Background: Establishing a symptom onset timeline for stroke patients is one of the essential aspects of thrombolytic therapy. Implementing an MRI protocol can potentially increase the rate of thrombolytic therapy and expand treatment to patients who would otherwise be excluded.Objective: This project aimed to increase the rate of thrombolytic therapy by incorporating an additional layer of evaluation within the established acute stroke code process for patients with wake-up stroke (WUS) or unknown symptom onset stroke.Methods: Patients 18 years of age and older who presented as WUS eligible for thrombolytic therapy underwent acute MRI. Patients with a diffusion weighted image and fluid attenuated inversion recovery mismatch (DWI-FLAIR Mismatch) on MRI were treated with thrombolytic therapy.Results: Chi-square test of independence showed patients who underwent the MRI protocol (N = 35) had a higher proportion of alteplase (tissue plasminogen activator,tPA) treatment when compared to a similar sample (N = 44) from 2019 acute stoke logs; ꭓ2 (1, N = 79) = 8.16, p = .006. Six patients received thrombolytic. Safety showed no symptomatic intracerebral hemorrhage (sICH) or deaths.
{"title":"Implementation of a wake-up and unknown symptom onset stroke protocol","authors":"B. Jennings, E. Creel, D. Lee, G. Vidal","doi":"10.5430/cns.v10n1p32","DOIUrl":"https://doi.org/10.5430/cns.v10n1p32","url":null,"abstract":"Background: Establishing a symptom onset timeline for stroke patients is one of the essential aspects of thrombolytic therapy. Implementing an MRI protocol can potentially increase the rate of thrombolytic therapy and expand treatment to patients who would otherwise be excluded.Objective: This project aimed to increase the rate of thrombolytic therapy by incorporating an additional layer of evaluation within the established acute stroke code process for patients with wake-up stroke (WUS) or unknown symptom onset stroke.Methods: Patients 18 years of age and older who presented as WUS eligible for thrombolytic therapy underwent acute MRI. Patients with a diffusion weighted image and fluid attenuated inversion recovery mismatch (DWI-FLAIR Mismatch) on MRI were treated with thrombolytic therapy.Results: Chi-square test of independence showed patients who underwent the MRI protocol (N = 35) had a higher proportion of alteplase (tissue plasminogen activator,tPA) treatment when compared to a similar sample (N = 44) from 2019 acute stoke logs; ꭓ2 (1, N = 79) = 8.16, p = .006. Six patients received thrombolytic. Safety showed no symptomatic intracerebral hemorrhage (sICH) or deaths.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47849553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: Prenatal maternal stress is a known risk factor for preterm birth, low birth weight, and infant health problems and may have long-term impacts on the offspring. The study aimed to assess pandemic-related pregnancy stress among a group of Egyptian women during COVID-19 pandemic.Methods: The study used a descriptive cross-sectional design on 100 pregnant women who were selected using the purposive sample technique. The study was conducted at antenatal clinics of the Obstetrics and Gynecology Department at Mansoura University Hospitals, Mansoura city, Dakahlia governorate, Egypt. Two tools were utilized for gathering data; a structured interviewing questionnaire was used to assess the socio-demographic and reproductive characteristics of the studied pregnant women and the Pandemic-Related Pregnancy Stress scale was used to assess pandemic-related pregnancy stress among the studied pregnant women.Results: The study findings revealed that less than half of pregnant women during the COVID-19 pandemic reported elevated levels of stress related to feeling unprepared for childbirth and around three-quarters experienced high stress related to perinatal infection.Conclusions: The study concluded that the studied pregnant women during the COVID-19 pandemic had high levels of stress related to inadequate preparation for childbirth and stress related to the potential for perinatal infection. In addition, infection stress was more prevalent than preparedness stress among the studied pregnant women. It is recommended to provide prenatal educational programs related to coping strategies during the pandemic.
{"title":"Pandemic-related pregnancy stress among a group of Egyptian women during COVID-19 pandemic","authors":"Dina Mohamed Abuelkheir, A. El-Nemer","doi":"10.5430/cns.v10n1p22","DOIUrl":"https://doi.org/10.5430/cns.v10n1p22","url":null,"abstract":"Objective: Prenatal maternal stress is a known risk factor for preterm birth, low birth weight, and infant health problems and may have long-term impacts on the offspring. The study aimed to assess pandemic-related pregnancy stress among a group of Egyptian women during COVID-19 pandemic.Methods: The study used a descriptive cross-sectional design on 100 pregnant women who were selected using the purposive sample technique. The study was conducted at antenatal clinics of the Obstetrics and Gynecology Department at Mansoura University Hospitals, Mansoura city, Dakahlia governorate, Egypt. Two tools were utilized for gathering data; a structured interviewing questionnaire was used to assess the socio-demographic and reproductive characteristics of the studied pregnant women and the Pandemic-Related Pregnancy Stress scale was used to assess pandemic-related pregnancy stress among the studied pregnant women.Results: The study findings revealed that less than half of pregnant women during the COVID-19 pandemic reported elevated levels of stress related to feeling unprepared for childbirth and around three-quarters experienced high stress related to perinatal infection.Conclusions: The study concluded that the studied pregnant women during the COVID-19 pandemic had high levels of stress related to inadequate preparation for childbirth and stress related to the potential for perinatal infection. In addition, infection stress was more prevalent than preparedness stress among the studied pregnant women. It is recommended to provide prenatal educational programs related to coping strategies during the pandemic.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41864620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Due to the increasing number of breast cancer (BC) cases in Oman and the impact of the novel coronavirus disease 2019 (COVID-19) on bed situation in the hospital, a policy of early discharge (ED) with drain after BC surgery was initiated at one of the tertiary hospitals in Oman. The uniqueness of this policy is no home visit follow-up conducted after discharge and the main mode of communication was through social media account (Instagram media). This policy then was evaluated by conducting a quasi-experimental study using a survey with ten open and closed-ended questions, five questions to explore patient experience using a five-point Likert scale. A total of 41 female patients responded to the survey. Almost 96% of the participants stated being well informed about drain care pre- and post-surgery at home. 9% of the participants developed early sign of infection and was managed at out-patient clinics. Participants with bilateral drains expressed more pain than those with single drain. 90% stated satisfied being discharged with breast drain whereas 10% preferred to stay in the hospital until the drains were removed. This study found that the policy of ED with a drain after breast cancer (BC) surgery is practical and well-accepted by most patients. The role of breast nurse and presence of family and institutional support enhanced the success of the policy implementation. To optimize patient care, conducting a training program by breast nurse for nurses at local health centres about care management of patients with drain could improve care and enhance patient satisfaction.
{"title":"Patients’ perspective on early discharge with drain in situ after breast cancer surgery","authors":"Laila Al-Balushi, Suad Al-Kharosui","doi":"10.5430/cns.v10n1p14","DOIUrl":"https://doi.org/10.5430/cns.v10n1p14","url":null,"abstract":"Due to the increasing number of breast cancer (BC) cases in Oman and the impact of the novel coronavirus disease 2019 (COVID-19) on bed situation in the hospital, a policy of early discharge (ED) with drain after BC surgery was initiated at one of the tertiary hospitals in Oman. The uniqueness of this policy is no home visit follow-up conducted after discharge and the main mode of communication was through social media account (Instagram media). This policy then was evaluated by conducting a quasi-experimental study using a survey with ten open and closed-ended questions, five questions to explore patient experience using a five-point Likert scale. A total of 41 female patients responded to the survey. Almost 96% of the participants stated being well informed about drain care pre- and post-surgery at home. 9% of the participants developed early sign of infection and was managed at out-patient clinics. Participants with bilateral drains expressed more pain than those with single drain. 90% stated satisfied being discharged with breast drain whereas 10% preferred to stay in the hospital until the drains were removed. This study found that the policy of ED with a drain after breast cancer (BC) surgery is practical and well-accepted by most patients. The role of breast nurse and presence of family and institutional support enhanced the success of the policy implementation. To optimize patient care, conducting a training program by breast nurse for nurses at local health centres about care management of patients with drain could improve care and enhance patient satisfaction.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48937498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: Several studies evaluated the effectiveness of the ventilator care bundle in reducing the occurrence of ventilatorassociated pneumonia. The ventilator care bundle efficacy in early mechanical ventilation weaning has not been adequately assessed. The study aimed to investigate the weaning success among chronic obstructive pulmonary disease (COPD) patients following ventilator care bundle application.Methods: This study is quasi-experimental, recruiting 80 mechanically ventilated COPD patients (40 patients for each bundle and control group). It was conducted at the respiratory intensive care units (ICUs) at Mansoura University Hospital, Egypt. Data were collected using a mechanically ventilated patient (MVP) assessment tool, a ventilator care bundle compliance checklist, and MVP evaluation tools based on the Burns’ Wean Assessment Program (BWAP) checklist and the patient’s ventilation indicators.Results: The results revealed that almost 75% of the bundle group was successfully weaned from invasive mechanical ventilation at the first attempt of the spontaneous breathing trial compared with 32.5% of the control group. The ventilation duration and length of ICU stay were reduced in the bundle compared with the control group.Conclusions: The bundle group demonstrated higher weaning scores than the control group. Therefore, we recommend the integration of the ventilator care bundle in the weaning trial of MVPs to accelerate weaning and reduce the duration of mechanical ventilation.
{"title":"Weaning success among COPD patients following ventilator care bundle application","authors":"E. Hammouda, H. Ahmed, Amro Moawad, Nahed Kandeel","doi":"10.5430/cns.v10n1p1","DOIUrl":"https://doi.org/10.5430/cns.v10n1p1","url":null,"abstract":"Objective: Several studies evaluated the effectiveness of the ventilator care bundle in reducing the occurrence of ventilatorassociated pneumonia. The ventilator care bundle efficacy in early mechanical ventilation weaning has not been adequately assessed. The study aimed to investigate the weaning success among chronic obstructive pulmonary disease (COPD) patients following ventilator care bundle application.Methods: This study is quasi-experimental, recruiting 80 mechanically ventilated COPD patients (40 patients for each bundle and control group). It was conducted at the respiratory intensive care units (ICUs) at Mansoura University Hospital, Egypt. Data were collected using a mechanically ventilated patient (MVP) assessment tool, a ventilator care bundle compliance checklist, and MVP evaluation tools based on the Burns’ Wean Assessment Program (BWAP) checklist and the patient’s ventilation indicators.Results: The results revealed that almost 75% of the bundle group was successfully weaned from invasive mechanical ventilation at the first attempt of the spontaneous breathing trial compared with 32.5% of the control group. The ventilation duration and length of ICU stay were reduced in the bundle compared with the control group.Conclusions: The bundle group demonstrated higher weaning scores than the control group. Therefore, we recommend the integration of the ventilator care bundle in the weaning trial of MVPs to accelerate weaning and reduce the duration of mechanical ventilation.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42304888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The effects of the COVID-19 pandemic on long term care (LTC) have been published in the literature and experienced by residents, their support persons and nursing staff. The morbidity and mortality, as well as the threats of isolation and psychosocial distress continue. Both LTC residents and staff experience physiological and psychological impacts. Nurses can use the current threats produced by the pandemic to advocate for alternate models of care and reduced isolation for residents. The pandemic is an opportunity for nursing advocacy in LTC for shared governance and empowerment, involvement in policy development, and oversight in policy implementation. Nurses are presented with the opportunities for advocacy related to resources and reshaping the paradigm of residential care for older adults.
{"title":"Converting threats from COVID-19 in long term care into opportunities for improvement","authors":"Leona Konieczny","doi":"10.5430/cns.v9n2p36","DOIUrl":"https://doi.org/10.5430/cns.v9n2p36","url":null,"abstract":"The effects of the COVID-19 pandemic on long term care (LTC) have been published in the literature and experienced by residents, their support persons and nursing staff. The morbidity and mortality, as well as the threats of isolation and psychosocial distress continue. Both LTC residents and staff experience physiological and psychological impacts. Nurses can use the current threats produced by the pandemic to advocate for alternate models of care and reduced isolation for residents. The pandemic is an opportunity for nursing advocacy in LTC for shared governance and empowerment, involvement in policy development, and oversight in policy implementation. Nurses are presented with the opportunities for advocacy related to resources and reshaping the paradigm of residential care for older adults.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46111318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fahima Al Harthy, Asma Al Zaabi, Najat Al Ajmi, Afaf Elshiekh, Kamila Al Alawi, Lamia Mahmoud, Mudhar Al Adawi
This study aims to explore the perceptions of Omani primiparous mothers towards exclusive breastfeeding. A qualitative exploratory study was conducted at Royal Hospital between March and November 2020. Purposive sampling was applied to recruit newly delivered mothers and face to face interview was done for data collection. Interview protocol along with prompts was used to guide researchers during the interview. Specific questions were administered to assess mothers’ knowledge of exclusive breastfeeding, sources of information, influencing factors toward exclusive breastfeeding and intention to exclusively breastfeeding. Thematic analysis revealed six themes, namely: the effects of lack of knowledge on the mother perception towards exclusive BF, family members influencing the decision-making process regarding BF, impact of social life on BF practices, the effect of mother’s beliefs on exclusive BF, factor that affect BF practice in early days, mother’s concern regarding emotional support for successful exclusive BF. This study revealed a lack of basic knowledge on exclusive breastfeeding among mothers. Moreover, grandmothers and husbands were found to be the most influential family members on the decision regarding exclusive breastfeeding. Mothers had major concerns regarding milk adequacy in the first few days after delivery and emotional support plays a major role in encouraging exclusive breastfeeding.
{"title":"Perceptions, beliefs and societal factors impacting on exclusive breastfeeding of primiparous mothers: An exploratory study","authors":"Fahima Al Harthy, Asma Al Zaabi, Najat Al Ajmi, Afaf Elshiekh, Kamila Al Alawi, Lamia Mahmoud, Mudhar Al Adawi","doi":"10.5430/cns.v9n2p30","DOIUrl":"https://doi.org/10.5430/cns.v9n2p30","url":null,"abstract":"This study aims to explore the perceptions of Omani primiparous mothers towards exclusive breastfeeding. A qualitative exploratory study was conducted at Royal Hospital between March and November 2020. Purposive sampling was applied to recruit newly delivered mothers and face to face interview was done for data collection. Interview protocol along with prompts was used to guide researchers during the interview. Specific questions were administered to assess mothers’ knowledge of exclusive breastfeeding, sources of information, influencing factors toward exclusive breastfeeding and intention to exclusively breastfeeding. Thematic analysis revealed six themes, namely: the effects of lack of knowledge on the mother perception towards exclusive BF, family members influencing the decision-making process regarding BF, impact of social life on BF practices, the effect of mother’s beliefs on exclusive BF, factor that affect BF practice in early days, mother’s concern regarding emotional support for successful exclusive BF. This study revealed a lack of basic knowledge on exclusive breastfeeding among mothers. Moreover, grandmothers and husbands were found to be the most influential family members on the decision regarding exclusive breastfeeding. Mothers had major concerns regarding milk adequacy in the first few days after delivery and emotional support plays a major role in encouraging exclusive breastfeeding.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46031565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: Epilepsy is considered one of the most common neurological diseases affecting 65 people worldwide. People with epilepsy are more likely to get injured and die prematurely than the general population. Nurses must acquire professional knowledge related to epilepsy and should strengthen patients to play a more active role in their care to improve their understanding of their diseases. The study aimed to evaluate implementing epilepsy educational guidelines on nurses’ performance and patients’ outcomes.Methods: A quasi-experimental research design was conducted at the Neurology department in Mansoura University Hospital. This study sample is a convenient sample of 28 nurses and a purposive sample of 60 adult patients with epilepsy who attend the neurological department in Mansoura University Hospital.Results: The results indicate a significant improvement in nurses’ knowledge and practice regarding epilepsy. Also, it helped to improve patients’ knowledge and thus promoted epilepsy self-management behaviors in the study group.Conclusions: The designed nursing guidelines have achieved their objectives by improving nurses’ knowledge and practice regarding epileptic patient care, in addition to improving patients’ knowledge and epilepsy self-management scale for the study group compared with the control group.
{"title":"Effect of implementing epilepsy educational guidelines on nurses’ performance and patients’ outcomes","authors":"Walaa Zahran, W. Sherif, H. Mohamed","doi":"10.5430/cns.v9n2p20","DOIUrl":"https://doi.org/10.5430/cns.v9n2p20","url":null,"abstract":"Objective: Epilepsy is considered one of the most common neurological diseases affecting 65 people worldwide. People with epilepsy are more likely to get injured and die prematurely than the general population. Nurses must acquire professional knowledge related to epilepsy and should strengthen patients to play a more active role in their care to improve their understanding of their diseases. The study aimed to evaluate implementing epilepsy educational guidelines on nurses’ performance and patients’ outcomes.Methods: A quasi-experimental research design was conducted at the Neurology department in Mansoura University Hospital. This study sample is a convenient sample of 28 nurses and a purposive sample of 60 adult patients with epilepsy who attend the neurological department in Mansoura University Hospital.Results: The results indicate a significant improvement in nurses’ knowledge and practice regarding epilepsy. Also, it helped to improve patients’ knowledge and thus promoted epilepsy self-management behaviors in the study group.Conclusions: The designed nursing guidelines have achieved their objectives by improving nurses’ knowledge and practice regarding epileptic patient care, in addition to improving patients’ knowledge and epilepsy self-management scale for the study group compared with the control group.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45341613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: Interprofessional education (IPE) is becoming increasingly popular and highly recommended for inclusion in curricula for healthcare professionals. Implementing IPE may improve students’ knowledge, skills, and attitudes toward collaborative teamwork, thereby improving health services and health outcomes for patients. This work aimed to explore nursing and medical students’ perceptions of IPE and social interactions.Methods: A qualitative study was conducted using a purposive sample of eight nursing and medical students. Data were collected via two semi-structured focus-group sessions and were analyzed using inductive thematic analysis.Results: Five main themes and seven subthemes emerged. The main themes were (1) IPE meaning, (2) IPE barriers, (3) IPE facilitators, (4) social interactions, and (5) bridging gaps in students’ perspectives. We found that students from both schools had a clear understanding of the definition and importance of IPE. Students reported that lack of interaction is an issue that they have never attempted to address. Students highlighted that IPE enhances IP collaboration and teamwork.Conclusions: Teaching students about IP communication and professional roles and involving students in joint sessions prepare them for a promising future of high-quality patient care.
{"title":"Nursing and medical students’ perceptions of interprofessional education and social interactions: A qualitative study","authors":"Maryam Alaradi, Maryam Abdulsalam, Khalifa Albenjasim, Omar Ahmed Alwahoush, Salwa Abdulmalek, Wadha Alsherooqi","doi":"10.5430/CNS.V9N2P12","DOIUrl":"https://doi.org/10.5430/CNS.V9N2P12","url":null,"abstract":"Objective: Interprofessional education (IPE) is becoming increasingly popular and highly recommended for inclusion in curricula for healthcare professionals. Implementing IPE may improve students’ knowledge, skills, and attitudes toward collaborative teamwork, thereby improving health services and health outcomes for patients. This work aimed to explore nursing and medical students’ perceptions of IPE and social interactions.Methods: A qualitative study was conducted using a purposive sample of eight nursing and medical students. Data were collected via two semi-structured focus-group sessions and were analyzed using inductive thematic analysis.Results: Five main themes and seven subthemes emerged. The main themes were (1) IPE meaning, (2) IPE barriers, (3) IPE facilitators, (4) social interactions, and (5) bridging gaps in students’ perspectives. We found that students from both schools had a clear understanding of the definition and importance of IPE. Students reported that lack of interaction is an issue that they have never attempted to address. Students highlighted that IPE enhances IP collaboration and teamwork.Conclusions: Teaching students about IP communication and professional roles and involving students in joint sessions prepare them for a promising future of high-quality patient care.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47316124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: The study aims to explore the perception of empowerment, HRQoL and their relationship in schizophrenia patients in rehabilitation ward. Methods: Cross-sectional correlational design and convenience sampling were used to recruit 102 subjects from rehabilitation wards of a psychiatric hospital in southern Taiwan. Three instruments were used: the Brief Psychiatric Rating Scale, the Empowerment Scale (subscales: self-esteem and self-efficacy, power-powerlessness, righteous anger, and community autonomy), and the Taiwanese version of the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF) with four domains (physical health, psychological, social relationship, and environment). Results: (1) Overall empowerment perception and overall HRQoL were at a moderate and above level in patients with schizophrenia in rehabilitation ward. (2) Older patients having a lower empowerment perception with power-powerlessness than youngers; the more severe the psychiatric symptoms, the lower the righteous anger. (3) Male patients scored higher than female patients on overall HRQoL and “environment” domain. The duration of mental illness also influenced at “environment” domain, 6-10 years group scored higher than ≤ 5 years group. (4) Actively participate in rehabilitation activities correlated positively; psychiatric symptoms correlated negatively with overall HRQoL and with each individual domain. (5) Empowerment perception correlated positively with overall HRQoL and with each individual domain. Conclusions: Mental health workers should assist chronic schizophrenic patients in coping with their psychiatric symptoms, allow patients to express negative emotions, and provide opportunities for patients to make their own decisions and exercise their own rights.
{"title":"Empowerment perception and health-related quality of life among schizophrenic patients","authors":"H. Chiu, Hui-Man Huang","doi":"10.5430/CNS.V9N1P45","DOIUrl":"https://doi.org/10.5430/CNS.V9N1P45","url":null,"abstract":"Objective: The study aims to explore the perception of empowerment, HRQoL and their relationship in schizophrenia patients in rehabilitation ward. Methods: Cross-sectional correlational design and convenience sampling were used to recruit 102 subjects from rehabilitation wards of a psychiatric hospital in southern Taiwan. Three instruments were used: the Brief Psychiatric Rating Scale, the Empowerment Scale (subscales: self-esteem and self-efficacy, power-powerlessness, righteous anger, and community autonomy), and the Taiwanese version of the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF) with four domains (physical health, psychological, social relationship, and environment). Results: (1) Overall empowerment perception and overall HRQoL were at a moderate and above level in patients with schizophrenia in rehabilitation ward. (2) Older patients having a lower empowerment perception with power-powerlessness than youngers; the more severe the psychiatric symptoms, the lower the righteous anger. (3) Male patients scored higher than female patients on overall HRQoL and “environment” domain. The duration of mental illness also influenced at “environment” domain, 6-10 years group scored higher than ≤ 5 years group. (4) Actively participate in rehabilitation activities correlated positively; psychiatric symptoms correlated negatively with overall HRQoL and with each individual domain. (5) Empowerment perception correlated positively with overall HRQoL and with each individual domain. Conclusions: Mental health workers should assist chronic schizophrenic patients in coping with their psychiatric symptoms, allow patients to express negative emotions, and provide opportunities for patients to make their own decisions and exercise their own rights.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":"9 1","pages":"45"},"PeriodicalIF":0.0,"publicationDate":"2021-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48460730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Evgenia Stasinopoulou, M. Giannakopoulou, G. Fildisis, M. Kalafati, C. Lemonidou
Background: Investigating quality of life (QoL) is of crucial importance for the scientific community as it could function not only as an indicator of prognosis and post-traumatic clinical and psychological changes in patients who have suffered from acute brain injury (ABI), but also as an indicator of the effectiveness of their treatment and social rehabilitation. In addition, it can highlight changes in the carer’s health, social life and well-being. This study examined the QoL of patients following ABI and the needs of their carers. Material and methodology: This study was conducted in patients suffering from ABI, who were admitted to the General Hospital of Attica “KAT” and to the National Rehabilitation Center and on their carers. Data collection including demographics and Quality of Life After Brain Injury Questionnaire (QOLIBRI) and the Family Needs Questionnaire (FNQ) was performed during patients’ rehabilitation, while six months after release, a follow-up survey was conducted using the same questionnaires. Statistical analysis of data was performed using SPSS. Results: We analysed 50 patients with mild ABI (GCS ≥ of 13/15) during rehabilitation and six months after release and found that their QoL improves and is positively related to improvement of health status (i.e. in terms of thinking ability, QoL improves from r = 2.33, p < .01 to r = 3.37, p < .001). We also found that “Age” has the greatest impact on the patient’s progress for recovery and the general QoL after ABI ( r = -0.423, p < .01). In addition, it was found that carers of patients with ABI are confronted with the burden of care, while they record both fulfilled and unmet needs regarding their individual needs (i.e. only for 30% of the sample the need for help in preparing them for the worst is met). Conclusions: Our study confirms previous findings that underline that ABI has a major impact on QoL of both patients and their carers providing them with long-term daily care. Although it has been found that over time there is an improvement in the QoL of patients with ABI, the absence of an official support network for carers from public health system, hospitals and rehabilitation centers may adversely affect the QoL of patients and their carers. Therefore, more structured, long-term family-wide monitoring and support is needed, focusing on identifying those at risk of social isolation and incomplete social networking.
{"title":"Quality of life in patients with mild acute brain injury and their carers’ needs in Greece","authors":"Evgenia Stasinopoulou, M. Giannakopoulou, G. Fildisis, M. Kalafati, C. Lemonidou","doi":"10.5430/CNS.V9N1P39","DOIUrl":"https://doi.org/10.5430/CNS.V9N1P39","url":null,"abstract":"Background: Investigating quality of life (QoL) is of crucial importance for the scientific community as it could function not only as an indicator of prognosis and post-traumatic clinical and psychological changes in patients who have suffered from acute brain injury (ABI), but also as an indicator of the effectiveness of their treatment and social rehabilitation. In addition, it can highlight changes in the carer’s health, social life and well-being. This study examined the QoL of patients following ABI and the needs of their carers. Material and methodology: This study was conducted in patients suffering from ABI, who were admitted to the General Hospital of Attica “KAT” and to the National Rehabilitation Center and on their carers. Data collection including demographics and Quality of Life After Brain Injury Questionnaire (QOLIBRI) and the Family Needs Questionnaire (FNQ) was performed during patients’ rehabilitation, while six months after release, a follow-up survey was conducted using the same questionnaires. Statistical analysis of data was performed using SPSS. Results: We analysed 50 patients with mild ABI (GCS ≥ of 13/15) during rehabilitation and six months after release and found that their QoL improves and is positively related to improvement of health status (i.e. in terms of thinking ability, QoL improves from r = 2.33, p < .01 to r = 3.37, p < .001). We also found that “Age” has the greatest impact on the patient’s progress for recovery and the general QoL after ABI ( r = -0.423, p < .01). In addition, it was found that carers of patients with ABI are confronted with the burden of care, while they record both fulfilled and unmet needs regarding their individual needs (i.e. only for 30% of the sample the need for help in preparing them for the worst is met). Conclusions: Our study confirms previous findings that underline that ABI has a major impact on QoL of both patients and their carers providing them with long-term daily care. Although it has been found that over time there is an improvement in the QoL of patients with ABI, the absence of an official support network for carers from public health system, hospitals and rehabilitation centers may adversely affect the QoL of patients and their carers. Therefore, more structured, long-term family-wide monitoring and support is needed, focusing on identifying those at risk of social isolation and incomplete social networking.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":"9 1","pages":"39"},"PeriodicalIF":0.0,"publicationDate":"2021-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45531277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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