Mental Nurses Research Articles

Book review: Tommy Dickinson, ‘Curing Queers’: Mental Nurses and their Patients, 1935–74

Book review: Tommy Dickinson, ‘Curing Queers’: Mental Nurses and their Patients, 1935–74

Nurses' Time Use in Forensic Psychiatry: Core Interventions Outlined in the Finnish Clinical Practice Guideline on Schizophrenia.

Forensic psychiatric nurses are key in implementing the core interventions outlined in the clinical practice guideline on schizophrenia. This study endeavors to ascertain how these were implemented in routine practice in forensic psychiatry by measuring how nurses use their time. Data were collected from registered nurses and practical mental nurses in all forensic psychiatric facilities in Finland using self-report diary forms for 1 week. In total, nurses used 20% of their weekly working hours on core interventions. The differences between the nurse groups were statistically significant (p ≤ 0.05) regarding the following core interventions: (a) care planning with physicians, (b) pharmacotherapy, and (c) basic clinical care. Nurses' qualifications, types of facilities and units, working experience, gender, and staffing levels explained the time used on core interventions. In summary, forensic psychiatric inpatients received insufficient appropriate nursing services according to the relevant guideline regarding schizophrenia. Furthermore, managerial recommendations need to restructure nurses' time use to increase the proportion of productive working hours spent with patients.

Efficacy of comprehensive mental nursing in patients with esophageal cancer during concurrent chemo-radiotherapy

Efficacy of comprehensive mental nursing in patients with esophageal cancer during concurrent chemo-radiotherapy

Study of Nursing Countermeasure of Senile Oblique Inguinal Hernia Complication

Objective: To explore the nursing strategy of senile oblique inguinal hernia complication. Method: the postoperative observation, nursing and health guidance of 66 cases of senile oblique inguinal hernia complication patients’ hernia repair surgery were treated in our hospital from May 2014 to August 2015. Result: In this group, all patients’ incisions healed well and the patients recovered and left the hospital. Conclusion: the nursing work focuses on mental nursing, diet guide, disease observation and nursing for complication which can increase patients’ cure rate and living quality.

Study of Nursing Countermeasure of Senile Oblique Inguinal Hernia Complication

<p><strong>Objective: </strong>To explore the nursing strategy of senile oblique inguinal hernia complication.<strong> Method:</strong> the postoperative observation, nursing and health guidance of 66 cases of senile oblique inguinal hernia complication patients’ hernia repair surgery were treated in our hospital from May 2014 to August 2015. <strong>Result: </strong>In this group, all patients’ incisions healed well and the patients recovered and left the hospital. <strong>Conclusion: </strong>the nursing work focuses on mental nursing, diet guide, disease observation and nursing for complication which can increase patients’ cure rate and living quality.</p>

Effects of improved six-hand operation technique on the prevention of dental anxiety in children

Objective To observe and assess the advantages of the six-hand operation combined with psychological intervention in preventing dental anxiety in children. Methods A total of 120 children who had been diagnosed with superficial or deep caries of dentin were randomly divided into three groups (six-hand group, four-hand group and control group) with 40 cases in each group. The six-hand operation group: while one nurse cooperated with one doctor, the circuit nurse applied mental nursing and health education to the whole process (the early, middle and late terms) of the treatment for the diseased children. The four-hand operation group: one nurse worked with one doctor and no psychological intervention except simple communication. The control group: one nurse worked with two doctors and the doctors′ did independent operation as the predominant treatment and no psychological intervention. The children in all the three groups received the routine filling treatment. We measured children′s pulse and Corah′s dental anxiety scale at T1 (the children beginning of treatment at dental chair), T2 (5 min after treatment beginning), and T3 (5 min after treatment). Results There was statistical significance in the differences of pulse between the groups at T1 and T2 (P<0.01). The children acquire low anxiety scores when any two groups of three groups compared the scores of Corah′s dental anxiety scale (H=82.57, P<0.05). Conclusions The six-hand operation in combination with psychological intervention is superior to the four-hand operation and the routine operation in preventing dental anxiety in children. Key words: Psychological intervention; Dental anxiety in children; Four-handed operation; Six-handed operation; Pulse; Anxiety

Effects of personalized psychological video intervention on mental nursing in ICU

Objective To evaluate the effects of personalized psychological video intervention on patients of mental nursing in ICU. Methods A total of 124 conscious patients in ICU were divided into control and experiment group equally from December 2013 to October 2014. Common mental nursing was used in the control group while personalized psychological video intervention was used in the experiment group. The effects were evaluated and compared by SCL-90, PSQI and satisfaction questionnaire after 2 days admission and after 7 days nursing interventions. Results After intervention in the experimental group, the somatization, obsessive system, interpersonal relationship, depression, anxiety, hostile, terror, crankiness and psychosis of SCL-90 were (1.34±0.21), (1.62±0.36), (1.63±0.34), (1.56±0.22), (1.60±0.38), (1.43±0.51), (1.26±0.30), (1.50±0.48), (1.36±0.33) respectively (t=2.108, 2.934, 2.884, 2.335, 2.775, 2.696, 2.365, 2.005, 1.999; P<0.05). After intervention, the scores of each PSQI dimensions was decreased in two groups, and the scores of experimental group were lower than those in the control group (t=3.129, 2.635, 2.116, 2.568, 3.221, 3.227, 2.548, 2.494; P<0.05). Conclusions Personalized psychological video intervention can effectively reduce conscious patients negative emotions in ICU, and improve the sleep quality and the satisfaction. Key words: Intensive care unit; Psychological nursing; Negative emotions; Video

Nursing care of infantile acute necrotizing fasciitis treated with vacuum sealing drainage and continuous irrigation

Objective To conclude the practical nursing experiences of the infantile actue necrotizing fasciitis treated with vacuum sealing drainage (VSD)and continuous irrigation. Methods 21 cases of the infantile actue necrotizing fasciitis treated with with VSD and continuous irrigation were reviewed from January 2009 to December 2014. The nursing experiences of observation for the state of the illness, the safety management of VSD, the management of medication, mental nursing and health education were summarized. Results 21 infants all recovered and were discharged. Postoperative follow up 6 months later were conducted. No obvious disabilities of the extremities were found. Among them, 8 cases were treated with VSD and continuous irrigation for 2 weeks and then had routine wound dressing changing for 10 days, the wound almost healed when discharged. 13 cases were treated with VSD and continuous irrigation for one week and then had routine dressing changing for 12 to 13 days. The wound healed when discharged. No skin necrotizing, no scar of the incision and no other complications were detected. Conclusions Using VSD and continuous irrigation to treat the actue necrotizing fasciitis in infants are of great significance for the nurses to reduce the postoperative complication and promote rehabilitation doing as follows: turning over with the postoperative nursing of VSD in a standard manner, observation and management of the incision area, maintenance of the irrigation and VSD; observation and assessment of the infant's condition, management of the medication, mental nursing and health education. Key words: Fasciitis, necrotizing; Drainage, postural; Nursing care; Infants; Continuous irrigation

Are new mental nurses prepared for practice?

Purpose – As well as working with people who have serious mental health problems, mental health nurses have to maintain a values-based approach to their interactions with mental health service users. However, some have suggested that students and newly qualified nurses are unprepared for this role. The purpose of this paper is to explore perceptions of practising mental health nurses, third year mental health nurse students and lecturers about how well students are being prepared for practice. Design/methodology/approach – A two-phase phenomenological study within a mental health nurse training institution and with staff from a Mental Health Trust in England. The study collected questionnaire responses from 87 participants (42 third year mental health nurse students, 39 practising mental health nurses and six nurse lecturers). A Likert scale questionnaire with written feedback produced data that formed the schedule for ten subsequent focus groups with 41 participants from the above categories. Focus group data were analysed using a process of interpretive phenomenological analysis. This led to the development of three main study themes. The transition from student to registered nurse is difficult, the importance of learning from experience, violence and aggression is difficult to manage, working effectively with victims of sexual abuse or those who have a diagnosis of personality disorder is difficult. Findings – Whilst the study found some evidence to suggest the development of positive values there is a perception that newly qualified mental health nurses lack confidence in other important areas. Participants also expressed doubt about whether it was possible to prepare someone for practice completely. Another finding was that the relationship between student and the mentor is critical to the quality of practice learning. Research limitations/implications – Study limitations are that this is a small selection of participants from one particular area. The researcher attempted to ensure that this study has internal validity. However, it is possible to question the extent to which findings may apply to other areas. Therefore, this study may be most useful to others as a basis for the discussion and comparison of these issues within mental health nurse educators. Practical implications – The need to encourage proactive learning approaches in students is emphasised. Universities should facilitate the sharing of clinical learning experiences as well as developing realistic training in the management of violence and aggression. It is possible to question how well nurses are prepared to work with the physical health needs of service users. Originality/value – This paper gives information about mental health nurse preparation for practice, which will be of value to training organisations as well as to employers of newly qualified mental health nursing staff.

Effect of therapeutic caress combined with mental nursing on stress response of patients with thyroid surgery

Objective To investigate the effect of therapeutic caress (TC) combined with mental nursing on stress response of patients with thyroid surgery. Methods A total of 64 patients, who underwent thyroid surgery in our hospital from January 2012 to January 2014, were randomly divided into observation group and control group, 32 patients in each group. The patients of control group were treated with normal surgery nursing while the patients of observation group were treated with TC combined with mental nursing on basis of normal surgery nursing. Heart rate (HR), systolic and diastolic blood pressure (SBP, DBP), and change of blood glucose (BG) were compared; mental health assessed by self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores before and after nursing intervention; the VAS pain score at 6h and 24h after operation were compared between the two groups. Results Before anesthesia in the control group, the SBP was (127.4±10.6)mmHg, HR (78.6±6.7) time/min higher than these of observation group (t=-2.424, -2.290; P<0.05); 2 hours after operation, SBP was (123.7±11.8) mmHg, the same trend with above compared with observation group (t=-2.367, P<0.05). 1 day after openation SAS, SDS scores were (32.6±9.7) and (31.2±10.1) in the observation group lower than these of the control group (t=2.369, 2.292; P<0.05). 6 hours after operation in the observation group, the pain score of VAS was (2.47±1.18) and (3.84±1.26) in the control group (t=2.481, P<0.05). Conclusions TC combined with mental nursing mode can effectively alleviate the psychological and physiological stress response in patients with thyroid surgery, obviously relieve the pain after operation, and thereby improve the postoperative rehabilitation. Key words: Mental nursing; Thyroid surgery; Therapeutic caress; Stress response

Application of mental nursing for gynecology patients with laparoscopic surgery during perioperation period

Objective To assess the effectiveness of mental nursing for gynecology patients with laparoseopic surgery during perioperation period. Methods A total of 528 gynecology patients with laparoscopic operation were randomly divided into observation group (266 cases) who were given psychological nursing care on the bases of routine care, and control group (262 cases) who were given routine care. We used SAS to assess the anxiety of patients at admission, before operation and 1 d after operation, and observed mean arterial blood pressure (MABP) and heart rate at 1 d before operation, 5 min after going into operation room in two groups. Results There were no statistically significant for the scores of SAS between two groups when patients admitted (P>0.05); the SAS scores of observation group acquired (40.62±8.55), (38.51±7.74) at before operation and 1 d after operation, lower than these of the control group (P 0.05); but at 5 min coming into operation room, the MABP and heart rate were (94.29±8.30) mmHg and (82.48±7.25) times/min in the observation group, higher than these of the control group (P<0.05). Conclusions The targeted mental nursing can alleviate patients′ anxiety and help to relax in the perioperative period for gynecology patients with laparoseopic surgery. Key words: Anxiety; Gynecology; Perioperative period; Mental nursing; Laparoscopic surgery

Correlation analysis between nurse’s mental authorization status and job burnout

Objective To understand the mental authorization status and job burnout for domestic nursesandanalyze the correlation between them, and to explore new strategies to prevent and reduce nurse job burnout.Methods There were 203 clinical nursesinvolved, who were chosen from 5 first-class leveltop first class hospitals in Guangzhou, using mental authorized scale and job burnout scale questionnaires made by ourselves to investigate the basic information, psychological empowerment and job burnout.Results Perception of nurses’ mental authorizationachieved （4.75 ±0.67） （the medium level）, while self-efficacy acquired the highest score （5.34 ±0.73） compared work effectiongained the lowest one （3.64 ±0.11）.The nurses had suffered severe burnout, which performed asloss of personal accomplishment dimension （3.83 ±0.62）, emotional exhaustion dimension （2.96 ±0.81） and depersonalization tendency dimensions （1.89 ±0.84）;nurses perceived psychological empowerment and job burnout had negative correlation with emotional exhaustion, depersonalization tendencies, personal accomplishment dimension （ r = -0.436, -0.366, 0.514, respectively;P<0.01）.Working influence had less correlation with job burnout dimensions, especially with the dimension of depersonalization work and job burnout dimensions affect the correlation was not obvious, especially with the tendency to personify no correlation dimension （r=-0.094,P〈0.05）.Conclusions The mental authorizationof clinical nurses just acquires middle level;hence, clinical nursing managers should enhance nurse＆#39;s mental authorizationto release job burnout. Key words: Nurse; Mental authorization; Job burnout

Depressive symptoms related factors among male industrial workers

Objective To analyze correlations between personality traits, life events and depressive symptoms based on structural equation model and to identify risky factors of depressive symptoms. Methods Using stratified random cluster sampling method, industrial workers recruited from Shougang Qianan corporation received questionnaire survey consisted of LES, NEO-FFI and CES-D.Maximum likelihood method was applied to calculate parameters of structural equation model, then the final model was confirmed based on modification indices. Results Depressive symptom(CES-D≥16) prevalence was 41.05% among industrial workers in current study.Neuroticism, extraversion, agreeableness and negative life events were significantly predictive to depressive symptoms(r=0.356, -0.304, -0.135, 0.227). Positive and negative life events, neuroticism and extraversion, extraversion and conscientiousness, neuroticism and agreeableness presented high correlation, with coefficients 0.614, -0.469, 0.432 and 0.402 respectively. The regression weight of affective symptoms, somatic symptoms and interpersonal relationship in measurement model were 0.779, 0.678, 0.464. Conclusion The onset of depressive symptoms among industrial workers is remarkably related to neuroticism, extraversion, agreeableness and negative life events. Certain measures are supposed to be conducted for mental nursing and intervention in order to strengthen depression prevention. Key words: Industrial workers; Depressive symptoms; Personality traits; Life events; Structural equation model

Does Using a Standardised Mental Health Triage Assessment Alter Nurses Assessment of Vignettes of People Presenting with Deliberate Self-Harm

Background. The Manchester Triage Scale is used in Irish emergency departments. This fails to provide guidance on triaging psychiatric presentations. A Mental Health Triage scale is recommended by the National Institute of Clinical Excellence. Aim. To examine the effectiveness of a Mental Health Triage scale in assessing patients presenting with self-harm. Method. Ten vignettes were created, detailing cases of deliberate self-harm. Nurses (n=49) were given five vignettes and asked to assign each vignette to a triage category, using The Manchester Triage Scale. Each nurse was subsequently asked to reevaluate the same vignettes using the Mental Health Triage Scale. Triage with each method was deemed safe or unsafe, using the benchmark triage categories assigned by a consultant in psychiatry and a consultant in emergency medicine departments. Results. 245 cases were triaged. There was a significant change in the categories assigned when the Mental Health Triage scale was in use, P&lt;0.001. The triage categories assigned using the Mental Health Triage scale were significantly safer than under the Manchester Triage Scale (79% versus 60% safe, respectively, P&lt;0.001).

Correlation analysis of the visual function and quality of life in ophthalmologic inpatients

Objective To investigate the quality of life （ QOL ） in ophthalmologic inpatients with common diseases , and to analyze the relation between QOL and visual function and the related influence factors . Methods One hundred and twenty-eight ophthalmologic inpatients were surveyed by the America National Eye Institute 25-Item Visual Function Questionnaire （ NEI-VFQ-25 ） , and the related influence factors were analyzed.Results The average score of NEI-VFQ-25 in patients was （58.1 ±22.0）.The average score of total health status was （40.8 ±24.3）, and the score in bilateral blind patients was （18.8 ±11.0）, and the score in unilateral blind patients was （52.4 ±18.1）, and the score in non low vision patients was （69.6 ±18.3）, and the score in unilateral low vision patients was （60.2 ±21.2）, and the score in bilateral low vision patients was （52.2 ±23.8）.The difference was found in the score of QOL in different age and vision patients （F=4.966, 8.557, respectively;P〈0.01）.The vision of good eye was negatively related to the age （r=-0.306,P〈0.01）.Conclusions The vision and age can affect the score of scales , and the score of bilateral blind patients is significantly decreased .The nurses should correctly assess self-care ability of inpatients , and provide the necessary physical and mental nursing , and do conduct propaganda well so as to improve the QOL in patients . Key words: Visual function; Quality of life; Ophthalmologic inpatients

Perioperative nursing of high myopia with posterior chamber intraocular lenses implantation

Objective To summarize the perioperative nursing essentials of posterior chamber intraocular lenses surgery in high myopia .Methods To analyze the perioperative period nursing care of 89 cases with posterior chamber intraocular lenses implantation , which included preoperative instruction and education , mental nursing , nursing of complications and so on .Results The uncorrected visual acuity of patients dramatically increased at postoperative six months . All affected eyes had no complications such as endophthalmitis , secondary glaucoma and so on , while little patients had surgery high intraocular pressure or transient mydriasis .Conclusions Strengthened perioperative specialist nursing can improve the recovery of patients and decrease the rate of complications . Key words: Posterior chamber intraocular lens implantation; Myopia; Perioperative nursing

Student nurse experiences of the physical health and wellbeing of recovery patients

This study aimed to explore final-year mental health student nurses’ experiences of caring for the physical health and wellbeing of recovery patients. It examines what participants’ perceptions are of what they are taught and how they are prepared in university in relation to physical healthcare needs of recovery patients. One-to-one semi-structured interviews with seven final-year mental health-nursing students were conducted. The general consensus of the participants appeared to be that there is a need for more robust health promotion activity around physical health in mental health settings.

2例十二指肠完全离断合并右半结肠损伤的护理体会

Objective : To study the nursing of patients suffering from completely severed duodenum with right-side colon injury. Method : To sum up the experience and understanding about mental nursing, basic nursing, nutritional support and drainage nursing by retrospectively analyzing the clinical data of two cases of patients suffering from completely severed duodenum with right-side colon injury. Result : One patient recovers almost to normal after surgery without any complication. Another patient suffers from abdominal residual infection after surgery and recovers passably by anti-inflammatory symptomatic treatment. Conclusion : Completely severed duodenum with right-side colon injury is the most complicated and intractable trauma of abdomen. The reasonable surgery method, the proper therapeutic measure and the intensive nursing are keys to successful cure.

An overview of Ghana's mental health system: results from an assessment using the World Health Organization's Assessment Instrument for Mental Health Systems (WHO-AIMS).

BackgroundThis survey provides data on the Mental Health System in Ghana for the year 2011. It supplies essential planning information for the implementation of Ghana’s new Mental Health Act 846 of 2012, a renewal of the Ghana 5 year plan for mental health and it contributes to international knowledge base on mental health. It provides a baseline from which to measure future progress in Ghana and comparison data for use in other countries. In addition to reporting our findings we describe and analyse deficiencies and strengths of the Ghana mental health system.MethodsWe used the World Health Organization’s Assessment Instrument for Mental Health Systems (WHO-AIMS) to collect, analyse, and report data on the mental health system and services for all districts of the ten regions of Ghana. Data was collected in 2012, based on the year 2011.ResultsIn 2011, Ghana was a lower middle income country with a population of approximately 25 million. A mental health policy, plan and legislation were in place. Mental health legislation was outdated and no longer in line with best practice standards. Services were significantly underfunded with only 1.4% of the health expenditure going to mental health, and spending very much skewed towards urban areas. There were 123 mental health outpatient facilities, 3 psychiatric hospitals, 7 community based psychiatric inpatient units, 4 community residential facilities and 1 day treatment centre, which is well below what would be expected for Ghana’s economic status. The majority of patients were treated in outpatient facilities and psychiatric hospitals and most of the inpatient beds were provided by the latter. There were an estimated 2.4 million people with mental health problems of which 67,780 (ie 2.8%) received treatment in 2011. The were 18 psychiatrists, 1,068 Registered Mental Nurses, 19 psychologists, 72 Community Mental Health Officers and 21 social workers working in mental health which is unbalanced with an unbalanced emphasis on nurses compared to what would be expected.ConclusionsThe main strength of the mental health system was the presence of a long established service with staff working across the country in outpatients departments and hospitals. The main weakness was that government spending on mental health was very low and the bulk of services, albeit very sparse, were centred around the capital city leaving much of the rest of the country with almost no provision. Service provision was dominated by nurses with few other professions groups present.

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