Holistic Nursing Intervention Research Articles

Deep Learning-Based Digital Subtraction Angiography Characteristics in Nursing of Maintenance Hemodialysis Patients.

This study is aimed at exploring the diagnostic value of digital subtraction angiography (DSA) based on faster region-based convolutional networks (Faster-RCNN) deep learning for maintenance hemodialysis (MHD) diseases and to provide a theoretical basis for clinical nursing. A total of 50 MHD patients who were clinically diagnosed in the Blood Purification Center were randomly divided into the control group and the experimental group (25 cases for each group). The control group was given routine nursing intervention, and the experimental group was given overall nursing intervention under the supervision of DSA. A faster RCNN multitarget detection network was constructed to analyze the average accuracy of various vascular structures in the test set. The self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to evaluate the degree of anxiety and depression. The urine volume before and after the operation, local hematoma after a puncture, the incidence of complications, and nursing satisfaction were recorded. The results showed that the average accuracy of the vein, internal carotid artery, circle of Willis, venous sinus, and venous vessels was 0.876, 0.916, 0.994, 0.925, and 0.732, respectively. The success rate of surgery in the experiment group was higher than that in the control group, and the difference had statistical significance (P < 0.05). The SAS score and SDS score in the experimental group were significantly lower than those in the control group (P < 0.05). The total incidence rate of complications in the experimental group (16.00%) was significantly lower than that in the control group (44.00%) (P < 0.05). The satisfaction rate of the experimental group was significantly higher than that of the control group (P < 0.05). The Faster-RCNN model had the best effect in differentiating the circle of Willis and a poor effect in differentiating venous vessels. DSA based on Faster-RCNN can significantly improve the success rate of puncture in MHD patients. The implementation of holistic nursing intervention under its supervision can significantly reduce postoperative complications and improve patient satisfaction with nursing compared with routine nursing.

Observation on the effect of holistic nursing intervention in operating room and its effect on nursing quality and safety score in patients undergoing laparoscopic radical gastrectomy.

article: Observation on the effect of holistic nursing intervention in operating room and its effect on nursing quality and safety score in patients undergoing laparoscopic radical gastrectomy - Minerva Gastroenterology 2022 June;68(2):241-3 - Minerva Medica - Journals

Effect of holistic nursing intervention on postoperative rehabilitation and reduction of complications of pelvic fracture patients.

Effect of holistic nursing intervention on postoperative rehabilitation and reduction of complications of pelvic fracture patients.

Holistic Nursing Upon the Knowledge on Care During Myelosuppression among Cancer Patients.

Background:A study was conducted to assess the effectiveness of holistic nursing intervention upon the knowledge regarding care during myelosupression among patients with cancer at a selected hospital in Chennai, India. Methods:A quantitative research approach of quasi experimental non-equivalent with control group before –after design (non randomized) was used. The investigator included 204 participants by using purposive sampling technique which included 102 each in study and comparison group. Pre-test was done before the intervention of holistic nursing to both comparison and study group participants. Holistic nursing intervention was implemented for study group whereas comparison group received routine care. Post test was done by using the structured questionnaire after 1month. The responses from the participants were coded and statistically analyzed by using descriptive and inferential statistics. Results:The knowledge scores obtained by study group was significantly higher (13.32+2.94) when compared to comparison group (8.12+2.04). There was a statistically significant difference between study and comparison group participants, at p< 0.001. With regard to the dimensions of knowledge related to disease condition and signs and symptoms were higher in the study group when compared to the comparison group. The difference was statistically significant at p<0.001. With regard to the management and prevention, the scores were almost similar in both the groups. Conclusion:The researcher concludes with the fact that holistic nursing is a non invasive intervention, which allows cancer patients to relax, improves compliance to therapeutic regimen during myelosuppression.

Effect of holistic nursing intervention on patients with acute mastitis treated by incision and drainage

Objective To explore the effect of holistic nursing intervention on patients with acute mastitis treated by incision and drainage. Methods From January of 2017 to January of 2019, 55 patients with acute mastitis treated by incision and drainage in Breast and Thyroid Surgery, Shaoxing People's Hospital were selected and received holistic nursing intervention. Patients' scores on pain grade and psychological status (SAS、SDS) before and after intervention were compared. Results The hospitalization time of the 55 patients was (14.27±2.51) d, the healing time was (13.21±2.47) d, and the incidence of breast fistula was 7.27% (4/55) . After nursing intervention, the pain score was significantly less than that before nursing intervention (P<0.05) ; the SAS and SDS scores decreased significantly (P< 0.05) . Conclusions Holistic nursing intervention can effectively alleviate the pain of patients with acute mastitis after incision and drainage, and improve patients' negative affect. Key words: Acute mastitis; Incision and drainage; Pain; Negative emotion; Holistic nursing

The Influence of Spiritual Well-Being, Self-Esteem, and Perceived Social Support on Post-Traumatic Growth among Breast Cancer Survivors

Purpose: The purpose of this study was to identify the influence of spiritual well-being, self-esteem, and perceived social support on post-traumatic growth in breast cancer survivors in Korea. Methods: Data were collected from March 2 to October 31, 2016 using self-reporting questionnaires from 126 breast cancer survivors who had visited out-patient clinics for follow-up in B city. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficient, and stepwise multiple regression. Results: Post-traumatic growth was significantly correlated with spiritual well-being (r=.52, p<.001), self-esteem (r=.54, p<.001), and perceived social support (r=.47, p<.001). In a stepwise multiple regression, spiritual well-being (β=.26, p<.001), self-esteem (β=.23, p<.001), perceived social support (β=.21, p<.001), and presence of spouse (β=.20, p<.001) were associated with posttraumatic growth. These factors attributed to 37.0% of the total variance in post-traumatic growth in breast cancer survivors. Conclusion: Considering the results of this study, it is necessary to develop and implement effective nursing strategies that can improve spiritual well-being, and to develop a holistic nursing intervention that takes into account self-esteem, perceived social support, and spousal help, when applicable, in order to promote post-traumatic growth in breast cancer survivors in Korea.

The Effect of Inhalation Aromatherapy with Lavender on Sleep Quality of the Elderly in Nursing Care Homes: A Randomized Clinical Trial

Background: Nurses who take care of elderly people have witnessed sleep disorders as one of the most common problems in these geriatric patients. As a major non-pharmaceutical method, aromatherapy is considered as a holistic nursing intervention. The purpose of this study was to investigate the effect of lavender aromatherapy on sleep quality of elderly people in nursing care homes. Methods: This study conducted “randomized controlled field trial” on 50 elderly people in the nursing care home of Zabol County. The representatives were selected with the help of available sampling method and randomly divided into 2 experimental and control groups. The participants of the experimental group were exposed to lavender essential oil for 7 nights from 10 pm to 6 am. However, placebo (water) was used in the control group. The PSQI questionnaire was completed before and after the intervention by both groups. The data was analyzed using the SPSS software and the statistical tests of chi-square, Fisher exact test, Independent t-test, and paired t-test. This study was a randomized controlled field trial, with the purpose of determining the effect of aromatherapy on sleep quality of elderly people in nursing care homes in the eastern region of Iran (Zabol County) in 2016. Results: There was no significant difference between experimental and control groups as far as the mean score of sleep quality at the beginning was concerned. However, a notable distinction between the 2 (experimental- 6.48 ± 3.33 and control- 9.84 ± 3.76) groups was found in the end. The comparison of sleep mean scores before and after the intervention showed that there was a statistically significant relationship in terms of delay in falling sleep, sleep disorders, and impaired daily functioning. The comparison of sleep mean score change between the experimental and control groups observed delays in falling sleep, sleep duration, sleep disorders, taking sleep medications, and impaired daily functioning (P < 0.05). Conclusions: Lavender aromatherapy had a positive impact on improving the sleep quality of elderly people and may be used as a non-invasive, easy, and low-cost method.

Effects of holistic nursing intervention on daily life ability of stroke patients with affective disorder

Objective To explore the effects of holistic nursing intervention on daily life ability of stroke patients with affective disorder. Methods 86 cases with depression/anxiety were found out in 216 cases of stroke patients with the usages of Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)scales. The 86 cases were randomly divided into control group and experiment group(n=43). The patients in the control group simply received the routine therapy and nursing. The patients in the experiment group received multiplex holistic nursing individually designed by a professional nurse in conjunction with the routine therapy and nursing. Then SDSscale, SASscale and modified Barthel Index (MBI)were used in assessing the efficacy after 8 weeks of nursing intervention. Results The scores of experiment group were better than those of control group in the result of holistic nursing intervention. There were significant differences between the two groups(P<0.05). Conclusions Scientific and appropriate holistic nursing intervention can help improve affective disorder and enhance daily life ability of cerebral apoplexy patients. Key words: Stroke; Affective disorder; Holistic nursing intervention; Daily life ability

Effect of holistic nursing care on the negative emotion and life quality of patients with chronic heart failure

Objective To investigate the effect of holistic nursing care on the negative emotion and life quality of patients with chronic heart failure(CHF).Methods Totals of 118 patients with CHF were randomly divided into intervention group(n =59) and control group(n =59).The control group received routine nursing care,while the intervention group were given holistic nursing intervention such as mental care,basic nursing,medicine nursing.Then,anxiety and depression of patients,quality of life,6 min walking distance,metabolic equivalents,and quality of life score and clinical indicators,as well as relapse and hospitalization rate were observed and compared.Results No significant difference was found in the SAS and SDS of patients when admitted to hospital (P ＞ 0.05).The SAS and SDS scores of control group were significantly higher than that in intervention group when discharge from hospital [(43.37 ± 5.62) vs (37.25 ± 5.57),(45.32 ± 7.58) vs (41.58 ±7.49)],the difference was statistical significance (t =2.53,3.08,P ＜ 0.05).And the 6 min walking distance [(253.07 ±75.68) mvs (104.15 ±45.36) m],clinical indicators[(5.68 ±0.78) vs (3.98 ± 1.19)],life quality score [(28.26 ± 10.65) vs (18.73 ± 11.57)] in intervention group were significantly higher than that in control group (t =2.45,3.16,3.04,respectively; P ＜ 0.05).Recurrent hospitalization rate in intervention group was significantly lower than that in control group (50.87％ vs 92.31％),the difference was statistical significance (x2 =5.48,P ＜ 0.05).Conclusions The holistic nursing intervention can effectively improve patients' satisfaction and promote recovery for the patients. Key words: Holistic nursing; Chronic heart failure; Negative emotion; Quality of life

Effect of holistic nursing intervention on psychological status in patients with fractures

Objective To observe psychological status in patients with fractures and the effect of holistic nursing intervention on the psychological status.Methods 220 patients were randomly divided into two groups.The study group received holistic nursing intervention in addition to the nursing care that the control group received.The Zung Anxiety Scale ( SAS ) and Self-rating Depression Scale ( SDS ) were used to assess the psychological status in patients on days 1,7,and 14 after admission.Results The scores on the SAS and SDS did not differ significantly between the two groups on dayl [( 41.17 ± 6.21 ) vs.( 41.23 ± 7.64 ) and ( 42.54 ± 6.98 ) vs.( 41.68 ± 6.54 ),P＞ 0.05],but differed significantly on days 7 and 14 [( 33.98 ± 6.31 ) vs.( 39.87 ± 7.62 ) and ( 30.02 ± 6.12 ) vs.( 36.28 ± 8.54 ); ( 34.12 ±7.13) vs.(39.87 ± 7.42) and (29.78 ± 6.12) vs.(37.66 ± 8.64),respectively; P＜ 0.05].Conclusions Holistic nursing intervention for patients with fractures can significantly improve the psychological state in those patients. Key words: Holistic nursing intervention; Fractures; Psychological status

The effective evaluation of holistic nursing intervention to improve the physical and mental health of perimenopause women in community

Objective To explore the effect of holistic nursing intervention to improve the physical and mental health of perimennpause women in community. Methods Two hundred and sixteen perimenopause women were randomly divided into intervention and control groups, 108 cases in each group. At the begin and the end of inquiry, the symptom checklist 90 (SCL-90) and the MOS item short from health survey (SF-36) were used to evaluate respectively the psychological state and life quality, meanwhile the situation, knowledge on perimenopause and self-care were measured by self - designed health knowledge questionnaire. Results All factors in SCL - 90 were lower significantly after implementing holistic nursing ( P＜ 0. 001 ), eight queries of life quality in SF - 36 in intervention group were higher significantly than those in control group after 12 months of intervention ( P ＜ 0.01 ) . The difference between perimenopause and self - care knowledge at the begin and the end of inquiry in two groups was not significantly ( P ＞ 0.05 ) . Conclusions Holistic nursing intervention can improve the physical and mental health of perimenopause women in community, and it is an important measure to make their life quality better. Key words: Holistic nursing; Perlmenopause; Community

Effect of holistic nursing intervention on negative emotion and quality of life of patients with hypertensive cerebral hemorrhage

Objective To investigate the effect of hotistic nursing intervention on negative emotion and quality of life of patients with hypertensive cerebral hemorrhage. Methods One hundred and twelve hypertensive cerebral hemorrhage inpatients with negative emotion disorder from 2006 June to 2008 December were randomly divided into the routine nursing group and the holistie nursing intervention group with 56 patients in each group. The routine nursing group were given the normal nursing care of hypertensive cerebral hemorrhage,the holistic nursing group received psychological nursing, health education and rehabilitative intervention on the basis of normal nursing care for 4 weeks. All patients were evaluated with self rating depression scale (SDS), self rating anxiety scale (SAS) and GQOIL before and after investigation. Results There was no difference in GQOIL, SDS and SAS between the two groups before nursing intervention. After the holistie nursing intervention, the scores of SDS and SAS of the holistic nursing intervention group were significantly lower than that of the routine nursing group, the score of GQOIL was better than that of the routine nursing group. Conclusions The holistie nursing intervention obtains a better effect on managing the hypertensive cerebral hemorrhage patients with negative emotion disorder, it is effective in alleviating negative emotion and raising their quality of life. Key words: Holistic nursing; Hypertension; Cerebral hemorrhage; Negative emotion; Quality of life

Influence of holistic nursing intervention on psychological state and gastrointestinal function of patients after abdominal operation

Objective To investigate influence of hohstic nursing intervention on psychological state and gastrointestinal function of patients after abdominal operation. Methods 48 patients undergoing abdominal surgery with epidural anesthesia were divided into the intervention group and the control group. Holistic nursing intervention and routine nursing were given to the two groups respectively. Self-rating anxiety scale (SAS) and serf-rating depression scale (SDS) were used to evaluate the psychological state of all patients and gastrointestinal tract function were also measured. The result underwent t test. Results SAS and SDS scores were lower on the fifth day after operation and the time of borborygmus recovery, anal exsufflation and defecation was shorter in the intervention group when compared with those of the control group. Conclusions Hohstic nursing to patients after abdominal surgery can eliminate anxiety and depression and improve recovery of gastrointestinal tract function. Key words: Operation; Psychology; Nursing; Intestinal tract movement

Relaxation training as a holistic nursing intervention.

For centuries cultures have incorporated strategies that recognize the power of engaging the mind in the process of healing. In this century, relaxation training (RT) is a skill that has been repeatedly validated by nursing, medical and psychology researchers as a complementary intervention that is effective for a wide range of clinical situations. Relaxation can be employed by nurses and patients to offset the negative effects of stress, illness, and surgery while promoting healing and self efficacy. The nurse's knowledge of RT is essential to a holistic nursing approach that supports an innovative model of caring for nursing practice.

Developing strategies to assist sudden-death families: A 10-year perspective

Abstract In 1983, emergency department RNs from a 600-bed acute care hospital in the Midwest initiated a holistic nursing intervention that, focused on meeting the needs of the grieving survivor at the time of death notification, and for a period of 2 months after the death. The purpose of the intervention was to provide a supportive link with the survivor in which listening, crisis intervention, grief symptom normalization, and community referral were provided. The intervention included a grief assistance protocol, a system of telephone contacts during the 2-month post death period, and the use of a grief symptom assessment tool. Whereas a great deal of staff development and growth has occurred and the written materials have been, fine-tuned, the essential structure of this intervention remains in place today.

A Holistic Framework for Nursing Care

A holistic nursing framework to be used in the rehabilitation care of the myocardial infarction patient is discussed. Concepts of the framework include interplay of body-mind-spirit, negative life stress, coping modes, and their relationship to illness. Social support in the form of natural caring, together with one's own coping capacity, are usually enough to maintain health, integrity, control, and wholeness. But professional caring is needed when illness is perceived or symptoms develop. A holistic nursing intervention plan for the post-MI patient is proposed. The aim of the article is to facilitate the use of the approach in research and in practice.

PHYSICAL AND PSYCHOSOCIAL NURSING CARE FOR PATIENTS WITH HIV INFECTION*

As suggested earlier we have chosen in this article to discuss only a small group of key physical and psychosocial concerns and needs associated with HIV and AIDS. These were the issues most frequently discussed by a study group of people living with HIV. We recognize, however, that holistic nursing intervention considers the totality of the individual living with HIV: body, mind, and spirit. It is to that end that the discussed nursing diagnoses and interventions are directed. Ultimately, the successful identification of and intervention in HIV related problems rests in the unique relationship between nurse and patient sharing as collaborators in the healing experience. The body of contemporary nursing and behavioral science research in the area of HIV/AIDS continues to grow. Presently the National Center for Nursing Research is supporting studies focusing on such areas as the use of designated versus general care settings for HIV patient care, quality of nursing care in HIV/AIDS, the effects of nurse-managed home care for AIDS patients, stress and coping in caregivers of AIDS children, the testing of interventions for black women with AIDS, and prevention studies (National Center for Nursing Research, personal communication, 1992). Nevertheless, as the HIV pandemic continues to grow and expand its demographic parameters, more research, particularly with such populations as women and children, is urgently needed. Studies exploring prevention issues and symptom management also are most important. Some suggestions for future study include examination of cultural variables associated with coping with HIV and AIDS; longitudinal research on surviving HIV over time; intervention studies to test specific nursing therapeutics in various settings such as hospital, home, and clinic; and finally, research describing the impact of HIV and AIDS on family functioning and adaptation. It is only through continued study of the impact of HIV, on both the individual living with HIV, and his or her significant others, that we will expand nursing knowledge and strengthen nursing care for those impacted with this fearsome and life-threatening condition.

Life Review:

The results of three research projects examining the effects of a structured life review process are reported. A total of eighty-four subjects in three diverse populations participated in at least one of the three research projects. The reseach design of pretest, posttest with a control and experimental group was employed. All subjects received the LSI-A as pretest and posttest. The experimental group received the life review process, a structured form of life review administered as holistic nursing intervention. The control group received as many friendly visits as the experimental group received life review visits. Difference and change between groups were tested statistically through Analysis of Covariance, resulting in an F of 57.47, P < 0.0001 for the group of twelve well-elderly in the midwestern community, an F of 13.75, P < 0.00017 for the twenty-one nursing home residents in the large southern city, and an F of 11.52, P < 0.0001 for the fifty-one homebound elderly in the coastal southern city. All three research projects demonstrated that a structured life review process is a successful intervention for improving the level of life satisfaction in the elderly.

Building a body of knowledge: research on therapeutic touch, 1974-1986.

The purpose of this article is to provide readers with a comprehensive review of Therapeutic Touch research. Specifically, the article reviews and describes doctoral and/or published research which is directed at testing either outcomes of Therapeutic Touch or theories underlying the process. Critique of selected studies is offered where it seems appropriate and critical to interpretation of the results. This review provides the foundation for discussion, in a later article, related to future directions for research in this evolving, holistic nursing intervention.