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Medicine (Baltimore) ; 100(33): e26899, 2021 Aug 20.
Artigo em Inglês | MEDLINE | ID: mdl-34414946


ABSTRACT: The aim of the present study is to investigate effect nursing intervention on anxiety, psychology and self-efficacy among elderly patients with acute coronary syndrome after percutaneous coronary intervention, and the correlation between patients' anxiety, psychology and self-efficacy and nursing intervention.One hundred thirty six patients with acute coronary intervention were randomly divided into the experimental group (n = 68) and the control group (n = 68). The experimental group received nursing intervention measures, and control group received routine nursing. We measured the depression, anxiety score of the 2 groups before and after nursing and multiple regressions was to analysis the correlation between patients' anxiety, psychology and self-efficacy and nursing intervention.The nursing intervention effect of the 2 groups after intervention were improved before intervention (P < .05), and the Hospital Anxiety and depression scale (HADS) in the was decreased than that of the control group after psychological intervention. The general self-efficacy scale scores of experimental group were obviously improved after receiving the intervention, and the scores in the experimental group were much higher than the control group after receiving the intervention, namely (P < .05). Furthermore, Single regression analysis showed that single (Marital status) (r = 0.367, P < .001), divorced or separated (Marital status) (r = 0.338, P < .001), Widowed (Marital status) (r = 0.458, P < .001), nursing intervention (r = 0.431, P < .001) and Length of hospital stay (r = 0.276, P = .003) showed a significant correlation with patients' anxiety, psychology and self-efficacy. Multiple regression analysis showed that Length of hospital stay (P = .001) and nursing intervention (P < .001) were significantly correlated with patients' anxiety, psychology and self-efficacy.Nursing intervention maybe significantly improve patients' anxiety, psychology and self-efficacy, and nursing intervention was significantly correlated with patients' anxiety, psychology and self-efficacy. Considering the limited number of studies analyzed, large sample-size clinical trials are necessary to verify the effect nursing intervention on anxiety, psychology and self-efficacy among elderly patients with acute coronary syndrome after percutaneous coronary intervention.

Síndrome Coronariana Aguda/psicologia , Síndrome Coronariana Aguda/cirurgia , Ansiedade/enfermagem , Intervenção Coronária Percutânea , Autoeficácia , Síndrome Coronariana Aguda/complicações , Idoso , Idoso de 80 Anos ou mais , Ansiedade/etiologia , Estudos de Coortes , Correlação de Dados , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Resultado do Tratamento
Nursing ; 51(8): 62-66, 2021 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-34347757


PURPOSE: To determine the impact of music on the physiologic and psychological stress experienced by hospital inpatients. METHODS: This pilot study monitored vital signs; utilized pain, anxiety, and agitation rating scales; and gathered verbal feedback from 50 participating inpatients at the authors' healthcare facility as they listened to music via an audiovisual interactive patient engagement technology system. RESULTS: After listening to music for 30 minutes, patients reported significantly lower pain and anxiety. CONCLUSION: Music offered a helpful tool to reduce pain and anxiety for patients in the ICU and telemetry units at the authors' healthcare facility. Future research may be geared toward incremental expansion and monitoring of this music intervention in other units.

Pacientes Internados/psicologia , Musicoterapia , Estresse Fisiológico , Estresse Psicológico/prevenção & controle , Idoso , Ansiedade/enfermagem , Ansiedade/prevenção & controle , Feminino , Unidades Hospitalares , Humanos , Pacientes Internados/estatística & dados numéricos , Unidades de Terapia Intensiva , Masculino , Pessoa de Meia-Idade , Dor/enfermagem , Dor/prevenção & controle , Projetos Piloto , Estresse Psicológico/enfermagem , Telemetria , Resultado do Tratamento
Eur J Oncol Nurs ; 50: 101898, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33465702


PURPOSE: This study examined anxiety and depression, and their relationship with symptom assessment, uncertainty, social support, and stress in young breast cancer patients receiving radiotherapy. METHODS: This is a descriptive quantitative study. The participants were 126 patients under 50 years of age with breast cancer undergoing radiotherapy. RESULTS: The anxiety and depression levels were higher among those who were married (t = -2.318, p = .022), non-religious (t = 4.510, p = .005), and had a higher monthly income (F = 2.840, p = .041). The hierarchical regression analysis model included symptom assessment, uncertainty, social support, and stress, and accounted for about 49% of the variance in anxiety and depression (F = 7.688, p < .001). Additionally, uncertainty (ß = 0.304, p = .001) and stress (ß = 0.308, p = .001) were significant predictors of anxiety and depression. CONCLUSIONS: Based on the results of this study, nursing interventions are needed to reduce uncertainty and stress in order to reduce anxiety and depression in young breast cancer patients undergoing radiation treatment.

Ansiedade/psicologia , Neoplasias da Mama/psicologia , Neoplasias da Mama/radioterapia , Sobreviventes de Câncer/psicologia , Depressão/psicologia , Adulto , Ansiedade/diagnóstico , Ansiedade/enfermagem , Neoplasias da Mama/enfermagem , Regras de Decisão Clínica , Depressão/diagnóstico , Depressão/enfermagem , Feminino , Humanos , Pessoa de Meia-Idade , República da Coreia/epidemiologia , Apoio Social , Estresse Psicológico , Avaliação de Sintomas/psicologia , Incerteza
J Assoc Nurses AIDS Care ; 32(1): 79-93, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33177434


ABSTRACT: Depression and anxiety, which may influence antiretroviral therapy (ART) medication adherence, are prevalent among persons living with HIV (PLWH) in China. This parallel two-arm clinical controlled trial aimed to examine the effects of a nurse-delivered cognitive behavioral intervention (CBI) on depression, anxiety, and ART medication adherence in Chinese PLWH. Using in-person and online recruitment, 140 PLWH ages 18 years and older who were undergoing ART and had a Patient Health Questionnaire-4 score of ≥2 were assigned to the 10-week-long CBI group or the routine follow-up group according to their preference. Outcomes were measured at baseline, postintervention, and 6-month follow-up. Results showed significant intervention effects on depression maintained until the 6-month follow-up. Although anxiety and ART medication adherence did not show robust effects between conditions, amelioration trends for these outcomes were also found. Our study demonstrated that the nurse-delivered CBI could help Chinese PLWH ameliorate depression.

Ansiedade/terapia , Terapia Cognitivo-Comportamental/métodos , Depressão/terapia , Infecções por HIV/psicologia , Adesão à Medicação/psicologia , Adolescente , Adulto , Terapia Antirretroviral de Alta Atividade , Ansiedade/enfermagem , China , Cognição , Depressão/enfermagem , Infecções por HIV/tratamento farmacológico , Infecções por HIV/enfermagem , Humanos , Masculino , Pessoa de Meia-Idade , Profissionais de Enfermagem
Medicine (Baltimore) ; 99(38): e22213, 2020 Sep 18.
Artigo em Inglês | MEDLINE | ID: mdl-32957356


BACKGROUND: Some patients undergoing the total knee arthroplasty (TKA) have suboptimal postoperative results, and preoperative anxiety may be one of the reasons for these unsatisfactory results. We perform this randomized control study protocol to determine the effectiveness of nursing intervention, on the basis of motivational interview, to decrease the preoperative anxiety in patients receiving TKA. METHODS: This is a double-blinded, single-center, placebo-controlled and randomized trial, which will be conducted from December 2020 to June 2021. The protocol of this study was approved by the West China Hospital of Sichuan University (W20200803-28). Sixty patients who will undergo TKA are included in our study. Patients are randomly divided into experiential group (with 30 patients) and the control group (with 30 patients). The control group and experimental group receive an informative and separate session via nursing about the operation preparation and operation process. Both the control group and the experimental group are given habitual treatment, but the experimental group need to receive additional motivational interviews. The primary outcomes are the Hospital Anxiety and Depression Scale and the Amsterdam Preoperative Anxiety and Information Scale. Secondary outcome is postoperative pain, which is assessed by visual analogue scale . RESULTS: Figure 1 will display the comparison of preoperative and postoperative total average anxiety scores in control group and the experimental group. CONCLUSION: Preoperative psychological distress is familiar in our patients. We hypothesized that nursing intervention may be associated with reduced preoperative anxiety in the patients receiving TKA.

Ansiedade/enfermagem , Artroplastia do Joelho/psicologia , Cuidados Pré-Operatórios/enfermagem , Humanos , Ensaios Clínicos Controlados Aleatórios como Assunto
Enferm. nefrol ; 23(3): 303-3l0, jul.-sept. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-200319


DESCRIPCIÓN DEL CASO: Paciente de 13 años que ingresa en hospital de tercer nivel, procedente de consultas externas de Nefrología pediátrica del mismo hospital para biopsia renal, al sufrir, en valoraciones anteriores, episodios de hematurias microscópicas persistentes, macroscópicas intermitentes y proteinuria en rango nefrótico. DESCRIPCIÓN DEL PLAN DE CUIDADOS: La unidad de enfermería pediátrica del hospital estableció un plan de cuidados inicial al ingreso y postquirúrgico ajustados a la patrones funcionales de Marjory Gordon, considerando los patrones relacionados con temor en el niño, ansiedad y cavilación de la familia, resultando de estos hechos la activación del protocolo de acogida, aumento del nivel de estrés debido a modificación ingesta alimentos, aumentar el afrontamiento en la fase postquirúrgica así como dolor, riesgo de infección, disconfort, sobrepeso por alimentación insana y hematurias postbiopsia. EVALUACIÓN DEL PLAN: Durante el ingreso hospitalario de 4 días previo a la biopsia se le realizaron pruebas bioquímicas de sangre y orina de 24 horas y estudio de anemia. Los progenitores se mostraban muy interesados por la evolución de las pruebas y como contener la ansiedad y tener calmado al hijo debido al conocimiento de que le harían una punción. Mientras se encontraba hospitalizado no cumplía los requisitos nutricionales. Al día siguiente de la biopsia fue dado de alta con unas pautas para comenzar con una alimentación más sana. CONCLUSIONES: La taxonomía NANDA/NOC/NIC permite trabajar en la enfermería basada en los hallazgos, dando respuesta a las necesidades reales de los pacientes para contribuir a mejorar la práctica clínica

CLINICAL CASE: A 13-year-old patient admitted to a third-level hospital from paediatric nephrology outpatient clinics for a renal biopsy after suffering, in previous evaluations, episodes of intermittent macroscopic and persistent microscopic haematuria and nephrotic-range proteinuria. DESCRIPTION OF THE CARE PLAN: The hospital paediatric nursing unit established an initial care plan on admission and after surgery adjusted to Gordon's functional patterns, considering the patterns related to fear in the child, anxiety and family melancholy, resulting in the activation of the reception protocol, increased stress level due to food intake modification, increased coping in the post-surgical phase as well as pain, risk of infection, discomfort, overweight due to unhealthy eating and post-biopsy haematuria. EVALUATION OF THE CARE PLAN: During the 4-day hospital stay prior to the biopsy, 24-hour blood and urine biochemical tests and anemia study were performed. The parents were very interested in the evolution of the tests and how to contain anxiety and keep the child calm due to the knowledge that they would do a blood puncture. While he was hospitalized, he did not meet the nutritional requirements. The day after the biopsy, he was discharged with guidelines to start a healthier diet. CONCLUSIONS: The NANDA/NOC/NIC taxonomy allows working in nursing based on findings, responding to the real needs of patients to help improve clinical practice

Humanos , Masculino , Adolescente , Biópsia/enfermagem , Síndrome Nefrótica/diagnóstico , Ansiedade/enfermagem , Diagnóstico de Enfermagem/métodos , Hematúria/etiologia , Proteinúria/etiologia , Síndrome Nefrótica/enfermagem , Terminologia Padronizada em Enfermagem
BMC Palliat Care ; 19(1): 130, 2020 Aug 18.
Artigo em Inglês | MEDLINE | ID: mdl-32811499


BACKGROUND: When a patient is approaching death in the intensive care unit (ICU), patients' relatives must make a rapid transition from focusing on their beloved one's recovery to preparation for their unavoidable death. Bereaved relatives may develop complicated grief as a consequence of this burdensome situation; however, little is known about appropriate options in quality care supporting bereaved relatives and the prevalence and predictors of complicated grief in bereaved relatives of deceased ICU patients in the Netherlands. The aim of this study is to develop and implement a multicomponent bereavement support intervention for relatives of deceased ICU patients and to evaluate the effectiveness of this intervention on complicated grief, anxiety, depression and posttraumatic stress in bereaved relatives. METHODS: The study will use a cross-sectional pre-post design in a 38-bed ICU in a university hospital in the Netherlands. Cohort 1 includes all reported first and second contact persons of patients who died in the ICU in 2018, which will serve as a pre-intervention baseline measurement. Based on existing policies, facilities and evidence-based practices, a nurse-led intervention will be developed and implemented during the study period. This intervention is expected to use 1) communication strategies, 2) materials to make a keepsake, and 3) a nurse-led follow-up service. Cohort 2, including all bereaved relatives in the ICU from October 2019 until March 2020, will serve as a post-intervention follow-up measurement. Both cohorts will be performed in study samples of 200 relatives per group, all participants will be invited to complete questionnaires measuring complicated grief, anxiety, depression and posttraumatic stress. Differences between the baseline and follow-up measurements will be calculated and adjusted using regression analyses. Exploratory subgroup analyses (e.g., gender, ethnicity, risk profiles, relationship with patient, length of stay) and exploratory dose response analyses will be conducted. DISCUSSION: The newly developed intervention has the potential to improve the bereavement process of the relatives of deceased ICU patients. Therefore, symptoms of grief and mental health problems such as depression, anxiety and posttraumatic stress, might decrease. TRIAL REGISTRATION: Netherlands Trial Register Registered on 27/07/2019 as NL 7875,

Protocolos Clínicos , Família/psicologia , Cuidados Paliativos na Terminalidade da Vida/métodos , Ansiedade/classificação , Ansiedade/enfermagem , Ansiedade/psicologia , Estudos Transversais , Depressão/classificação , Depressão/enfermagem , Depressão/psicologia , Cuidados Paliativos na Terminalidade da Vida/psicologia , Hospitais Universitários/organização & administração , Humanos , Unidades de Terapia Intensiva/organização & administração , Psicometria/instrumentação , Psicometria/métodos , Estudos Retrospectivos
Medicine (Baltimore) ; 99(34): e21677, 2020 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-32846784


BACKGROUND: Liver resection is a major, serious, and very delicate operation that should be done only by specialized, well-skilled, and experienced surgeons. However, the role of nurses, which has often been under-estimated, is also crucial for the success of the intervention or surgery. Intensive nursing care involves high quality nursing modes to achieve the expected goals of treatment smoothly and with less complications. In this analysis, we aimed to show the impact of intense nursing care in improving anxiety, depression, and quality of life in patients with intervention for liver cancers. METHODS: Data sources included EMBASE, MEDLINE, Web of Science, the Cochrane central, Google scholar, and Three authors independently extracted data from the selected original studies. The statistical analysis was carried out by the Cochrane based RevMan software. For dichotomous data, the number of events and the total number of participants were required and for the continuous data, mean, standard deviation as well as the total number of participants were required in the input for analysis. Odds ratios (OR) with 95% confidence intervals (CI) were used to represent the data following assessment. RESULTS: A total of 1205 participants with liver cancer enrolled between the years 2010 to 2018 were included in this analysis whereby 667 participants were assigned to an intensive nursing care. Our current analysis showed that most of the patients who were assigned to an intense nursing intervention were significantly very satisfied with their quality of life (OR: 4.07, 95% CI: 1.45 - 11.45; P = .008). However, a minor number of patients with liver cancer who were not assigned to intense nursing care were significantly dissatisfied with their quality of life with OR: 0.18, 95% CI: 0.04 - 0.77; P = .02. This analysis also showed that self-rating anxiety score (SAS) and self-rating depression score (SDS) were significantly in favor of the participants with intense nursing care with OR: - 7.66, 95% CI: [(-9.66) - (-5.66)]; P = .00001 and OR: -7.87, 95% CI: [(-8.43) - (-7.26)]; P = .00001 respectively. In addition, physical function (OR: 13.56, 95% CI: 12.39 - 14.74; P = .00001), and total activity score (OR: 16.58, 95% CI: 13.51 - 19.65; P = .00001) were also significantly in favor of an intense nursing care. CONCLUSIONS: Our current analysis showed that intense nursing care significantly improved anxiety, depression, and quality of life following interventions in patients with liver cancers. Most of the patients with liver cancers who were assigned to an intense nursing care were very satisfied with their quality of life. However, this hypothesis should further be confirmed in larger nursing related studies based on patients with liver cancers.

Ansiedade/etiologia , Ansiedade/enfermagem , Depressão/etiologia , Depressão/enfermagem , Neoplasias Hepáticas/complicações , Cuidados de Enfermagem/métodos , Qualidade de Vida , Humanos
J Psychosoc Nurs Ment Health Serv ; 58(7): 7-10, 2020 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-32602929


The COVID-19 pandemic has aroused a level of anxiety and uncertainty that spans demographics and diagnoses. Because the coronavirus is a novel variant, the expert scientific community presents to the public as uncertain and inconsistent in information and ways to deal with potential infection, which creates disbelief and uncertainty. The most consistent recommendation is physical distancing and self-imposed isolation to reduce the spread. However, such isolation also adds to individual and community distress. This column focuses on the neurobiological explanations for anxiety, complications to pre-existing psychiatric disorders, sub diagnostic states of stress and anxiety generally and with health care providers, and pharmacological and nonpharmacological ways of addressing this anxiety. [Journal of Psychosocial Nursing and Mental Health Services, 58(7), 7-10.].

Ansiedade/prevenção & controle , COVID-19/psicologia , Infecções por Coronavirus/psicologia , Comportamentos Relacionados com a Saúde , Pneumonia Viral/psicologia , Ansiedade/enfermagem , Promoção da Saúde/métodos , Humanos , Saúde Mental , Pandemias , Distanciamento Físico , Política Pública
Aten. prim. (Barc., Ed. impr.) ; 52(6): 400-409, jun.-jul. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-201996


OBJETIVO: Evaluar la efectividad de la implantación de un programa de mindfulness y autocuidados en atención primaria para el abordaje del trastorno mental común. DISEÑO: Estudio cuasiexperimental no controlado, no aleatorizado, con medidas repetidas. EMPLAZAMIENTO: Siete centros de salud del Área V del Principado de Asturias entre 2014 y 2018. PARTICIPANTES: Sujetos entre 18-75 años, con trastornos de ansiedad, depresivos y adaptativos mixtos, sin enfermedad mental grave. Muestreo no probabilístico por conveniencia. Intervención: Nueve sesiones grupales semanales de 90min, práctica diaria y sesiones de refuerzo al mes, 3, 6 y 12 meses. Mediciones principales: Medidas antes-después, evaluadas por cuestionarios validados y autoadministrados, a medio plazo (3-6 meses) y largo plazo (>12 meses) de las variables: ansiedad rasgo/ansiedad estado (Cuestionario de ansiedad estado-rasgo -STAI-); ansiedad/depresión (Escala de Ansiedad y Depresión de Goldberg -GHQ28-), atención plena (Five Facet Mindfulness Questionnaire -FFMQ-), reducción del tratamiento farmacológico (preguntas abiertas). RESULTADOS: Muestra final de 314 sujetos. Se halló una diferencia de medias estadísticamente significativa en los 3 periodos de seguimiento respecto a los valores basales para todas las escalas/subescalas. Hubo una reducción en la toma de medicación basal de ansiolíticos/antidepresivos del 54,3% en el seguimiento a largo plazo (p < 0,001). CONCLUSIONES: Una disminución moderada de los síntomas, junto con la reducción de la medicación, indican que la intervención en mindfulness dirigida por enfermeras de atención primaria puede ser una opción de tratamiento para el trastorno mental común en este nivel asistencial

OBJECTIVE: To evaluate the effectiveness of the implementation of a mindfulness and self-care program to treat common mental health disorders in primary care. DESIGN: Quasi-experimental non-controlled, non-randomised study, with repeated measurements. SETTING: Seven health centres, in area V of the Principality of Asturias, between 2014 and 2018. PARTICIPANTS: Subjects between 18-65 years with mixed anxiety, depressive, and adaptive disorders, with no serious mental disease. Non-probabilistic convenience sampling was used. Intervention: A group intervention was made, consisting of 9 weekly sessions of 90 min, daily practice, and reinforcement sessions at one month, 3, 6, and 12 months. MAIN MEASUREMENTS: Pre-post measurements using validated and self-administered questionnaires; medium-term (3-6 months) and long-term (>12 months) of the variables: trait anxiety/state anxiety (Status-Trait Anxiety Questionnaire -STAI-); anxiety/depression (Goldberg Anxiety and Depression Scale -GHQ28-), mindfulness (Five Facet Mindfulness Questionnaire -FFMQ-), reduction of pharmacological treatment (open questions). RESULTS: The study included a final sample of 314 subjects. A statistically significant difference in means was found in the 3 follow-up periods as regards the baseline values for all the scales/subscales. There was a reduction of 54.3% in the taking of anxiolytic/antidepressant baseline medication in the long-term follow-up (P < .001). CONCLUSIONS: A moderate reduction of the symptoms, together with the reduction of the medication, indicate that the intervention of mindfulness supervised by the primary care nurse can be a treatment option for the mental disorders common in this level of care

Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Autocuidado/métodos , Atenção Plena , Atenção Primária à Saúde , Depressão/enfermagem , Ansiedade/enfermagem , Inquéritos e Questionários , Avaliação de Programas e Projetos de Saúde , Efetividade
Medicine (Baltimore) ; 99(22): e20261, 2020 May 29.
Artigo em Inglês | MEDLINE | ID: mdl-32481393


BACKGROUND: This study will assess the effect of high-quality nursing intervention (HQNI) on anxiety and depression in patients with chronic heart failure companied malnutrition (CHFM). METHODS: We will retrieve electronic databases from the respective dates to February 29, 2020 without language and publication status restrictions: Cochrane Library, Web of Science, MEDLINE, EMBASE, Scopus, Chinese Biomedical Literature Database, and China National Knowledge Infrastructure. All potential randomized controlled trials (RCTs), which examined the effect of HQNI on anxiety and depression in patients with CHFM will be included. Two team members will separately perform article retrieval, duplicates excluding, scanning, data collection, and study quality assessment. In addition, this study will carry out data analysis by RevMan 5.3 software. RESULTS: This study will provide high-quality synthesis and/or descriptive analysis of the latest evidence to assess the effect of HQNI on anxiety and depression in patients with CHFM. CONCLUSION: The findings of this study will exert evidence to judge whether or not HQNI is effective on anxiety and depression in patients with CHFM. REGISTRATION NUMBER: INPLASY202040069.

Ansiedade/enfermagem , Depressão/enfermagem , Insuficiência Cardíaca/complicações , Insuficiência Cardíaca/psicologia , Desnutrição/complicações , Humanos , Metanálise como Assunto , Qualidade da Assistência à Saúde , Revisões Sistemáticas como Assunto
Online braz. j. nurs. (Online) ; 19(2)jun. 2020. tab
Artigo em Inglês, Espanhol, Português | LILACS, BDENF - Enfermagem | ID: biblio-1122058


OBJETIVO: identificar a contribuição de intervenções de enfermagem para a redução da ansiedade em pacientes em pré-operatório de cirurgia cardíaca. MÉTODO: estudo do tipo Pesquisa de Intervenção, realizado em dois meses de 2018, com 20 pacientes. A coleta de dados foi realizada em três momentos. RESULTADOS: revelou-se que o ser-cardíaco no pré-operatório de cirurgia cardíaca é predominantemente do sexo masculino, hipertenso, aguardando realização de troca valvar. Mostraram-se fatores de risco significativos para a ansiedade: linguagem técnica dos profissionais, experiência prévia de cirurgia cardíaca e o cancelamento desta durante a internação. DISCUSSÃO: Estudos prévios também apresentaram resultados semelhantes aos encontrados neste, confirmando, ainda, o papel fundamental da enfermagem no enfrentamento da ansiedade que é tão comum na espera da cirurgia. CONCLUSÃO: Neste contexto, as intervenções de enfermagem podem contribuir para significativa redução da ansiedade dos pacientes, gerando resultados positivos para o paciente e para a instituição de saúde.

OBJETIVO: identificar la contribución de las intervenciones de enfermería para reducir la ansiedad durante el período preoperatorio en pacientes sometidos a cirugía cardíaca. MÉTODO: Estudio Investigación e Intervención, realizado en dos meses de 2018, con 20 pacientes. La recolección de datos se realizó en tres momentos. RESULTADOS: se reveló que el paciente cardíaco en el período preoperatorio de cirugía cardíaca es predominantemente masculino, hipertenso y espera reemplazo valvular. Se advirtieron factores de riesgo significativos para la ansiedad: lenguaje técnico de los profesionales, experiencia previa en cirugía cardíaca y su cancelación durante la hospitalización. DISCUSIÓN: estudios anteriores arrojaron resultados similares a los encontrados en la presente investigación, confirmándose, no obstante, el papel fundamental de la enfermería en el manejo de la ansiedad, muy común cuando se espera por la cirugía. CONCLUSIÓN: en este contexto, las intervenciones de enfermería pueden contribuir a una reducción significativa de la ansiedad de los pacientes, generando resultados positivos para el paciente y la institución de salud.

OBJECTIVES: To identify the contribution of nursing interventions in order to reduce anxiety in patients in the preoperative period of cardiac surgery. METHOD: An Intervention Research study, conducted during two months of 2018 with 20 patients. Data collection was carried out in three moments. RESULTS: It was revealed that the cardiac patient in the preoperative period of cardiac surgery is predominantly male, hypertensive, awaiting valve replacement. Significant risk factors for anxiety were shown: the technical language of the professionals, previous experience of cardiac surgery, and its cancellation during hospitalization. DISCUSSION: Previous studies have also presented results similar to those found in this study, confirming the fundamental role of nursing in coping with anxiety which is so common when waiting for surgery. CONCLUSION: In this context, nursing interventions may contribute to a significant reduction in patients' anxiety, generating positive results for the patient and for the health institution.

Humanos , Masculino , Feminino , Ansiedade/enfermagem , Cirurgia Torácica , Pesquisa em Enfermagem Clínica , Período Pré-Operatório , Enfermagem Cardiovascular , Diagnóstico de Enfermagem , Terminologia Padronizada em Enfermagem , Hospitais Estaduais
J Cardiothorac Surg ; 15(1): 72, 2020 May 06.
Artigo em Inglês | MEDLINE | ID: mdl-32375843


OBJECTIVE: The purpose of this study was to evaluate the effect of continuous nursing interventions on valve noise-related anxiety in patients undergoing mechanical mitral valve replacement (MVR) and to analyze its impact on patient quality of life. METHODS: Ninety patients who underwent mechanical MVR were divided into two groups. All patients in group A received routine nursing care. In addition to this intervention, an assigned nurse periodically provided patients in group B with continuous nursing interventions and ongoing health consultations during a 1-year follow-up. A hospital anxiety and depression (HAD) scale, a customized questionnaire and a Short Form Health Status 36 (SF-36) score questionnaire were used as the research tools. RESULTS: The postoperative HAD scores were better in group B than in group A, but the differences in most of the data were not statistically significant between the groups, except for HA sections 0-7 and 11-21. Based on the customized questionnaire, the subjective disturbance level was significantly lower in group B than in group A (the results of Q1 and Q4 were statistically significant). With regard to the SF-36 scores, group B was superior to group A in general health, emotional function and mental health, while the other dimensions had no significant difference. CONCLUSIONS: Compared with routine care, patients who received continuous care intervention after mechanical MVR had fewer anxiety symptoms and better quality of life.

Ansiedade/enfermagem , Implante de Prótese de Valva Cardíaca/enfermagem , Próteses Valvulares Cardíacas/psicologia , Valva Mitral/cirurgia , Ruído , Papel do Profissional de Enfermagem , Qualidade de Vida/psicologia , Idoso , Ansiedade/psicologia , Feminino , Implante de Prótese de Valva Cardíaca/psicologia , Humanos , Masculino , Pessoa de Meia-Idade , Período Pós-Operatório , Inquéritos e Questionários
Aust J Rural Health ; 28(2): 124-131, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31960537


OBJECTIVE: To study the effect of nurse-led counselling on the anxiety symptoms and the quality of life following percutaneous coronary intervention for stable coronary artery disease. DESIGN: Randomised control trial. SETTING: Rural and remote China. PARTICIPANTS: Rural and remote patients were consecutively recruited from a medical centre located in China between January and December 2014. INTERVENTIONS: The control group received standard pre-procedure information from a ward nurse on the processes of the hospitalisation and percutaneous coronary intervention, and post-procedural care. The intervention group received a structured 30-minute counselling session the day before and 24 hours after the percutaneous coronary intervention, by nurse consultants with qualifications in psychological therapies and counselling. The health outcomes were assessed by a SF-12 scale and the Seattle Angina Questionnaire at 6 and 12 months after percutaneous coronary intervention. The anxiety and depression symptoms were evaluated by a Zung anxiety and depression questionnaire. MAIN OUTCOME MEASURES: Cardiac outcomes, quality of life and mental health status. RESULTS: Eighty patients were randomly divided into control (n = 40) and intervention groups (n = 40). There was a significant increase in the scores of the three domains of Seattle Angina Questionnaire 12 months after percutaneous coronary intervention in the intervention group (P < .01). The mental health and physical health scores also increased (P < .01). In the control group, the mean scores of Zung self-rating anxiety scale 12 months following percutaneous coronary intervention were higher than the baseline scores, and higher than in the intervention group (P < .01). CONCLUSIONS: Counselling by a clinician qualified in psychological therapies and counselling significantly reduces anxiety symptoms and improves quality of life.

Ansiedade/enfermagem , Intervenção Coronária Percutânea/psicologia , Intervenção Psicossocial , Qualidade de Vida , Idoso , China/epidemiologia , Doença da Artéria Coronariana/cirurgia , Depressão/enfermagem , Feminino , Nível de Saúde , Humanos , Masculino , Saúde Mental , Pessoa de Meia-Idade , População Rural , Inquéritos e Questionários
J Clin Nurs ; 29(9-10): 1653-1661, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-31889350


AIMS AND OBJECTIVES: To investigate the effects of education and counselling on anxiety and pain in women undergoing hysterosalpingography (HSG) as part of infertility treatment. BACKGROUND: The hysterosalpingography has an important diagnostic role in finding the cause of infertility and making a decision on management of treatment. In addition, it is considered a feared procedure in the infertility process and the one about which very little is known. Women often experience anxiety and pain during the HSG procedure. DESIGN: A randomised controlled trial. METHODS: The CONSORT guidelines have been used to describe the methods. Women who were diagnosed with infertility between February-October 2016 were included in the study. The participants were randomised and divided into intervention (52) and control (53) groups. The sociodemographic and obstetric data collection form, the State-Trait Anxiety Inventory and a visual analogue scale were used before the procedure. After the questionnaires were applied to the intervention group, individual learning and counselling sessions were given about the hysterosalpingography process. Brochures were also distributed to the patients for their reference after the learning session. The control group received standard care. RESULTS: When the intervention and control groups were compared, it was found that the education and counselling given before the HSG procedure significantly decreased the level of pain and anxiety felt by women. In addition, a significant positive correlation was found between pain and anxiety after the training in the intervention group. CONCLUSIONS: This study indicates that the education and counselling given to women before the HSG procedure are effective interventions for reducing pain and anxiety in women undergoing HSG. RELEVANCE TO CLINICAL PRACTICE: With the application of HSG education and counselling, and the distribution of brochures to each patient, pain and anxiety can be reduced during the HSG procedure.

Ansiedade/enfermagem , Aconselhamento/métodos , Histerossalpingografia/psicologia , Dor/enfermagem , Educação de Pacientes como Assunto , Adulto , Ansiedade/prevenção & controle , Feminino , Humanos , Histerossalpingografia/enfermagem , Infertilidade Feminina/etiologia , Dor/prevenção & controle , Gravidez , Inquéritos e Questionários , Escala Visual Analógica
Rev. Rol enferm ; 43(1,supl): 312-321, ene. 2020. tab, graf
Artigo em Português | IBECS | ID: ibc-193324


Background: In a phase of development as complex as adolescence, the surgical experience is a great challenge. While there is some knowledge about manifestations of anxiety in children, less is known about manifestations of anxiety in adolescents. Likewise, the knowledge about adolescents needs for control of anxiety in the perioperative period is missing. Aims: To synthesize the existing research on the manifestations of anxiety in adolescents in the perioperative period and to identify the adolescents needs for control of anxiety in the perioperative period. Methods: An integrative review was conducted using a literature search in five different health databases. Only original studies related to the study topic were included. A six-step method was used to develop the revision and to analyze the results. Results: Of the 251 articles initially selected, only five met the inclusion criteria. A total of 114 adolescents from five different countries were represented. The manifes-tations of anxiety were grouped in psychological, social and physical. These manifes-tations were mostly related with fear of surgery, how would they deal with pain, body image change, anxiety itself and the separation from their friends. The needs were 'to be informed' and 'to be involved in the decisions about their own care process'. Conclusions: The adolescents have manifestations of anxiety and specific needs to deal with perioperative anxiety, which need to be taken into account in the planning of perioperative care. Further research is needed to promote the development of an evidence-based program tailored to answer to the adolescent's needs and to minimize their manifestations of anxiety in the perioperative period

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Humanos , Comportamento do Adolescente/psicologia , Procedimentos Cirúrgicos Operatórios/psicologia , Ansiedade/epidemiologia , Assistência Perioperatória/enfermagem , Serviços de Saúde do Adolescente/estatística & dados numéricos , Procedimentos Cirúrgicos Operatórios/enfermagem , Ansiedade/enfermagem , Determinação de Necessidades de Cuidados de Saúde
Public Health Nurs ; 37(1): 50-55, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31523851


OBJECTIVES: Although postpartum depression (PPD) affects 1 in 5 women, just 15% receive treatment. Cognitive Behavioural Therapy (CBT) is a first-line treatment for PPD. The objective of this pilot study was to determine the feasibility and acceptability of public health nurse (PHN)-delivered group CBT for PPD and to determine preliminary estimates of effect. DESIGN: A pre-posttest design was used. Participants provided data before and after the CBT groups. SAMPLE: Seven women who were over the age of 18 and had given birth in the past year participated. MEASUREMENTS: Feasibility and acceptability focused on PHN training, recruitment, retention, and adherence to the intervention. Participants provided data on depression, worry, health care utilization and mother-infant relations. Women and their partners reported on infant temperament. INTERVENTION: Participants attended a 9-week CBT group delivered by two PHNs. RESULTS: The PHN training, CBT intervention and our study protocol were found to be feasible and acceptable to participants. Reductions were seen in depression and worry. The number of health care visits decreased; mother-infant relations improved. CONCLUSIONS: These findings highlight the feasibility of PHN-delivered group CBT for PPD and suggest that it could reduce the burden of PPD on women and their children.

Terapia Cognitivo-Comportamental/métodos , Depressão Pós-Parto/terapia , Enfermeiras de Saúde Pública , Psicoterapia de Grupo/métodos , Adulto , Ansiedade/enfermagem , Ansiedade/terapia , Depressão/enfermagem , Depressão/terapia , Depressão Pós-Parto/enfermagem , Feminino , Humanos , Lactente , Recém-Nascido , Relações Mãe-Filho , Aceitação pelo Paciente de Cuidados de Saúde , Projetos Piloto , Inquéritos e Questionários
Public Health Nurs ; 37(1): 56-64, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31642117


OBJECTIVE: To examine the effects of a home follow-up program in Turkey on care problems, anxiety, and depression levels of mothers after the birth of a premature baby. METHODS: A semi-experimental study with a pretest-posttest control group design. Eighty premature newborns and their mothers were included in the study. Nursing care was given to mothers and babies in the study group through a total of four home visits on weeks 1, 2, 3, and days 40-42 in Kirikkale, Turkey guided by the Nursing Diagnosis System and Nursing Interventions Classification (NIC) system of the North American Nursing Diagnosis Association (NANDA). Data were collected from a sociodemographics form, home care needs evaluation form, Edinburgh Postpartum Depression Scale, and State Anxiety Inventory. RESULTS: There were no significant differences between groups for nursing diagnoses at baseline, while the study group resulted in significantly fewer problems on days 40-42, compared to the control group. Mothers had a comparatively lower depression and state anxiety risk in the study group compared to the control group. CONCLUSIONS: Providing home-based nursing care for preterm mothers and babies during the first 40-42 days has the potential to decrease postnatal care problems, including maternal depression and state anxiety levels.

Ansiedade/epidemiologia , Depressão/epidemiologia , Serviços de Assistência Domiciliar/organização & administração , Recém-Nascido Prematuro , Mães , Cuidado Pós-Natal/métodos , Adolescente , Adulto , Assistência ao Convalescente/métodos , Ansiedade/enfermagem , Depressão/enfermagem , Feminino , Seguimentos , Visita Domiciliar , Humanos , Lactente , Recém-Nascido , Masculino , Escalas de Graduação Psiquiátrica , Turquia , Adulto Jovem
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 12: 471-477, jan.-dez. 2020. ilus, tab
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1053137


Objetivo: descrever, com base na literatura, as contribuições das práticas educativas para o controle da ansiedade de pacientes em pré-operatório de cirurgia cardíaca. Método: trata-se de uma revisão integrativa realizada no período de novembro a dezembro de 2017 nas Bases de Dados PubMed, Bases de Dados de Enfermagem (BDENF), Biblioteca Regional de Medicina (BIREME), Scientific Electronic Library Online (SCIELO) e Medical Literature Analysis and Retrievel System Online (MEDLINE), com a inclusão de 24 artigos que compuseram esse estudo. Resultados: sobre o diagnóstico ansiedade, os artigos analisados mostraram maior presença no sexo feminino, em diferentes faixas etárias, mas mais prevalente em idades mais avançadas. Educação em saúde tem apresentado excelentes resultados na diminuição da ansiedade, que uma vez realizada pelo enfermeiro, potencializa o cuidado. Conclusão: processos educativos realizados no pré-operatório de cirurgia cardíaca, auxiliam para uma boa recuperação, pois com o envolvimento do paciente no processo, o tornará tranquilo e confortável

Objective: to describe, based on the literature, the contributions of the educational practices to the control of the anxiety of patients in the preoperative period of cardiac surgery. Method: this is an integrative review carried out from November to December 2017 in the PubMed, Bases de Dados de Enfermagem (BDENF), Biblioteca Regional de Medicina (BIREME), Scientific Electronic Library Online (SCIELO) and Medical Literature Analysis and Retrievel System Online (MEDLINE), databases, with the inclusion of 24 articles that composed this study. Results: on the anxiety diagnosis, the articles analyzed showed greater presence in the female sex, in different age groups, but more prevalent at more advanced ages. Health education has presented excellent results in the reduction of anxiety, which once performed by the nurse, potentiates the care. Conclusion: educational processes performed in the preoperative period of cardiac surgery, help to a good recovery, because with the patient's involvement in the process, it will make him calm and comfortable

Objetivo: describir, con base en la literatura, las contribuciones de las prácticas educativas para el control de la ansiedad de pacientes en preoperatorio de cirugía cardíaca. El método: se trata de una revisión integrativa realizada en el período de noviembre a diciembre de 2017 en las Bases de PubMed, Bases de Dados de Enfermagem (BDENF), Biblioteca Regional de Medicina (BIREME), Scientific Electronic Library Online (SCIELO) y Medical Literature Analysis and Retrievel System Online (MEDLINE), con la inclusión de 24 artículos que compusieron ese estudio. Resultados: sobre el diagnóstico ansiedad, los artículos analizados mostraron mayor presencia en el sexo femenino, en diferentes edades, pero más prevalente en edades más avanzadas. La educación en salud ha presentado excelentes resultados en la disminución de la ansiedad, que una vez realizada por el enfermero, potencializa el cuidado. Conclusión: procesos educativos realizados en el preoperatorio de cirugía cardíaca, auxilian para una buena recuperación, pues con la participación del paciente en el proceso, lo hará tranquilo y confortable

Humanos , Masculino , Feminino , Ansiedade/enfermagem , Enfermagem Perioperatória/educação , Educação em Saúde/métodos , Ansiedade/prevenção & controle , Enfermagem Perioperatória/tendências , Cirurgia Torácica , Empatia
Aust Crit Care ; 32(4): 285-292, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31280772


BACKGROUND: Hospitalisation for percutaneous coronary intervention (PCI) in Australia is reducing. Patients who undergo PCI may be discharged home without a post-discharge health management plan, referral for secondary prevention, or understand their chronic condition. Subsequently, negative psychological symptoms such as anxiety and depression may be experienced in the post-discharge period. OBJECTIVES: This study assessed the effectiveness of a nurse-led clinic on patients' cardiac self-efficacy and negative psychological symptoms of anxiety and depression 1-week post-PCI discharge. METHODS: One-hundred and eighty-eight potential participants were screened, and 33 participants were block-randomised to study groups. The nurse-led clinic used a person-centred approach and delivered tailored education, health assessment, and post-discharge support. In Phase 1, the Cardiac Self-efficacy Scale and State-Trait Anxiety Inventory measured primary outcomes, while the Cardiac Depression Scale was used to measure secondary outcomes. Phase 2 evaluated participants' experiences and healthcare professionals' perceptions of the intervention through semi-structured interviews. RESULTS: In Phase 1, intervention group participants did not show improvements in mental health indicators compared to standard care group participants, except for a moderate reduction in anxiety levels (d = 0.50). Phase 2 qualitative findings; however, highlighted the benefits of the nurse-led clinic. CONCLUSIONS: Overall, findings suggest that nurse-led clinics may be valuable to reduce anxiety and act as a supportive measure in the early post-discharge period until commencement of a secondary prevention program. Further research with a more powered sample is needed to determine the significance of the findings.

Assistência ao Convalescente/métodos , Papel do Profissional de Enfermagem , Intervenção Coronária Percutânea , Adulto , Idoso , Ansiedade/enfermagem , Depressão/enfermagem , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Queensland , Autoeficácia