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1.
Cancer Nurs ; 2021 Feb 27.
Artigo em Inglês | MEDLINE | ID: mdl-33654010

RESUMO

BACKGROUND: Androgen deprivation therapy is the primary treatment for advanced cases of prostate cancer, but its adverse effects may decrease prostate cancer survivors' quality of life. OBJECTIVE: The aim of this study was to understand the self-care experiences of prostate cancer survivors before and while receiving androgen deprivation therapy. METHODS: A qualitative study design with inductive content analysis was used. Semistructured interviews were conducted with 13 prostate cancer survivors in Taiwan treated with androgen deprivation therapy. Data collection and analysis proceeded simultaneously until data saturation was reached. RESULTS: The survivors' self-care experiences were categorized into generic categories: physical impacts, psychosocial impacts, lack of supporting information, changing lifestyle habits, coping with physical symptoms, relieving stress, and acquiring disease-related knowledge. These generic categories were then organized into 2 main categories: impacts and adjustments. CONCLUSIONS: This article describes the experiences of prostate cancer survivors in terms of the impacts of disease and its treatment and adjustments in self-care before and while receiving treatment. It was found that the information acquired by survivors and the adjustment strategies they used were not entirely appropriate or adequate. IMPLICATIONS FOR PRACTICE: Healthcare providers should continually assess the self-care experiences of prostate cancer survivors receiving androgen deprivation therapy, provide them with appropriate information, and clarify their understanding. This will improve survivors' disease care-related knowledge, increase the success of their experience of self-care, alleviate their emotional distress, and strengthen their ability to adjust their self-care to cope with the impacts of the disease and its treatment.

2.
Artigo em Inglês | MEDLINE | ID: mdl-33161489

RESUMO

The purpose of the study is to explore changes in resilience and physical and psychological distress and their related factors over time in women with endometrial cancer. This study adopted a repeated measures design using purposive sampling and was conducted in a hospital in Taiwan. Data were collected before surgery, 2 weeks after surgery, and 3 months after surgery. The measured variables consisted of demographic and disease characteristics, social support, resilience, and physical and psychological distress. A total of 48 women participated in the study, of whom 42 (mean age = 54.2 years old) completed all of the questionnaires. The results showed that resilience and physical distress in women with endometrial cancer was not statistically significantly changed over time. Rather, their psychological distress was significantly alleviated 2 weeks and 3 months after surgery as compared to before surgery. Women with less social support showed a lower level of resilience. In addition, those with a lower level of resilience experienced greater psychological distress. Compared with those who received only surgical treatment, women who had undergone surgery combined with chemotherapy and radiotherapy had more physical distress. Clinical medical staff should conduct continuing assessments of the resilience, physical distress, and psychological distress of women with endometrial cancer. Interventions related to resilience-enhancing and self-care should be implemented to avoid worsening or to improve women's resilience and distress.

3.
J Adv Nurs ; 76(10): 2572-2585, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32744426

RESUMO

AIMS: To understand the effectiveness of a couple-based psychosocial information package (PIP) and multimedia psychosocial intervention (MPI) on patients with prostate cancer and their partners. DESIGN: A random assignment and quasi-experimental design were used. METHODS: From August 2015-March 2018, 103 newly diagnosed patients with prostate cancer and their partners were divided into a control group (CG) (N = 50), PIP group (N = 25) and MPI group (N = 28). The CG received usual care, the PIP group received information manuals and telephone counselling for 6-week and the MPI group received multimedia films and manuals and professional support for 6 weeks. The three groups were posttested 6, 10, 18 and 24 weeks after the pre-test. The outcome measurements included disease appraisals, emotion status, relationship satisfaction, health-related quality of life (HRQOL) and satisfaction with MPI. RESULTS/FINDINGS: Partners in the MPI and PIP groups experienced significant improvements in positive and negative affect or mental HRQOL as compared with the CG. The effectiveness of MPI and PIP on negative affect, mental HRQOL, however, were not statistically significant in patients with prostate cancer. Nevertheless, patients were satisfied with the MPI. CONCLUSION: Nurses can provide different types of interventions for partners, depending on personal preferences and available resources. IMPACT: There is a lack of studies that focus on the effectiveness of couple-based psychosocial intervention on both the patients with prostate cancer and their partners in Asia. Partners in the multimedia psychosocial intervention group and psychosocial information package group experienced improvements in positive affect, negative affect or health-related quality of life as compared with the control group. Patients in both intervention groups experienced similar negative affect and health-related quality of life as compared with the control group. The couple-based psychosocial interventions can be provided by nurses based on partners' preferences and available resources.

4.
Arch Psychiatr Nurs ; 34(2): 29-35, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32248931

RESUMO

This study aimed to explore the self-stigma of schizophrenia patients. Qualitative phenomenological approach, purposive sampling and unstructured one-on-one interviews were used. Narratives were analyzed using Colaizzi's method. Data saturation was reached after 15 had been interviewed. Three themes and six sub-themes were revealed: the origin of the self-stigma (experience of self-stigma from the outside and the inside), the suffering experience of self-stigma (alienation from others and negative inner feelings), and coping with the self-stigma (acceptance and change of mind). The study supports the importance to increase awareness of self-stigma and suggests effective measures to help patients deal with this challenge.

5.
Transplant Proc ; 52(1): 73-77, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31901327

RESUMO

BACKGROUND: This study aimed to discuss the reasons for kidney donation withdrawal and related factors among the potential donors of living kidney transplant. METHODS: This study was conducted in outpatient departments with purposive sampling. Potential donors received relevant examinations and completed questionnaires when they would donate their kidneys for living related kidney transplant. Researchers tracked the final decision of potential donors. The structured questionnaire included basic data, psychosocial adjustment to illness scale, and decisional conflict scale. RESULTS: A total of 53 potential donors participated in this study, 46 of whom completed the kidney donation surgery (86.6%). The factors related to the final decision of kidney donation or kidney donation withdrawal included self-ranking health condition, value clarity, feeling supported in decision making, and overall decisional conflict. CONCLUSION: Organ transplant teams should conduct a complete physical and psychological assessment of potential donors, provide information and support, and assist potential donors to clarify their true values and willingness to undergo kidney donation. Thus, each potential donor can decide to donate in true accordance with their willingness.


Assuntos
Transplante de Rim/psicologia , Doadores Vivos/psicologia , Adulto , Tomada de Decisões , Emoções , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Coleta de Tecidos e Órgãos/psicologia
6.
Perspect Psychiatr Care ; 56(3): 508-514, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31788808

RESUMO

PURPOSE: To explore the subjective interpersonal interaction experiences of patients with chronic schizophrenia. DESIGN AND METHODS: Descriptive phenomenological, purposive sampling, in-depth one-to-one, and unstructured interviews were used. Colaizzi's method was used to analyze narratives. FINDINGS: Three themes and six subthemes were emerged: Feelings associated with interpersonal interactions (pleasant and unpleasant feelings experienced during interpersonal interactions); interpersonal interaction is a dynamic process (Positive and negative dynamic processes); selection of interaction targets (limitations in the selection of interaction targets and selection criteria for interaction targets). PRACTICE IMPLICATIONS: Professionals should understand the interpersonal interactions experiences of patients with schizophrenia to help them have a better interpersonal relationship.

7.
Clin Nurs Res ; 29(4): 217-225, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-30188183

RESUMO

This descriptive phenomenological study was conducted to explore the lived experiences of adolescents with cancer. Purposive sampling was used to recruit participants. In-depth, nonstructured interviews were conducted to collect data, and narratives were analyzed using Colaizzi's seven-step method. Data saturation was achieved after interviewing 16 participants. The study was divided into three main themes and 16 subthemes: suffering (caused by symptoms, therapy, cancer recurrence, the feeling of being trapped in hospital, the burden of food therapy, delayed education, the absence of peer relationships, and limited activities), emotional reactions (fear, worry, sadness, anger, and loneliness), and rebalancing (strong family relationships, optimistic thinking, and healthy lifestyles). While adolescents with cancer experience changes in lifestyle, and physical, psychological, and social burden, they also have positive life experiences. Building appropriate learning systems, improving communication skill, and providing appropriate food therapy may alleviate the psychological burden experienced by young patients.

8.
Perspect Psychiatr Care ; 55(2): 147-152, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29578605

RESUMO

PURPOSE: Investigating factors that can predict medication adherence and quality of life, as well as the influence of adherence to medication on the quality of life among patients with schizophrenia. DESIGN AND METHODS: This study applies descriptive cross-sectional design. Participants were determined from outpatient clinic in a psychiatric hospital in Indonesia. Several questionnaires were used, including self-report, Glasgow Antipsychotics Side-effect Scale, drug attitude inventory and SQOL-18. FINDINGS: Side-effect factor (p < .05) could influence medication adherence. Residential area (p < .05) could significantly influence quality of life. There was also a correlation between medication adherence and quality of life (p < .05). PRACTICE IMPLICATIONS: Findings suggest to put more emphasis on assessing medication side effects.


Assuntos
Antipsicóticos/uso terapêutico , Adesão à Medicação/estatística & dados numéricos , Qualidade de Vida , Esquizofrenia/tratamento farmacológico , Adolescente , Adulto , Idoso , Antipsicóticos/efeitos adversos , Estudos Transversais , Feminino , Humanos , Indonésia/epidemiologia , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Escalas de Graduação Psiquiátrica , Psicologia do Esquizofrênico , Autorrelato , Adulto Jovem
9.
Arch Psychiatr Nurs ; 32(4): 610-616, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-30029756

RESUMO

AIMS: To investigate a partnership intervention of the community-based and hospital-based home visit to improve patients' satisfaction. METHODS: A time series quasi-experimental quantitative design was used. The experimental group had "partnership intervention", while the control group maintained routine home visits. Patient satisfaction was measured pre-intervention, six months and 12 months after the partnership intervention. RESULTS: Six and 12 months after partnership intervention, in the experimental group, items related to stabilizing disease conditions, improving daily living abilities, enhancing communication ability and providing relevant resources were significantly higher than pre-intervention. However, 12 months after the intervention, the influence of the intervention became weaken. CONCLUSIONS: The partnership intervention can significantly improve patients' satisfaction with home visit service.


Assuntos
Visita Domiciliar/tendências , Serviços de Saúde Mental/estatística & dados numéricos , Satisfação do Paciente , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Esquizofrenia/terapia
10.
Perspect Psychiatr Care ; 54(4): 580-585, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-29667203

RESUMO

PURPOSE: To explore the efficacy of community rehabilitation for facilitating daily function among patients with mental illness. DESIGN AND METHODS: A quasi-experimental design was used. Two hundred and sixty-four participants completed a daily living function scale questionnaire and provided disease-related information. FINDINGS: Community rehabilitation was shown to be efficient in helping to stabilize mental illness and enhance daily function. Daily function had a significant and positive correlation with disease stability. PRACTICE IMPLICATIONS: Community rehabilitation for patients with mental illness can effectively stabilize and prevent disability among those with mental illness.


Assuntos
Atividades Cotidianas , Serviços Comunitários de Saúde Mental/normas , Deficiência Intelectual/prevenção & controle , Transtornos Mentais/reabilitação , Adulto , Serviços Comunitários de Saúde Mental/organização & administração , Feminino , Serviços de Assistência Domiciliar , Hospitalização , Humanos , Modelos Lineares , Masculino , Escalas de Graduação Psiquiátrica , Centros de Reabilitação , Inquéritos e Questionários , Taiwan
11.
Perspect Psychiatr Care ; 54(2): 281-286, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-28758228

RESUMO

PURPOSE: The aim of the article is to explore the chronic sorrow experiences of the caregivers of clients with schizophrenia in Taiwan. DESIGN AND METHODS: Descriptive, phenomenological, and purposive sampling and one-to-one, in-depth, and unstructured interviews were used. Data saturation was achieved after interviewing 12 participants. Narratives were analyzed using Colaizzi's (1978) method. FINDINGS: Three themes and eight subthemes emerged, including encountering sorrow (disordered life, disintegrated self-esteem, little prospect for hope, and collapsed sense of security), talking with sorrow (cognitive change and transformation of action), and living with sorrow (living with defects and living with responsibilities). PRACTICE IMPLICATIONS: Advanced practice psychiatric nurses should take the emotional stability of caregivers into consideration. Caregivers should be encouraged and taught effective culture-oriented strategies for living with sorrow.


Assuntos
Cuidadores/psicologia , Pesar , Mães/psicologia , Esquizofrenia/enfermagem , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Pessoa de Meia-Idade , Pesquisa Qualitativa , Taiwan/etnologia
12.
J Clin Nurs ; 27(3-4): e668-e677, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29076188

RESUMO

AIMS AND OBJECTIVES: To investigate a community-based and hospital-based home visit partnership intervention in improving caregivers' satisfaction with home service and reducing caregiver burden. BACKGROUND: The community-oriented mental healthcare model prevails internationally. After patients return to the community, family caregivers are the patients' main support system and they also take the most of the burden of caring for patients. It is important to assist these caregivers by building good community healthcare models. DESIGN: A longitudinal quasi-experimental quantitative design. METHODS: The experimental group (n = 109) involved "partnership" intervention, and the control group (n = 101) maintained routine home visits. The results were measured before the intervention, 6 and 12 months after the partnership intervention. RESULTS: Six months after the partnership intervention, the satisfaction of the experimental group was higher than the control group for several aspects of care. Although the care burden was reduced in the experimental group, there was no significant difference between the two groups. CONCLUSIONS: This study confirms that the partnership intervention can significantly improve caregiver satisfaction with home services, without reducing the care burden. RELEVANCE TO CLINICAL PRACTICE: The community-based and hospital-based mental health home visit service partnership programme could improve the main caregiver's satisfaction with the mental health home visit services, while the reduction in care burden may need government policies for the provision of more individual and comprehensive assistance.


Assuntos
Cuidadores/psicologia , Serviços Hospitalares de Assistência Domiciliar , Visita Domiciliar , Serviços de Saúde Mental , Adaptação Psicológica , Idoso , Empatia , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Satisfação do Paciente , Satisfação Pessoal
13.
Eur J Oncol Nurs ; 31: 69-76, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29173830

RESUMO

PURPOSE: Altered bowel function is a common consequence of anal sphincter-saving surgery in rectal cancer patients, and bowel symptoms influence patients' daily life and psychosocial status. Patients have inadequate professional support because care specialists fail do fully appreciate the impact of the patients' symptoms. In-depth exploration of the individual's experience is essential to improve the quality of patient care. The purpose of this study was to explore the lived experiences of post-operative rectal cancer patients with altered bowel function. METHODS: This Husserlian descriptive phenomenological study recruited 16 post-operative rectal cancer patients with altered bowel function. Data was collected through purposive sampling and one-on-one in-depth, semi-structured interviews. Narratives were analyzed thematically using Colaizzi's seven-step method. RESULTS: Three themes emerged, namely: "living in the restroom", "never backward", and "rebalancing on a new road". "Living in the restroom" described how patients frequent the restroom due to post-operative physical changes. "Never backward" outlined that such changes disturbed their mood, interrupted their daily activities, and affected their family life. "Rebalancing on a new road" described the patients' coping strategies, which included spiritual reconstruction, a new excrement model, an adjusted lifestyle, and peer support. CONCLUSIONS: Post-operative rectal cancer patients with altered bowel function frequent the restroom for prolonged periods, which disturbs their psychosocial status. However, they are forced to develop coping methods by themselves. Specialists can offer effective early post-operative interventions by thoroughly understanding each patient's symptomatic experience, symptom-related interferences, and primary concerns.


Assuntos
Adaptação Psicológica , Canal Anal/fisiopatologia , Incontinência Fecal/psicologia , Complicações Pós-Operatórias/etiologia , Qualidade de Vida/psicologia , Neoplasias Retais/complicações , Neoplasias Retais/cirurgia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias Retais/psicologia
14.
J Clin Nurs ; 26(23-24): 4994-5003, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28793383

RESUMO

AIMS AND OBJECTIVES: To determine the individual and mutual predictors of the marital satisfaction of couples in which the husband experienced prostate cancer. BACKGROUND: Marital satisfaction of patients with prostate cancer has been insufficiently studied in Asian countries as compared with Western countries. DESIGN: This study used a prospective and repeated-measures design. METHODS: Seventy Taiwanese couples in which the husband had prostate cancer completed measures at 6 and 12 months post-treatment. Assessments of physical symptoms, marital satisfaction, coping behaviour and psychological distress were made. Multiple linear regression was used to analyse the data. RESULTS: The marital satisfaction of patients with prostate cancer and that of their spouses were significantly correlated. At 6 months, spouses' marital satisfaction, patients' appraisal of prostate cancer as a threat and patients' serum prostate-specific antigen levels were found to be the predictors of patients' marital satisfaction. Furthermore, patients' marital satisfaction and their spouses' psychological distress were predictors of spouses' marital satisfaction. At 12 months, spouses' marital satisfaction and patients' appraisal of prostate cancer as harm were predictors of patients' marital satisfaction. Finally, spouses' marital satisfaction (at 6 months) and appraisal of prostate cancer as a threat were predictors of spouses' marital satisfaction. CONCLUSIONS: At 6 months post-treatment, patients' and spouses' marital satisfaction will influence each other. However, at 12 months, patients' marital satisfaction exerts an insignificant effect on spouses' marital satisfaction. Moreover, patients' serum prostate-specific antigen level or the negative appraisal of prostate cancer affects their marital satisfaction. Spouses' marital satisfaction is affected by psychological distress and their negative appraisal of prostate cancer. RELEVANCE TO CLINICAL PRACTICE: The results can be used to develop interventions for prostate cancer couples. Such an intervention can be used to modify couples' appraisal of prostate cancer by changing incorrect thinking or to ease the psychological distress to improve marital satisfaction.


Assuntos
Casamento/psicologia , Satisfação Pessoal , Neoplasias da Próstata/psicologia , Cônjuges/psicologia , Adaptação Psicológica , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Fatores de Tempo
15.
Perspect Psychiatr Care ; 53(4): 329-336, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-27553981

RESUMO

PURPOSE: To evaluate the effectiveness on reducing anxiety of a diaphragmatic breathing relaxation (DBR) training program. DESIGN AND METHODS: This experimental, pre-test-post-test randomized controlled trial with repeated measures collected data using the Beck Anxiety Inventory and biofeedback tests for skin conductivity, peripheral blood flow, heart rate, and breathing rate. FINDINGS: The experimental group achieved significant reductions in Beck Anxiety Inventory scores (p < .05), peripheral temperature (p = .026), heart rate (p = .005), and breathing rate (p = .004) over the 8-week training period. The experimental group further achieved a significant reduction in breathing rate (p < .001). PRACTICE IMPLICATIONS: The findings provide guidance for providing quality care that effectively reduces the anxiety level of care recipients in clinical and community settings.


Assuntos
Ansiedade/terapia , Biorretroalimentação Psicológica/métodos , Exercícios Respiratórios/métodos , Educação de Pacientes como Assunto/métodos , Terapia de Relaxamento/métodos , Adulto , Feminino , Humanos , Masculino , Terapia de Relaxamento/educação , Adulto Jovem
16.
Artigo em Inglês | MEDLINE | ID: mdl-27818703

RESUMO

Objective. To explore the relationship between body constitution (BC) types and weight change in patients with schizophrenia and who underwent second-generation antipsychotics (SGAs) treatment. Method. Body weight and waist circumference of eighty-five participants were measured for 6 consecutive weeks. Constitutions of Yin-Xu, Yang-Xu, and Stasis were assessed using the Body Constitution Questionnaire (BCQ). Results. Participants with body constitutions Yin-Xu (50.6%), Yang-Xu (49.4%), or Stasis (38.8%) exhibited worse physical condition and unhealthy daily habits, particularly in Stasis constitution. Moreover, Stasis constitution was significantly associated with several factors, including BMI, body weight, waist circumference, perception of stress, perception of health, staying up late, and less physical exercise. However, perception of stress showed significant difference in Yin-Xu, Yang-Xu, and Stasis. Generalized estimating equation (GEE) analysis revealed that significant time effects in body weight increase in the imbalanced BC types and gentleness BC type. SGAs induced weight gain in imbalanced BC type as well as gentleness BC type, especially treated with olanzapine. Conclusions. This is the first study to explore the longitudinal relationship between BC and weight gain in schizophrenia patients undergoing SGAs treatment. Health care providers should focus on weight gain problems in schizophrenia patients who underwent SGAs treatment.

17.
Int J Nurs Pract ; 22(1): 70-8, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25307968

RESUMO

We evaluated changes in psychosocial adjustment over time and its associated factors in prostate cancer patients. A total of 69 patients with prostate cancer were surveyed at pre-diagnosis, 1 month and 6 months post-treatment. The questionnaires distributed to the patients consisted of the Psychosocial Adjustment to Illness Scale and the UCLA Prostate Cancer Index. The generalized estimating equations were used to analyse the collected data. The results of adjustments to psychological distress, the domestic environment and the social environment worsened post-treatment. However, the adjustment to health-care orientation was worst at the time of pre-diagnosis and improved during post-treatment. Patients who perceived an unfavourable health status reported poor adjustment in psychological distress. Patients exhibiting poor urinary function poorly adjusted to the domestic environment. Patients with sexual dysfunction exhibited poor adjustment to the social environment. Patients with low education demonstrated poor adjustment to health-care orientation. Further studies should assess the psychosocial adjustment among prostate cancer patients and provide interventions following pre-diagnosis.


Assuntos
Adaptação Psicológica , Nível de Saúde , Neoplasias da Próstata/psicologia , Idoso , Idoso de 80 Anos ou mais , Escolaridade , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Disfunções Sexuais Psicogênicas/psicologia , Incontinência Urinária/psicologia
18.
J Clin Nurs ; 21(19-20): 2896-904, 2012 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22861353

RESUMO

AIMS AND OBJECTIVES: To explore suicide predictors in rural outpatients with schizophrenia. Background. Suicide is a major cause of mortality in patients with schizophrenia. Evidence indicates that patients in rural areas are at high risk for inadequate health care services. However, information is limited on suicide risk in outpatients with schizophrenia in rural areas. DESIGN: Cross-sectional survey. METHODS: Data were collected on individuals enrolled in the 2007 Taiwan National Health Insurance program as diagnosed with schizophrenia, ≥ 18 years, and living in a rural county. Eligible individuals (n=1655) were assessed by 12 community-based nurses at 12 public health centres. Participants' personal information was retrieved from National Health Insurance records using a personal data sheet, and treatment experiences were obtained by interviewing patients with a 10-item risk-assessment inventory. Data were collected over 18 months (2007-2008) and analysed by descriptive statistics and regression analyses. RESULTS: Risk of suicide attempt in the previous year had four significant predictors: number of self-harm incidents during the previous year, violent incidents towards others during the previous year, number of follow-ups by mental health clinics and number of involuntary hospitalisations during the previous year (R(2) = 0.337, adjusted R(2) = 0.334, F=133.19, p=0.000). CONCLUSION: Health care providers should assess rural outpatients with schizophrenia for suicidal thoughts by asking simple questions to evaluate for a history of self-harm and violence and by comparing this information with health system data on follow-ups by mental health clinics and involuntary hospitalisations. RELEVANCE TO CLINICAL PRACTICE: Community-based health providers may use these results to prioritise assessments when they have a high case load of patients with schizophrenia. Community-based nurses need to be trained to recognise these four predictors to increase their sensitivity to suicidality among patients with schizophrenia.


Assuntos
População Rural , Esquizofrenia/fisiopatologia , Tentativa de Suicídio , Estudos Transversais , Humanos , Funções Verossimilhança , Taiwan
19.
Public Health Nurs ; 29(4): 320-9, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22765244

RESUMO

OBJECTIVE: This study discusses the intervening conditions of hospital-based home care (HBHC) for people with severe mental illness in Taiwan. DESIGN AND SAMPLE: Grounded theory of the Strauss and Corbin approach was used. Participants were selected from six hospitals in Central Taiwan, including 21 clients, 19 caregivers, and 25 professionals. MEASURES: Semi-structured one-on-one interviews were used to collect data. Data analysis consisted of three stages: open, axial, and selective coding. Data analysis, data collection, and sampling were conducted through the constant comparative analysis process. RESULTS: Two categories were generated as positive and negative intervening conditions of HBHC services. Eight positive effects and nine negative effects were generated from the data. CONCLUSIONS: Several positive and negative intervening conditions were found in this study to affect the delivery of HBHC. Government support and several limitations regarding HBHC services quality should be noticed and improved.


Assuntos
Serviços Hospitalares de Assistência Domiciliar/estatística & dados numéricos , Transtornos Mentais/terapia , Adulto , Idoso , Assistência à Saúde , Feminino , Política de Saúde , Acesso aos Serviços de Saúde , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Equipe de Assistência ao Paciente , Satisfação do Paciente , Índice de Gravidade de Doença , Taiwan
20.
J Clin Nurs ; 20(5-6): 837-46, 2011 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-21320206

RESUMO

AIM: This study was designed to investigate the learning outcomes of a suicide education programme for second-year student nurses in Taiwan. BACKGROUND: Research demonstrates that nurses' attitudes impact on the care provided to suicidal patients. However, evidence is sparse on promoting positive caring attitudes in nurses towards suicidal patients. DESIGN: A quasi-experiment. METHOD: The total sample group (n = 174) comprised second-year student nurses. Some (n = 95) were randomly allocated to an experimental group who attended a four-hour suicidal education programme and others (n = 79) comprised a control group who did not attend the programme. All participants were given a questionnaire before and after the programme in 2008. The questionnaire contained 30 items and was divided into five categories. They were (1) the acceptability of suicidal behaviours, (2) morality and mental illness, (3) professional role and care, (4) communication and attention and (5) beliefs. RESULTS: Results demonstrated that the experimental group had higher scores on all five categories of the questionnaire than the control group did. Participants in the experimental group held more positive attitudes towards the acceptance of suicidal behaviours and were non-judgmental in their morality. Further, they showed more positive attitudes towards the provision of professional care and believed that people who attempt suicide are communicating their psychic pain. Moreover, participants in the experimental group held more positive beliefs about people who attempt suicide than the control group did. CONCLUSION: This suicide education programme raised student nurses' awareness about the phenomenon of suicide and promoted positive caring attitudes towards people who attempt suicide and hence their nursing care. RELEVANCE TO CLINICAL PRACTICE: A four-hour suicide education programme can promote positive caring attitudes towards people who attempt suicide and may have an affirmative influence on the nursing care provided to suicidal patients.


Assuntos
Educação em Enfermagem/métodos , Estudantes de Enfermagem , Suicídio , Humanos , Taiwan
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