Mental Nurses Research Articles

Effect of preoperative mental nursing on patients undergoing local anesthesia cataract extirpation

Objective To investigate the effects of preoperative mental care on patients undergoing local anesthesia cataract extirpation .Methods One hundred cataract patients were randomly divided into the control group （n=50） and the experimental group （n=50）.The control group was in conventional nursing care, while the experimental group was with preoperative mental care .The state of anxiety , discomfort during operation and the satisfaction rate of the operation were compared between groups .Results Before intervention , the blood pressure （ BP ） , heart rate （ HR ） , body temperature , oxygen saturation and SAS score had no significant differences （P>0.05）.After implement the mental care, the score of SAS in the experimental group was （46.3 ±177;5.32）, which was lower than that of the control group （57.6 ±177;6.18）, the difference was statistically significant （t =9.798, P <0.01）.During the operation, in the control group, 14 patients （28.0%） had a palpitation or chest distress , 8 patients（16.0%） had nausea, which was much more frequent than those in the experimental group （6.0%,4.0%）,the difference was statistically significant （χ2 =8.575, 4.002, respectively;P<0.05）.The score of satisfaction in the control group was （74.5 ±177;7.25） significantly lower than （82.6 ±177;8.32） in the experimental group （t=5.192, P<0.01）.Conclusions Mental care can decrease the fluctuation of patients ’ BP and HR, furthermore it is benefit in achieving the operation and improving patients’ satisfaction. Key words: Mental nursing; Cataract extirpation; Anxiety; Satisfaction

Resilience of institutional culture: mental nursing in a decade of radical change

Mental nursing has continued to be neglected in the history of psychiatry. This paper considers the impact of a decade of radical developments on the role and outlook of nurses in British mental hospitals during the 1930s. The Mental Treatment Act 1930 introduced voluntary admission for early, supposedly treatable cases, although there was paucity of effective treatment. In the mid-1930s shock therapies, administered with great enthusiasm by asylum doctors, promised to cure insanity by physical means. Although these were important milestones in the progress of psychiatry, for the majority of nurses and patients life continued much as before. Despite advances in training, working conditions and therapeutic activity, the institutional culture of nursing was remarkably resilient to the forces of change.

Nursing care of neonatal chylothorax treated by octreotide

The nursing care of three cases of neonatal chylothorax treated by octreotide acetate was reported.The nursing essentials included the correct administration of octreotide acetate and observation of adverse effect,the diet nursing of patients,the prevention of infection,and the mental nursing of familv members.The three cases were all recovered. Key words: Neonate; Chylothorax; Octreotide; Nursing care

Effect of health education on the psychological pressure and their behavior of ICU patients family members

Objective To explore the effect of health education on the psychological and behavior of ICU patients family members.Methods A total of 33 patients admitting to hospital during Jan 2011 and Dec 2011 were selected as control groups and 37 patients during Jan 2012 and Dec 2012 were selected as experiment groups.Family members of experiment groups were given systemic,omni bearing,dynamic and consecutive health education,while family members of control group only got answers when they asked in a 1h visiting time.And a SCL-90 score were performed.Results Patients family members of experiment groups had a actively mental status.Its SCL 90 score was significantly lower than that of control group (P ＜ 0.05).Conclusions Systemic,omni bearing,dynamic and consecutive health education can significantly reduce mental stress to ICU patients family members,promote patients through the crisis as soon as possible,and improve patients' satisfaction. Key words: Intensive care; Mental nursing; Family members; Health education

Nurses and subordination: a historical study of mental nurses' perceptions on administering aversion therapy for 'sexual deviations'.

Nurses and subordination: a historical study of mental nurses’ perceptions on administering aversion therapy for ‘sexual deviations’This study aimed to examine the meanings that nurses attached to the ‘treatments’ administered to cure ‘sexual deviation’ (SD) in the UK, 1935–1974. In the UK, homosexuality was considered a classifiable mental illness that could be ‘cured’ until 1992. Nurses were involved in administering painful and distressing treatments. The study is based on oral history interviews with fifteen nurses who had administered treatments to cure individuals of their SD. The interviews were transcribed for historical interpretation. Some nurses believed that their role was to passively follow any orders they had been given. Other nurses limited their culpability concerning administering these treatments by adopting dehumanising and objectifying language and by focussing on administrative tasks, rather than the human beings in need of their care. Meanwhile, some nurses genuinely believed that they were acting beneficently by administering these distinctly unpleasant treatments. It is envisaged that this study might act to reiterate the need for nurses to ensure their interventions have a sound evidence base and that they constantly reflect on the moral and value base of their practice and the influence that science and societal norms can have on changing views of what is considered ‘acceptable practice’.

Nursing care of uterine arterial embolization for treatment of cesarean scar pregnancy

Objective To explore the nursing methods of uterine artery embolization in treatment for cesarean scar pregnancy (CSP) during operation period.Methods This article summarized 85 samples for nursing of uterine artery embolization.Results The aforesaid 85 samples were all healed.After the operation,there were hypogastrium and lumbosacral portion nulge pain in 30 cases,fever in 25 cases,nausea and vomiting in 20 cases.Conclusion The key nursing points include the adequate health education before the cure,mental nursing and the preoperative preparation,as well as monitoring of vital signs and patients' conditions after operation,observing the potential complications and adverse drug reactions (ADR) and finally making discharge instructions. Key words: Uterine Artery Embolization; Cesarean scar pregnancy (CSP); Nursing care

Student nurses’ experiences of support in relation to suicide or suicidal behaviours of mental health patients: an exploratory study

PurposeObservations have been made that mental health students receive very little support following observing patients displaying suicidal behaviour. The purpose of this paper is to conduct a small‐scale empirical study to investigate this issue further.Design/methodology/approachThe approach used in this study is phenomenological. Qualitative data were obtained through semi‐structured interviews consisting of a range of questions asking mental health student nurses about their experiences of support in practice. The data are analysed using thematic analysis.FindingsAs well as issues relating to the support of mental health student nurses in practice, there are many ethical issues raised in this paper. These include student responsibilities while in placement areas; students as having a supernumerary status; and the inclusion of students in supervision and debriefing sessions following traumatic incidents.Research limitations/implicationsThis small‐scale exploratory study was conducted with a small number of students in one University. However, the study provides a strong starting point for further research on the support students receive during their mental health nurse training.Originality/valueThis paper makes some recommendations on ways to improve the support of students in practice, including maintaining and supporting the role of Practice Experience Managers who spend a considerable amount of time in placement areas interacting with students and feeding back relevant practice concerns to University staff.

Requirements with Regard to Nursing Consultation by mental Health Consultation Liaison Nurses and Suggestions for their Intervention

Objective: This study aimed to analyze requirements with regard to nursing consultation by mental health consultation liaison nurses (MHCLNs) and examine suggestions for MHCLN intervention. Methods: Subjects included 4 MHCLNs from a university hospital with approximately 1400 hospital beds located in the Tokyo metropolitan area and 143 patients and family members who either volunteered or were requested to participate by nurses. The consultation request route common to all 4 activity record formats, age and sex of the individual requesting counseling, and diagnosis and consultation data were retrospectively studied. Results: Of the 143 subjects, 58 were male (40.6%) and 85 were female (59.4%), with a mean age of 54.2 years. Of 124 diagnoses, cancer was the most common (n = 66, 53.2%). With regard to patients’ psychiatric status, acceptance of the disease was the most common difficulty (n = 39, 27.3%), followed by adjustment disorder (n = 29, 20.3%) and mood disorder (n = 10, 7.0%). Psychiatric symptoms included anxiety (n = 75, 45.1%), depression (n = 38, 22.9%), and anger (n = 29, 17.4%). The consultation requests came most commonly from staff (n = 66, 46.2%), followed by attending physicians, psychiatrists, or the palliative care team (n = 26, 18.2%) and administrators (n = 26, 18.3%). Twenty-two (15.7%) requests were made directly by the patient or family member. MHCLNs collaborated with psychiatrists for 74 (51.7%) subjects, whereas they did not collaborate for 68 subjects (47.6%). Details of direct care included interviews using supportive psychotherapy (n = 92, 64.3%) combined with relaxation (n = 18, 12.5%) and an approach to partial recognition (n = 11, 7.7%). Nursing consultations totaled 127 (88.8%). Conclusions: Among the subjects consulted by an MHCLN, those that were counseled by a nurse alone (i.e., no liaison with the psychiatry department) often had difficulty in accepting the disease or were maladjusted with symptoms such as anxiety, depression, or anger. If these symptoms can be relieved during the early stages, medication may not be required and consultation or practice may prevent deterioration in the psychiatric condition and lead to an improvement in symptoms. In patients with somatic disorders requiring psychological care, nurses highly specialized in mental health care, such as MHCLNs, are required to serve as liaison personnel. This is especially required for patients with psychological problems caused by the stress of the disease and treatment, albeit within normal limits, or for patients in a condition requiring psychiatric treatment.

Mental health nursing—an overview of its development

This article seeks to give an overview of the history and development of mental health nursing and in particular the role of health care assistants. It will explore how the building of large Victorian asylums led to the recruitment of large numbers of men and women to become asylum attendants. Little, if any, training was provided until a national training scheme for attendants (or the new title of mental nurses) was established in 1891. Nurses’ registration followed in 1919 but the distinction between registered and unregistered or trained and untrained was not really made until after the Second World War, when the role of nursing assistant or orderly became recognised as complementary to but different from that of a registered nurse.

Effect of mental nursing in improvement of bad mood and quality of life in patients with fractures of the limbs

Objective To investigate the effect of mental nursing in improvement of bad mood and quality of life in patients with fractures of the limbs.Methods One hundred and twenty patients with limb fractures were randomly divided into study group and control group,60 for each group.The control group only received conventional orthopedic care,while the study group received conventional orthopedics care plus mental nursing for 3 to 5 days after surgery.The major measures included assessment of mental state,creation of comfortable environment,and personal psychological counseling.The scores on self-rating anxiety scale(SAS),self-rating depression scale(SDS)and 36-item short-form(SF-36)were compared between the two groups,so were the survey results of patient satisfaction with nursing service.Results The scores on SAS and SDS were decreased more obviously in the study group than in the control group after treatment,but the score on SF-36 was higher in the study group.The decree of satisfaction with nursing service in the study group(95.％)was significantly higher than that in the control group(78.33.％).Conclusions Mental nursing for patients with fractures of the limbs can improve bad mood and quality of life. Key words: Fractures of the limbs; Mental nursing; Bad mood; Quality of life

Perioperative nursing of 42 patients with the thyroid microcarcinoma

Objective To study the nursing features of the 42 patients with the thyroid microcarcinoma.Methods Comprehensive nursing care was applied such as pre-operative education,post-operative mental nursing,operative incision and drainage tube nursing,complication nursing and basic nursing for patients with pathologically papillary carcinoma.Results All patients' emotion were stable in perioperative period of thyroid microcarcinoma.There were no obviously postoperative complications under the nursing and treatment.Conclusions The nursing was very important for Perioperative period of the thyroid microcarcinoma treatment. Key words: Nursing; Thyroid microcarcinoma; Pre-operative period

Nursing research on early nursing and intense pulsed light (IPL) on scar after burn depth II

Objective To learn the nursing and intense pulsed light (IPL) on scar after burn depth Ⅱ.Methods 60 patients after burn depth Ⅱ from Jun 2011 to Mar 2012 were divided into 2 groups.The experiment group used IPL and nursing,while the control group used nursing,including mental nursing and wound care.The dinical effect and degree of satisfaction of two groups after nursing were observed and recorded.Results There clinial significant difference in total effective rates of 2 groups (93.33％ vs 83.33％,P＜0.05).The degree of satisfaction of observation group was significantly higher than that of control group (96.67％ vs 80.00％,P＜0.05).Conclusion The early nursing with IPL on scar after burn depth Ⅱ has exact effect and high degree of satisfaction,which is worthy of clinical promotion. Key words: Early stage; Intense pulsed light; Burn depth Ⅱ; Scar; Nursing

Evidence Based Practice: Decreasing Psychiatric Revisits to the Emergency Department

Inpatient psychiatric settings anticipate changes in reimbursement that will link payment rates to objective quality measures. Readmission rates are expected to be one of the quality measures. Inpatient areas are undertaking initiatives to decrease readmission rates in preparation for this change. The emphasis on avoiding readmission could cause an increase in emergency room revisit rates by psychiatric patients. In preparation for this potential impact, the mental health emergency service within the Emergency Department of a not-for-profit community based hospital implemented a proactive process improvement plan. The plan's goal was to insure that all patients’ care was provided according to a defined standardize best practice process. Steps of the plan focused on (1) improving treatment providers’ communications across the continuum of care, (2) enhancing communication between the mental health emergency department nurses and the on-call psychiatrists, (3) developing on-line decisional support to enhance communication, and (4) providing providers with feedback on the impact of changes. Implementation of the improvement process decreased the mean psychiatric emergency revisit rate from 5.7% to 4.3% and decreased the variability in monthly rates from a range of 1.83%–9.53% to a range of 3.53%–5.56%.

Perception of Recovery, Self-esteem, Role Performance, and Job Satisfaction in Psychiatric Mental Heath Nurse

Purpose: The purpose of this study was to identify perception of recovery, self-esteem, role performance, job satisfaction and factors influencing job satisfaction of psychiatric mental heath nurses. Methods: Data were collected from 161 psychiatric nurses from G city & J province who understood the purpose of the study and agreed to participate. Data were analyzed using descriptive statistics, t-test, Pearson correlation coefficient, and multiple regression with SPSS 18.0. Results: There were significant differences in job satisfaction between upper 25% and lower 25% group for perception of recovery, self-esteem, and role performance. Results from the multiple regression analysis revealed difference in the related factors and in the magnitude of the relationship evaluated by standardized beta coefficients. Significant factors, listed by the magnitude of beta coefficients, were role performance, self esteem, roles and responsibilities in recovery, expectations regarding recovery in perception of recovery. These variables accounted for 16% of job satisfaction. Conclusion: Results indicate that to improve psychiatric nurses' job satisfaction, there is a need to develop programs including personal qualities and perception of recovery. Further research is necessary in order to establish consensus on roles of the related factors of job satisfaction.

Alternate Reality Conceptualization: Venturing Along the Fine Line Between Genius and Madness

Using A Beautiful Mind, a film about the troubled life of Nobel laureate John Forbes Nash as its focal source, this paper considers the difficulties people with mental illness struggle with in perceiving and experiencing reality. Relationships among the concepts of genius, madness, and alternate reality conceptualization are explored to establish perspective for a model illustrating the progression of paranoid schizophrenia. The importance of empathy in treating mental illness and the role that psychiatric mental health advanced practice nurses play in managing the care of people with paranoid schizophrenia are underscored. Topics for additional research are suggested.

Mental health nurses’ attitudes towards the physical health care of people with severe and enduring mental illness: The development of a measurement tool

Background It is well established that people with schizophrenia and related serious mental illnesses die prematurely and have significantly higher medical co-morbidity compared with the general population. Mental health nurses have a key role in improving the physical health of patients but their attitudes to this aspect of their role have not been systematically examined. Objectives To develop and validate a measure of mental nurses’ attitudes towards physical health care. Design The measurement tool was developed from a literature review, focus groups and responses to a postal questionnaire. Participants and setting All registered nursing staff working within a NHS mental health trust in the UK were sent the questionnaire and 585 (52%) staff responded. Methods Completed questionnaires were analysed by standard descriptive statistical methods. Exploratory factor analysis (principal component analysis) was used to examine and reduce attitude items to a coherent and parsimonious scale. Results A 28-item measure comprised of four factors accounted for 42% of the variance. The factor solution appeared to provide meaningful dimensions, and the internal consistency of the measure and of its derived subscales was adequate (Cronbach's alpha between 0.76 and 0.61). The factors were labelled nurses’ attitudes to involvement in physical health care; nurses’ confidence in delivering physical health care; perceived barriers to physical health care delivery and nurses’ attitudes to smoking. Validity was established by associations between the total scale and subscales with pre-determined respondent variables. Conclusion The Physical Health Attitude Scale for mental health nurses (PHASe) is a first attempt to develop a valid and reliable measure of this important area. The initial development methods and its testing in a large sample provide indications of content and construct validity. Further testing in different samples and consequent refinement are necessary, however the PHASe appears to be a useful tool for measuring attitudes among this professional group and evaluating the effects of professional development.

Perioperative nursing of transurethral bipolar plasmakinetic resection of prostate

Objective To evaluate the perioperative nursing of transurethral bipolar plasmakinetic resection of prostate(TUPKRP).Methods One hundred and thirty BPH patients underwent transurethral prostatectomy with the bipolar plasmakinetic technique.All patients received preoperative mental nursing,holistic nursing care and health education before operation.Results All patients passed through the surgery and were given nursing intervention.They were discharged after rehabilitation.Conclusions TUPKRP is an important miro-invasion operation for treatment of BPH.The important points are preoperative mental nursing,rational use of drug,postoperative bladder irrigation and prevention of hemorrhage. Key words: Transurethral bipolar plasmakinetic resection of prostate; Nursing care; Perioperative period

Effect of nursing intervention on psychological stress factors of patients in the ophthalmology department

Objective To explore psychological stress factors of patients in the ophthalmology department and psychological nursing interventions as well as effect, to promote the rehabilitation of patients. Methods A total of 289 patients from our ophthalmology department was investigated with the self-designed questionnaire. Results Major psychological stress factors of Ophthalmology inpatient were knowing nothing a variety of points for attention(92％), fearing and worrying the disease and surgery(85％), worrying about the level of health care technology of medical staff (84％). Psychological stress of patients released through psychological nursing intervention measures such as cognitive intervention and environmental intervention. 243 patients of fearing and worrying the disease and surgery reduced to 35 before and after intervene, The difference was statistically significant (X2 = 299.84, P ＜ 0. 01). Conclusions We should properly guide and inspire positive mental patients based on patients' mental state, give mental nursing intervention, promote the rehabilitation of eye disease. Key words: Psychological stress; Mental nursing; Ophthalmology department; Inpatient

Investigation of the anxiety and depression status of patients with paralysis after spinal cord injury and the coping measures

Objective To investigate the status of the anxiety and depression in the patients with paralysis after spinal cord injury, and the measures to cope with it. Methods Sixty cases of patients with paralysis after spinal cord injury were evaluated with Self-Rating Anxiety Scale (SAS) and SelfRating Depression Scale (SDS), the results were compared with those of the domestic norm of healthy individuals. Results The scores of patients with paralysis after spinal cord injury were higher than that of domestic norm of healthy individuals. 54 cases had anxious symptom (90.00%), and 37 had depression.The causes led to anxiety and depression mainly came from the suffering of the disease, the influence of the work as well as the study and the cost of the treatment. Conclusions The patients with paralysis after spinal cord injury had mental problems, they need to be interfered with by healthy education and mental nursing in order to promote rehabilitation. Key words: Paralysis after spinal cord injury; Anxiety; Depression; Investigate

Effect of preoperative mental and behavioral intervention on negative emotion of patients with rheumatic heart diseases

Objective To study the effect of preoperative mental and behavioral intervention on negative emotion of patients with rheumatic heart diseases.Methods 50 cages of petients,suffering from rheumatic heart diseases from july 2007 to July 2008 in our hospital,were randomly divided into two groups:mental intervention group(n=25)and non-mental intervention group(n=25).Intervention group received mental and behavioral intervention,while non-intervention group received conventional therapy.Negative emotion of both groups was assessed on the third day,on the tenth day,and the last day in the haspital,respectively.Results Both groups all had anxious,depressed,or unsatisfied feeling on admission;the detection rate of negative emotion in each group Was 100%,while on the tenth day and the day prior to discharge,the cases with negative emotion in the intervention group Were fewer than those of the other group,and there Was no significant difference between the two groups(P<0.05).Conclusions Mental and behavioral intervention could improve the effect of mental nursing,cut down the incidence of negative emotion,decrease postoperative complications and medical cost,and help patients recover from illness. Key words: Mental and behavioral intervention; Negative emotion; Rheumatic heart diseases