Mental Nurses Research Articles

Effects of solution-focused approach on medication belief and adherence among anxiety disorder patients

Objective To explore the effects of solution-focused approach on medication belief and adherence among anxiety disorder patients. Methods From March to August 2016, a total of 87 anxiety disorder patients admitted to hospital for the first time in Psychology department of Hangzhou First People's Hospital were selected as subjects. All of the patients included in the study were randomly divided into experimental group and control group with the random number table. Patients of control group received health education and mental nursing. On this basis, patients of experimental group were treated with solution-focused approach. The Beliefs about Medical Questionnaire (BMQ) was used to compared medication belief of patients in two groups before and after intervention. The Medication Adherence Scale was used to assess medication adherence of patients in both groups one, two and three months after discharge. Results After intervention, the score of medication necessity of experimental group was higher than that of control group with significant differences (t=-2.888; P<0.05) . The medication belief of patients in experimental group was significantly higher than those in control group one, two and three months post discharge (P<0.05) . Conclusions The solution-focused approach contributes to improving anxiety of anxiety disorder patients, strengthening their medication belief in necessity, lowering medication belief in worry, enhancing treatment confidence and positive rehabilitation behavior so as to improve medication adherence. Key words: Anxiety disorders; Solution-focused approach; Medication belief; Adherence

Home care needs and service content among the aged of a community in Tianjin

Objective To investigate the health status of the permanent aged over 60 years old of a community in Tianjin, their home care needs and service content as well as apply the results to develop home care services of community so as to provide a theory evidence and to guide development direction. Methods From September to December 2016, a total of 105 aged people over 60 years old of a community of Hedong District in Tianjin were selected as subjects by convenience sampling. The home health care needs questionnaire of aged people was used to investigate health status of the aged over 60 years old, their home care needs and service content. Results A total of 105 aged people participated in the survey and 29.5% of them thought that care of caregivers could absolutely satisfy their care needs. There were 98.1% of them with one or more home care service needs. In turn, the needs in service content included blood pressure monitoring, electrocardiogram, rehabilitation training, mental nursing and guidance for caregivers. Conclusions The aged of the community in Tianjin have poor health condition and have great demands in community medicine and home care. Government should perfect health economic policy, community care as well as home care mode and solve nursing needs of the aged wit home based care. Key words: Aged; Home care needs; Service content

Application effect of integrated nursing intervention with TCM acupoints pressing and diet rehabilitation guidance in elderly patients with type 2 diabetes

Objective To observe the effect of integrated nursing intervention with TCM acupoints pressing and diet rehabilitation guidance on quality of life of elderly patients with type 2 diabetes. Methods A total of 260 patients treated in Chinese PLA General Hospital of the Rocket Force from May 2015 to June 2016 were divided into observation group (n=130) and control group (n=130) randomly. Patients of the control group received routine nursing, including related mental nursing and rehabilitation guidance. While patients of the observation group underwent extra nursing intervention with TCM acupoints pressing and diet rehabilitation guidance. Treatment efficacy, life quality and satisfaction of nursing of the two groups were compared after intervention for 3 months. Results After intervention, treatment efficacy of the two groups was different with statistical significance (Z=-3.388, P=0.001) . There were statistical differences between the two groups in aspects of physical, mental, social and the total score of life quality (P<0.05) . Satisfaction of nursing of the two groups was different with statistical significance (Z=-3.972, P<0.001) . Conclusions The integrated nursing intervention with TCM acupoints pressing and diet rehabilitation guidance shows better effect in elderly patients with type 2 diabetes by improving their life quality, physical health, mental health, and the satisfaction of treatment. Therefore, this kind of method deserves to be researched and applied more. Key words: Aged; Diabetes mellitus; Quality of life; TCM acupoints pressing

Perioperative nursing of inner limiting membrane peeling silicone oil plombage on curing yellow spot retinal detachment of high myopia

Objective To discuss about the perioperative nursing method of inner limiting membrane peeling silicone oil plombage on curing yellow spot retinal detachment of high myopia. Methods Preoperative mental nursing, article preparation, intraoperative patient's condition monitoring, postoperative position, prevention and complication nursing were conducted to 60 cases of yellow spot retinal detachment of high myopia by applying inner limiting membrane peeling silicone oil plombage. Results After silicone oil was taken out, the retina of 55 patients(91.67%) was still in place.After silicone oil of 5 patients (8.33%) was taken out, there was retinal detachment, and reoperation was conducted to reset.6 months after operation, there were 15 cases(25.00%) that the vision was recovered to be ≥0.1, 14 cases(23.33%) recovered to be 0.05~0.09, 13 cases(21.67%)recovered to be 0.02~0.04 and 8 cases(13.33%)had index light sensation. Conclusions Give appropriate preoperative psychological nursing, and patients with sufficient preoperative preparation, intraoperative monitoring vital signs, precise surgery and postoperative observation, body position nursing care, prevention of complications, nursing is the guarantee of successful operation, it is also the key to promote the patient choosing. Key words: High myopia; Retinal detachment; Impending macular hole; Silicone oil tamponade; Perioperative nursing

Mental health literacy of school nurses in the United Arab Emirates

BackgroundTo support promotion, prevention and early intervention for mental illness school nurses need to be mental health literate.MethodsThree hundred and thirty-nine school nurses employed in government and private schools from three Emirates in the UAE were surveyed. A culturally adapted Mental Health Literacy questionnaire comprising three vignettes of fictional characters meeting diagnostic criteria for the target conditions along with the Kessler Psychological Distress Scale (K10) was administered to ascertain school nurses’ ability to correctly identify the conditions and to elicit beliefs about helpfulness of treatment interventions and of health care providers for these conditions.ResultsLess than 50% of the respondents correctly identified the disorders presented, while accurate identification of evidence-based interventions was also limited. Correlations between level of psychological distress and level of inaccurate survey responses was also revealed, respondents who correctly identified the correct diagnosis of the vignette and the most appropriate interventions were those who had a significantly lower K10 score.ConclusionsLow levels of mental health literacy amongst respondents in combination with potential religious and cultural factors as reported in the literature, highlight the need for curriculum enhancements for future health professionals and a targeted program of culturally appropriate professional development focused on mental health promotion for those in clinical practice. The level of psychological distress noted in this cohort also signals a need to ensure that appropriate supports are available for clinical staff employed in schools.

A Nursing Case Report: The Laryngectomy Patient Secondary to &amp;lt;i&amp;gt;Pseudomonas aeruginosa&amp;lt;/i&amp;gt; Pneumonia with Conscious Disturbance

The paper presents a description of the experience of the nursing for the Pseudomonas aeruginosa pneumonia patient with partial laryngectomy. The nursing of Pseudomonas aeruginosa pneumonia, conscious disturbance, electrolyte disorder, affection supports and mental nursing was provided in the process of the postoperative treatment. Our experience may provide useful insight for the nursing of laryngectomy patients secondary to pneumonia with conscious disturbance. A deeper knowledge about improving the quality of clinic special nursing for the partial or total laryngectomy patient is necessary, with the development of modern medical technologies and medicine.

Complications analysis and nursing care of patients with epilepsy underwent stereo-electroencephalography

Objective To retrospectively analyze the causes of nursing related complications in patients with epilepsy who underwent stereo-electroencephalography (SEEG) , so as to explore nursing care of these patients. Methods We retrospectively analyzed 100 patients with epilepsy who underwent SEEG from January 2015 and January 2017 of Xuanwu Hospital, Capital Medical University. Then we analyzed the causes of common nursing related complications in patients with epilepsy, and explored corresponding nursing measures. Results The investigation included 24 cases of nursing related complications. The number of failed to install the stereotactic instrument was 2 cases. The number of pressure ulcer appearing on the head was 3 cases. The number of electrodes and leads disconnection was 8 cases. The number of status epilepticus during monitoring after surgery was 11 cases. Conclusions The key of nursing care of the patients with epilepsy underwent SEEG are as follows: mental nursing and preoperative education to help patients overcome the fear during install the stereotactic instrument; local protection to prevent pressure ulcer appearing on the head; fix firmly to prevent electrodes and leads disconnection; medication guide to prevent status epilepticus. Key words: Retrospective study; Epilepsy; Stereo-electroencephalography; Complications

Nursing effect of cataract postoperative patients conducted with Orem self-care mode

Objective To study the application value of Orem self-care mode on cataract postoperative mode. Methods A total of 108 cataract patients received in our hospital from May, 2015 to May, 2016 were used as the objects of study, which were divided into control group and observation group.Health education, mental nursing, daily nursing and other usual nursing were conducted to control group.On the basis of nursing in control group, the nursing of Orem self-care mode was conducted to observation group.The behaviors of following doctor's instruction, nursing effect, anxiety, depressive state, nursing satisfaction and living quality of patients were compared for both groups. Results After operations, the rate of patients in control group insisting on diet therapy and exercise, correct medication, keeping eyes clean, having regular subsequent visit and behaviors of following doctor's instruction was inferior to it of observation group(P<0.05). The effective rate of control group was 68.5%, which was inferior to 87.0% in observation group(P<0.05). After nursing, SAS and SDS scores of patients in both groups were somewhat reduced compared with it before treatment.In addition, the decline degree of it in observation group was superior to control group(P<0.05). The nursing satisfaction of patients in control group was 83.3%, which was inferior to 96.3% in observation group.After nursing intervention, the index scores of patients' life quality in control group were significantly inferior to it in observation group(P<0.05). Conclusions After operation, the nursing effect on cataract patients is significant after Orem self-care mode is implemented.It can effectively relieve clinical symptoms, strengthen treatment effect and promote visual recovery. Key words: Orem self-care mode; Cataract; Postoperative application; Quality of life; Compliance behavior

Perioperative nursing care in patients with upper limb lymphedema after breast cancer surgery with super micro venous lymphatic anastomosis: 8 cases study

Objective To investigate the perioperative nursing in patients with upper limb lymphedema after breast cancer surgery treated with super micro venous lymphatic anastomosis. Methods Eight cases who were treated with super micro venous lymphatic anastomosis in Tongde Hospital of Zhejiang Province from May 2015 to May 2016 were recruited in this study. The mental nursing and sufficient preoperative evaluation were required before the operation. After the operation, the affected limb should be raised above the heart. Furthermore, the manual lymphatic drainage, acupoint massage, low elastic bandage treatment and functional exercise should be implemented after the operation. Results All cases successfully completed the operation, five cases recovered very well after the operation, two cases recovered well, and one case was effectively recovered. Conclusions Super micro venous lymphatic anastomosis is effective against upper limb lymphedema after breast cancer surgery. The reinforced perioperative nursing care can promote the absorption of lymphedema. Key words: Breast neoplasms; Super micro surgical venous lymphatic anastomosis; Lymphedema

Experiences and Attitudes Among Psychiatric Mental Health Advanced Practice Nurses in the Use of Telemental Health: Results of an Online Survey.

Telemental health (TMH) growth is driven by recent trends in health delivery systems and disparities in access to mental health services. There are currently no standard educational guidelines to prepare psychiatric mental health advanced practice nurses (PMH-APRNs) in TMH delivery. To survey practicing PMH-APRNs across the United States about their experiences and attitudes about use of TMH. Eighty-three participants from the American Psychiatric Nurses Association online discussion board completed a nine-item survey. Length of time practicing as a PMH-APRN, TMH use in practice, populations served, and TMH background. A majority had been practicing as a PMH-APRN for less than a decade and had used TMH, although most reported no prior education or training in this delivery method. Participants did indicate a desire for TMH education. This survey affirms the prevalence of TMH use among PMH-APRN providers, lack of formal training, and necessity for standardized educational guidelines in TMH delivery.

Application effect of self-made micro-video in practical teaching of mental and psychological nursing

Objective To explore the application effect of self-made micro-video in practical teaching of mental and psychological nursing. Methods Two classes in major Nursing enrolled in 2013 were selected randomly. A total of 51 students from Class 12 were designated as the experimental group, and were taught assisted by self-made micro-videos, while another 53 students from Class 11 belonged to the control group, and were taught assisted by traditional instructional video. The students were surveyed by questionnaire on knowledge awareness rate on mental disease prevention, regulated in mental health work index investigation and evaluation scheme, formulated by General Office of National Health and Family Planning Commission of the People's Republic of China, basing on which, teaching effect was compared. Results After practical teaching, total accuracy rate of case examination by students in the experimental group was 94.12% (compared with 39.22% before the practice) , and in control group, 81.13% (compared with 33.96% before the practice) . Scores of attitude towards mental disease in the experimental group were (54.39±4.68) , and in the control group (35.15±7.69) (t=15.49, P<0.01) . Conclusions Applying self-made micro-video in practical teaching of mental and psychological nursing can effectively improve accuracy rate of mental disease recognition of the students, correct their attitude towards patients with mental disorders, with satisfying effect in practice. Key words: Education, nursing; Micro-video; Teaching method; Mental and psychological nursing

Investigation of parental stress, social support and quality of life in mothers of children with precocious puberty

Objective To investigate the parental stress, social support and quality of life in mothers of children with precocious puberty, and to explore the impact of parental stress and social support on the quality of life. Methods A questionnaire survey of 96 mothers of children with precocious puberty was conducted using the Family Stress Index, Social Support Rating Scale and World Health Organization Quality of Life Survey (Chinese version) . Results The total score of parental stress and the scores of different dimensions in mothers with precocious puberty were significantly higher than those of normal parents (P<0.01) . The total score of social support of mothers with precocious puberty was significantly higher than that of domestic norm (P<0.01) . The scores of quality of life of mothers with precocious puberty were significantly lower than those of domestic norm in the field of physiology and psychology (P<0.01) . Negative correlation existed not only between parental stress and quality of life, but also between parental stress and social support. Positive correlation existed between social support and quality of life. Conclusions The mothers of children with precocious puberty have high parental pressure, high social support and low quality of life. There are correlations among the three dimensions. Offering health education and mental nursing can improve the compliance during the therapy and the quality of life of both children and family. Key words: Social support; Quality of life; Precocious puberty; Children; Mother; Parental stress

Effect and nursing of 5% ALA photodynamic combined with fire needle on curing severe acne

Objective To analyze the effect and nursing of 5% ALA(aminolevulinie acid) photodynamic combined with fire needle on curing severe acne. Methods The clinical data of 106 patients that had severe acne were retrospectively analyzed, of which 5% ALA photodynamic combined with fire needle was applied to cure severe acne as control group.The treatment was conducted once a week and the treatment was finished after curing for 4 times.Besides, subsequent follow-up visit was conducted for 2 month.While curing, mental nursing, health education and nursing were given before, in the process of and after treatment.The skin lesion fading time, skin lesion fading rate, clinical effect, follow-up visit and untoward effect of patients in two groups were compared. Results The papule, pustule, node, hygromata fading time of patients in observation group was shorter than control group.Skin fading rate was greater than control group. With t testing or χ2 testing, the difference had statistical significance.The clinical total effective rate of patients in observation group was 80.77%, which was larger than control group that was 51.85%.With χ2 testing, the difference had statistical significance.Follow-up visit was conducted to all the patients that became better. The recurrence rate of observation group was 35.42%, which was lower than control group that was 59.52%.With χ2 testing, the difference had statistical significance.The untoward effect of patients in two groups was slight during treatment, which could be spontaneously relieved without influencing the subsequent treatment. Serious untoward reaction didn't appear. Conclusions 5% ALA photodynamic combined with fire needle can quickly and effectively relieve severe acne and promote various skin lesion fading.The effect is remarkable without less untoward reaction.The combination with effective nursing can help cure severe acne. Key words: Severe acne; Aminolevulinie acid photodynamic; Fire needle

Nursing care of the intra-aortic balloon pump in elderly patients with acute myocardial infarction complicated by shock

Objective To explore the nursing intervention of the intra-aortic balloon pump (IABP) in elderly patients with acute myocardial infarction complicated by shock and its effect. Methods A total of 60 elderly patients with acute myocardial infarction complicated by shock who accepted the treatment of IABP were divided into observation group (n=30, comprehensive nursing) and control group (n=30, conventional nursing) according to the nursing interventions from May 2014 to August 2015. The hemodynamics change and the incidence of complications related to IABP of patients were compared between two groups. Results The rhythm of the heart, systolic pressure and diastolic pressure of patients of two groups all obviously improved after treatment. However, the indexes of the hemodynamics change in observation group were statistically better than those in control group (P<0.05) . Besides, the incidence rate of complications in observation group was lower than that in control group with significant differences (P<0.05) . Conclusions These nursing interventions can improve patients′ condition and help them get through the indwelling catheter period which involve closely monitoring the condition of patients with acute myocardial infarction complicated by shock, carefully implementing comprehensive care especially in preventing complications and related nursing care along with nursing care on monitoring the hemodynamics, keeping suitable position and giving mental nursing and so on. Key words: Nursing care; Shock; Myocardial infarction; Intra-aortic balloon pump

On the impact of nursing intervention on maternal psychollgical status of traditional Chinese medicine effect observation

To explore the effect of nursing intervention in Chinese medicine on relieving and preventing the negativeemotions of pregnant women. Methods 118 cases were randomly divided into the control group and the intervention group with 59 casesin each group. The control group received routine nursing care, intervention group on the basis of the control group take system of TCM nursing intervention measures, such as the layout of the environment; payment of the related knowledge about the Chinese traditionalmedicine of atlas; play music, mental nursing, hanging sachets, acupuncture point massage. Comparison and evaluation of thepsychological state of the 2 groups of pregnant women in the implementation of Chinese medicine nursing intervention measures. Results Two groups of anxiety, depression, a number of cases, the percentage of the intervention group was significantly better than the controlgroup, the difference was statistically significant (P<0.01). Conclusion Nursing mode of TCM nursing intervention for pregnant women,To relieve or eliminate the negative emotions such as fear and anxiety of pregnant women, And it has very important practical significanceto prevent the occurrence of postpartum depression.

“Curing Queers”: Mental Nurses and Their Patients, 1935–74

“Curing Queers”: Mental Nurses and Their Patients, 1935–74

Application and effect analysis of group cognitive behavior intervention in patients with depression

Objective To explore the effect of group cognitive behavior intervention on patients with depression. Methods A total of 160 patients with depression were recruited as study subjects from March 2014 to September 2014. They were randomly divided into control group (80 cases, routine medication treatment of depression + mental nursing) and research group (80 cases, routine medication treatment of depression + mental nursing + group cognitive behavior intervention with 1-2 times a week, 1.5-2 hours a time, 6 times) according to the table of random number. The effects were evaluated by researchers after the group cognitive behavior intervention. Results The scores of SDS between two groups after intervention were lower than those before (P<0.05). After intervention, the score of SDS in research group was lower than that in control with a significant difference (P<0.05). The scores of index of well being between two groups after intervention were higher than those before (P<0.05). After intervention, the score of index of well being in research group was higher than that in control with a significant difference (P<0.05). The degree of satisfaction in research group (96.25%) was higher than that in control group (88.75%) with a significant difference (P<0.05). Conclusions The application of group cognitive behavior therapy for group psychotherapy in patients with depression can improve the degree of depression, happiness and satisfaction with nursing. It is of significance for a quick recovery of patients and is worthy of clinical application. Key words: Depression; Group cognitive behavior therapy; Happiness

Australian mental health nurses’ perspectives about the identification and management of antipsychotic medication side effects: a cross-sectional survey

Background: Currently, little is known about mental health nurses’ management of antipsychotic medication side effects.Aims: This study examined how Australian mental health nurses’ attitudes and service processes influence the assessment of antipsychotic medication side effects.Methods: Participants were included if they were registered nurses in Australian mental health settings. An online questionnaire was distributed via email. Multivariate logistic regression was used to examine associations between attitudes and awareness, and use of antipsychotic medication assessment tools.Results: Only one quarter of the respondents were currently using a tool. In cases where the service had a clear system for agreeing responsibility about monitoring consumers between primary and secondary care, respondents were three times more likely to still be using one or more tool. When the service had reliable systems in place to remind staff that side effect assessments were due, respondents were five times more likely to continue using assessment tools.Conclusion: Australian mental nurses are not routinely using antipsychotic medication side effect assessment tools. The routine use of assessment tools would improve if systems were implemented to enhance their use.

Research progress of traditional Chinese medicine Xiemotion and positive emotion

This paper will analyze the possibility of combination using Xi emotion and positive emotion, extend the methods and thinking for the research of Xi emotion, and perfect the intervention of traditional Chinese medicine mental nursing. Comparison analysis and looking up are conducted for ancient books, literature and monograph. The results present the theoretical background and the concept of Xi emotion and positive emotions are similar. The studies of Xi emotion and positive emotion are less than other negative emotion. Xi emotion and positive emotions can be supplemented to use and references for each other. The combination application of them can be the mental nursing intervention methods, evaluation tools or others. Key words: Xi emotion; Positive emotion; Concept analysis; Combination application; Review

IN PRINCIPLE YES, IN APPLICATION, NO; RWANDAN NURSES’ SUPPORT FOR INTERGRATION OF MENTAL HEALTH SERVICES

Mental ill-health contributes significantly to the global burden of disease as the fourth leading cause of global disability. To reduce this burden, by aiming at reduction of the treatment gap, the World Health Organisation recommended integration of mental health care into general health care structures, and deinstitutionalization coupled with community re-integration. Given the distribution of mental health professionals in Sub Sahara Africa the implementation of such integration is largely the work of nurses, specifically non mental health specialist nurses. Previous African studies report nurses difficulties with this integration; lack of preparation, knowledge, expertise, and time. Mental illness stigma is suggested to underscore a large portion of these difficulties. This quantitative study used a cross sectional survey approach to gather mental illness stigma related data from nurses (N=104, n=102) working within in a district hospital in Rwanda. A self-report questionnaire included person variables (age, gender, nursing experience, nursing qualification and category of nurse) and two scales; Level of Contact Scale (LOC), and Community Attitudes towards Mental Illness Scale - Swedish version (CAMI-S).Results support previous research regarding the type and extent of mental illness stereotypes, and mediating effects of familiarity. Significant associations between mental illness stereotypes and; younger and the less experienced nurses were also reported. However, the extent of contradiction within participant responses on the CAMI-S, across all demographics variables, suggests significant tension between nurses desire to subscribe to a nursing and national ideology of non-discrimination, a cherished value within the Rwandan context, and their fears associated with their stereotypical beliefs. In addition to the continued use of contact within health care worker training programs and clinical placements it is recommended that supportive interventions be implemented that are narrative in nature and facilitate the resolution of tension between ‘what I should believe’ and ‘what I do believe’.Key words: mental illness stereotypes, community based care, nurse, Rwanda