hospital discharge. INTERVENTION AND COMPARATOR: Group one: patients in the control arm will receive their standard package of prescribed care, following discharge home from hospital. If they experience any adverse physical or psychological health-conditions, they will access care through the usual available channels. Group two: patients randomly allocated to the intervention arm will receive their standard package of prescribed care, following discharge home from hospital. In addition, they will be referred to the Intensive Psychological Therapies Service in Poole, United Kingdom. They will receive an online appointment within 12-weeks of discharge home from hospital. They will receive a maximum of eight, weekly sessions of EMDR, delivered by a trained psychological therapist, following the Recent Traumatic Episode Protocol (R-TEP). Appendices 1 and 2 of the attached trial protocol contain a detailed description of the R-TEP intervention, written in accordance with the Template for Intervention Description and Replication (TIDieR) checklist and guide. MAIN OUTCOMES: The primary outcome from this trial will be feasibility. Feasibility will be determined by recruitment rates, expressed as a percentage of eligible patients approached, completion of the EMDR intervention, completion of final assessment at 6-months, incidence of attributable adverse events and protocol adherence by the psychological therapists. Secondary, exploratory outcomes will be assessed by comparison between the control and intervention groups at 6-months post-hospital discharge. Psychometric evaluation will consist of the PTSD Checklist-Civilian Version and Hospital Anxiety and Depression Scale. In addition, we will assess health-related quality of life using the EQ5D-5L, physical activity using wrist worn activity monitors and nutritional state using the Council of Nutrition Appetite Questionnaire. RANDOMISATION: Consenting participants will be randomly allocated to intervention or usual care using an internet-based system (ALEATM). Participants will be randomly assigned, on a 1:1 ratio, to receive either standard care (control) or the standard care plus online EMDR R-TEP (Intervention) BLINDING (MASKING): Due to the nature of the intervention, participants cannot be blinded to group allocation. 6-month patient reported outcome measures will be completed using an online, electronic case report form. Group allocation will be masked during data analysis. NUMBERS TO BE RANDOMISED (SAMPLE SIZE): This is a feasibility study, the results of which will be used to power a definitive study if appropriate. We anticipate a 25% mortality /loss to follow-up. A total of 26 patients will be recruited to this study, 13 patients in each arm. TRIAL STATUS: CovEMERALD opened to recruitment on 23rd September 2020 with an anticipated recruitment period of 6-months. We are using protocol version number 1.2 (1st June 2020) TRIAL REGISTRATION: CovEMERALD was registered on clinicaltrials.gov NCT04455360 on 2nd July 2020 FULL PROTOCOL: The full protocol is attached as an additional file, accessible from the Trials website (Additional file 1). In the interest in expediting dissemination of this material, the familiar formatting has been eliminated; this letter serves as a summary of the key elements of the full protocol. The study protocol has been reported in accordance with the Standard Protocol Items: Recommendations for Clinical Interventional Trials (SPIRIT) guidelines (Additional file 2).


Asunto(s)
Ansiedad , Infecciones por Coronavirus , Depresión , Desensibilización y Reprocesamiento del Movimiento Ocular/métodos , Pandemias , Neumonía Viral , Calidad de Vida , Trastornos por Estrés Postraumático , Adulto , Ansiedad/etiología , Ansiedad/prevención & control , Betacoronavirus , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/psicología , Infecciones por Coronavirus/terapia , Enfermedad Crítica/psicología , Enfermedad Crítica/rehabilitación , Depresión/etiología , Depresión/prevención & control , Estudios de Factibilidad , Femenino , Servicios de Atención a Domicilio Provisto por Hospital , Humanos , Intervención basada en la Internet , Masculino , Neumonía Viral/diagnóstico , Neumonía Viral/psicología , Neumonía Viral/terapia , Técnicas Psicológicas , Ensayos Clínicos Controlados Aleatorios como Asunto , Trastornos por Estrés Postraumático/etiología , Trastornos por Estrés Postraumático/prevención & control
16.
Cancer Cytopathol ; 128(10): 679-680, 2020 10.
Artículo en Inglés | MEDLINE | ID: mdl-33006815
17.
Medicine (Baltimore) ; 99(41): e22382, 2020 Oct 09.
Artículo en Inglés | MEDLINE | ID: mdl-33031273

RESUMEN

BACKGROUND: Mammography is considered a fundamental part of diagnosis in modern health care services. It provides low dose images of normal structures and pathological soft tissues in the breast. Many reports suggested that intervention is playing a positive role in anxiety related to mammography, but there is no high-quality evidence to prove its effects. This paper reports the protocol of a systematic review (SR) and meta-analysis (MA) to clarify effectiveness of intervention during screening mammography. METHODS: A systematic literature search will be performed in the Cochrane Library, PubMed, Embase and Web of Science from inception to July 2020. Randomized controlled trials (RCTs) will be included to evaluate any interventions in the treatment of anxiety related to mammography screening. The main outcome measure is the impact on patient anxiety, and the impact on patient breast cancer worry, the impact on patient satisfaction are the additional outcome measure. Risk of bias assessment of the included RCTs will be carried out using Cochrane Collaboration's tool for RCTs. The Review Manager 5.4 for Windows will be used to perform the MA and generate the result figures. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) will be used to evaluate the quality of evidence. Subgroup analysis and sensitivity analysis will be conducted to assess the robustness of the results. RESULTS: A total of 782 English studies of anxiety related to mammography screening were obtained through search. After preliminary screening, 773 non-conforming studies were excluded. Finally, nine English studies of anxiety related to mammography screening will be included for full-text assessment. We will submit the results of this SR and MA to a peer-reviewed journal for publication. CONCLUSIONS: This study will provide reliable evidence for intervention for reducing anxiety in women receiving screening mammography. INPLASY REGISTRATION NUMBER: INPLASY202070131.


Asunto(s)
Ansiedad/prevención & control , Neoplasias de la Mama/diagnóstico por imagen , Neoplasias de la Mama/psicología , Proyectos de Investigación , Detección Precoz del Cáncer , Femenino , Humanos , Mamografía , Tamizaje Masivo , Metaanálisis como Asunto , Revisiones Sistemáticas como Asunto
18.
Artículo en Inglés | MEDLINE | ID: mdl-33031994

RESUMEN

As the infected cases of COVID-19 reach more than 20 million with more than 778,000 deaths globally, an increase in psychiatric disorders including anxiety and depression has been reported. Scientists globally have been searching for novel therapies and vaccines to fight against COVID-19. Improving innate immunity has been suggested to block progression of COVID-19 at early stages, while omega-3 polyunsaturated fatty acids (n-3 PUFAs) have been shown to have immunomodulation effects. Moreover, n-3 PUFAs have also been shown to improve mood disorders, thus, future research is warranted to test if n-3 PUFAs may have the potential to improve our immunity to counteract both physical and mental impact of COVID-19.


Asunto(s)
Ansiedad/prevención & control , Infecciones por Coronavirus/prevención & control , Depresión/prevención & control , Suplementos Dietéticos , Ácidos Grasos Omega-3/administración & dosificación , Factores Inmunológicos/administración & dosificación , Pandemias/prevención & control , Neumonía Viral/prevención & control , Ansiedad/inmunología , Ansiedad/metabolismo , Ansiedad/virología , Betacoronavirus/inmunología , Betacoronavirus/patogenicidad , Infecciones por Coronavirus/inmunología , Infecciones por Coronavirus/metabolismo , Infecciones por Coronavirus/virología , Citocinas/biosíntesis , Citocinas/inmunología , Células Dendríticas/efectos de los fármacos , Células Dendríticas/inmunología , Células Dendríticas/virología , Depresión/inmunología , Depresión/metabolismo , Depresión/virología , Células Epiteliales/efectos de los fármacos , Células Epiteliales/inmunología , Células Epiteliales/virología , Ácidos Grasos Omega-3/inmunología , Ácidos Grasos Omega-3/metabolismo , Interacciones Huésped-Patógeno/efectos de los fármacos , Interacciones Huésped-Patógeno/inmunología , Humanos , Inmunidad Innata/efectos de los fármacos , Factores Inmunológicos/inmunología , Factores Inmunológicos/metabolismo , Linfocitos/efectos de los fármacos , Linfocitos/inmunología , Linfocitos/virología , Macrófagos/efectos de los fármacos , Macrófagos/inmunología , Macrófagos/virología , Neumonía Viral/inmunología , Neumonía Viral/metabolismo , Neumonía Viral/virología
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