Holistic Nursing Practice最新文献

This study was conducted to determine the effect of breathing and relaxation exercises training on psychological well-being and sleep quality in individuals diagnosed with schizophrenia. This study was conducted at a community mental health center between October 2022 and April 2023 as a randomized controlled study with a pretest-posttest control group. The study's participants were 64 individuals diagnosed with schizophrenia (31 in the experimental group and 33 in the control group). The Descriptive Characteristics Form, the Psychological Well-being Scale, and the Pittsburg Sleep Quality Index were used to collect data. The individuals in the experimental group underwent 6 sessions of breathing and relaxation exercises training in the form of group training, and no training was applied to the individuals in the control group. It was determined that the individuals in the experimental group had an increase in the total mean score of psychological well-being and a decrease in the total mean score of sleep quality after breathing and relaxation exercise training. In addition, a statistically significant difference was found between the posttest psychological well-being and sleep quality total mean scores of the experimental and control groups ( P < .05). It can be said that breathing and relaxation exercises training can be used as an effective intervention to increase the psychological well-being and sleep quality of individuals diagnosed with schizophrenia and can be used in addition to pharmacological treatment.

This study aimed to investigate the effect of Damask rose aromatherapy on pain and anxiety in primiparas during the incubation and latent periods of the first stage of labor. The study randomly divided participants into aroma, placebo, and control groups. The control group received daily care, while the aroma group received at least 30 minutes of aromatherapy. The placebo group received the same aromatherapy device as the aroma group but inhaled saline. Pain, anxiety, and uterine contractions were measured at enrollment and at 30, 60, and 120 minutes. Data from 76 participants were analyzed, and the results showed that the aroma group had lower anxiety and pain scores than the placebo and control groups at 60 and 120 minutes. Additionally, the effect gradually appeared and was maintained even with increased contractions. Damask rose aromatherapy can be used as a safe and effective adjuvant therapy for reducing the anxiety and pain of women in the latent period of labor.

This review delves into the potential benefits of integrating yoga into the care of patients with heart failure. A systematic literature review was undertaken through electronic searches of indexed databases. Quality assessment utilized the Cochrane risk-of-bias tool, and data on population characteristics, interventions, and clinical, biochemical, and functional outcomes were meticulously extracted. Six randomized trials, encompassing 296 individuals with a left ventricular ejection fraction between 30 and 50%, and functionally classified per the New York Heart Association as I, II, or III, were included. Despite limited published experimental research, yoga demonstrates promising effectiveness in enhancing outcomes such as quality of life, functional capacity, and clinical markers. Notably, safety and adherence outcomes remain unexplored. Future studies should prioritize a representative sample size, methodological rigor, and adherence to established yoga intervention guidelines in randomized clinical trials, ensuring comprehensive evaluation across short-, medium-, and long-term perspectives.

In this article, two long-time practitioners of Code Lavender (a holistic nurse and board-certified chaplain) describe its history and current state. They analyze what makes it such a successful tool in addressing staff stress and sketch possible future directions. Case studies as well as techniques are discussed.

The present study aimed to determine the effects of aromatherapy through thyme oil inhalation on respiratory symptoms, hemodynamic parameters and vital signs in COPD patients. The pre-test post-test randomized controlled experimental study was conducted with inpatients COPD (intervention group = 60, control group = 60). Data were collected using the "Patient Information Form", "COPD Symptoms Form", and "Hemodynamic Parameters and Vital Signs Monitoring Form" as well as a saturation device. Following the pre-test, patients in the intervention group inhaled thyme oil 3 times a day for 5 days but the control group did not receive anything. COPD symptoms and hemodynamic parameters were measured on the fifth day as the post-test. Vital signs were measured and recorded 3 times every day over 5 days. It was found that thyme oil application through inhalation significantly reduced all COPD symptoms (dyspnea, cough, secretion, etc.) in the intervention group compared to the control group. pH and O 2 levels were higher while CO 2 levels were lower in the intervention group, and as of the third day, saturation levels were higher whereas respiratory rates were lower. In this regard, thyme oil is recommended as a non-pharmacological treatment method for COPD patients.

Insomnia leading to an inadequate fulfillment of the body's physiological sleep requirements in terms of both quality and duration. A single-arm clinical trial was employed. N = 84 and were given auricular acupressure treatment, 10 times as a course of treatment. The Pittsburgh Sleep Quality Index (PSQI), TCM Syndrome Score Scale, Insomnia Severity Index Scale, Flinders Fatigue Scale, Health Status Questionnaire, Patient Satisfaction Score and Auricular Temperature Change were filled in at the time of enrollment and after treatment, and the adverse reactions were recorded to evaluate the safety of treatment. According to the rate of reduction in the total score of the PSQI as the evaluation standard, 12 patients were cured, 46 significantly improved, 22 improved, and 4 showed no improvement, resulting in a total effective rate of 95.29% and a patient satisfaction rate of 90.58%, both showing statistically significant differences (P < .05). So ear acupressure can effectively treat insomnia.

Aromatherapy has emerged as a prominent therapeutic modality, particularly for individuals grappling with insomnia and stress. This study delves into the sleep patterns of a general population and evaluates the impact of 3 distinct essential oils over a 4 to 6-week period. The study rigorously assesses changes in sleep quality and various cardiovascular parameters before and after the utilization of these essential oils. A total of 67 participants completed the Pittsburgh Sleep Quality Index (PSQI) questionnaire and expressed their willingness to partake in the experiment through an online platform. Subsequently, the participants underwent comprehensive measurements of cardiovascular and autonomic nervous system parameters. Following random assignment into 1 of 3 groups, the subjects diligently used the prescribed essential oils for the specified duration. A posttest was conducted to meticulously document the changes in cardiovascular and autonomic nervous system parameters, as well as the PSQI scale. The 3 essential oils employed were lavender, vetiver, and orange blossom, with 21, 18, and 17 participants, respectively. The experimental findings revealed a noteworthy reduction in PSQI scores after 4 to 6 weeks of using vetiver and orange blossom essential oils. The scores decreased from 7.92 (3.55) and 8.32 (3.71) to 6.08 (3.30, P = .007) and 6.47 (2.20, P = .042), respectively. This reduction was even more pronounced among subjects with initial PSQI scores of 5 or higher. Furthermore, the utilization of vetiver and orange blossom essential oils demonstrated a significant reduction in systolic blood pressure (SYS) over the 4 to 6-week period. Vetiver SYS levels decreased from 108.39 (5.67) to 105.33 (5.93) (P = .0016), and orange blossom SYS levels decreased from 110.53 (9.49) to 108.18 (9.49) (P = .0414). In addition, the heart rate of the vetiver group also exhibited a significant decrease from 78.33 (12.06) to 76.00 (12.06) (P = .0342). Thus, the results strongly suggest that vetiver and orange blossom essential oils contribute to the reduction of blood pressure, heart rate, and the enhancement of sleep quality, particularly in individuals experiencing sleep disturbances. These findings align with previous research on the soothing effects of essential oils and their potential in promoting both cardiovascular and sleep-related well-being.

The hospital is an environment in which patients and their families feel uncomfortable and frequently suffer from episodes of anxiety. In recent years, there has been a clear trend toward humanizing care and incorporating complementary therapies to provide comfort during hospitalization, one of which is animal-assisted therapy. The aim of this systematic review is to find out whether animal-assisted therapy, specifically with dogs, improves anxiety in people in the hospital setting. For this reason, a systematic review has been carried out following quality criteria, where a total of 13 primary studies have been included. The results obtained indicate that animal-assisted therapy reduces anxiety, increases the feeling of well-being and improves depression in patients who participate in the different sessions, regardless of their age and the duration of the intervention. All participants answered that the animal-assisted therapy was very satisfactory and they wish to repeat it. Different activities that can be carried out during animal-assisted therapy are explained and the importance of adapting the sessions according to the individual characteristics of the dog and the patient in order to achieve the greatest wellbeing are addressed.