Provide Psychological Support Research Articles

Hospitalization-related Stress and Its Impact on the Monitored Vital Signs of Adult Patients with Corona Virus Diseases-19 In Respiratory Isolation Wards: A Repeated-Measure Study

Background: Psychological stress has an obvious effect on vital signs of patients with covid-19 The body responses to psychological stress includes tachypnea, pulse rate, blood pressure, and temperature. which will lead to increasing the respiratory rate and increase the length of hospitalization therefore, this study was endeavored to examine the causal relationship between hospitalization-related Psychological stress and change vital signs among the targeted subjects. Aims (s): Examining the impact of psychological stress on the vital signs prognosis of hospitalized adult patients with Covid-2019 in respiratory isolation wards This can be done by determining the difference between the prognosis of stressed & non-stressed patients. Design: A longitudinal design was used to accomplish the above-mentioned goals. Methods: A purposive sample of 140 patients with Covid-19 who were hospitalized in respiratory isolation wards in two public hospitals, in Baghdad city. The data collection process started December 25th - 2020 – April 15th 2021. Two measures were conducted at seven-days intervals. The Depression Anxity Stress scales (DASS) was the selected tool to examine the study main variables. Result: There is a statistically significant difference of respiratory rate in response to psychological stress between the 1st and 2nd measures (P=0.004, Sig=0.001 ). Concluation: The study show, There is a statistically significant difference of respiratory rate in response to psychological stress between the 1st and 2nd measures (P=0.004, Sig=0.001 ). Recommendation: mointoring vital signes, Provide psychological support to the patient with covid-19. And all adult age groups must be careful of infection with the virus. Keywords: Covid-19, vital signs, prognosis, psychological stress.

A Study on the Development of Interdepartmental Guideline for Effective Disaster Psychological Support

The Central Disaster Psychology Support Group(CDPSG) was launched to provide psychological support(PS) in the case of disasters. Without a systematic psychological response protocol or a clearly stipulated division of responsibilities among related agencies, the existing system added confusion to the delivery of PS. The CDPSG was aimed at building a professional and systematic support system that allows inter-ministerial cooperation, with the Ministry of the Interior and Safety at the center. In this study, a disaster PS system was proposed. Based on the process of psychological change of disaster victims, the proposed system is divided into five phases: on the day of the disaster, within 3 days, within 5 days, within 60 days, and the end phase. Prevention phase, preceding the occurrence of disasters, and continued support phase, following the end phase, were also proposed. Cases of forest fires and infectious diseases were cited as examples. Finally, disaster PS work was classified into (1) cooperative coordination, (2) public relations, (3) counseling, and (4) treatment, and a system of cooperation among ministries was proposed. Further research should focus on laying the legal grounds for such inter-ministerial cooperation, and capture first-hand experience of disasters, as well as the voices of personnel working at the site of disasters.

Digital and Mobile Technologies to Promote Physical Health Behavior Change and Provide Psychological Support for Patients Undergoing Elective Surgery: Meta-Ethnography and Systematic Review.

BackgroundDigital technology has influenced many aspects of modern living, including health care. In the context of elective surgeries, there is a strong association between preoperative physical and psychological preparedness, and improved postoperative outcomes. Health behavior changes made in the pre- and postoperative periods can be fundamental in determining the outcomes and success of elective surgeries. Understanding the potential unmet needs of patients undergoing elective surgery is central to motivating health behavior change. Integrating digital and mobile health technologies within the elective surgical pathway could be a strategy to remotely deliver this support to patients.ObjectiveThis meta-ethnographic systematic review explores digital interventions supporting patients undergoing elective surgery with health behavior changes, specifically physical activity, weight loss, dietary intake, and psychological support.MethodsA literature search was conducted in October 2019 across 6 electronic databases (International Prospective Register of Systematic Reviews [PROSPERO]: CRD42020157813). Qualitative studies were included if they evaluated the use of digital technologies supporting behavior change in adult patients undergoing elective surgery during the pre- or postoperative period. Study quality was assessed using the Critical Appraisal Skills Programme tool. A meta-ethnographic approach was used to synthesize existing qualitative data, using the 7 phases of meta-ethnography by Noblit and Hare. Using this approach, along with reciprocal translation, enabled the development of 4 themes from the data.ResultsA total of 18 studies were included covering bariatric (n=2, 11%), cancer (n=13, 72%), and orthopedic (n=3, 17%) surgeries. The 4 overarching themes appear to be key in understanding and determining the effectiveness of digital and mobile interventions to support surgical patients. To successfully motivate health behavior change, technologies should provide motivation and support, enable patient engagement, facilitate peer networking, and meet individualized patient needs. Self-regulatory features such as goal setting heightened patient motivation. The personalization of difficulty levels in virtual reality–based rehabilitation was positively received. Internet-based cognitive behavioral therapy reduced depression and distress in patients undergoing cancer surgery. Peer networking provided emotional support beyond that of patient-provider relationships, improving quality of life and care satisfaction. Patients expressed the desire for digital interventions to be individually tailored according to their physical and psychological needs, before and after surgery.ConclusionsThese findings have the potential to influence the future design of patient-centered digital and mobile health technologies and demonstrate a multipurpose role for digital technologies in the elective surgical pathway by motivating health behavior change and offering psychological support. Through the synthesis of patient suggestions, we highlight areas for digital technology optimization and emphasize the importance of content tailored to suit individual patients and surgical procedures. There is a significant rationale for involving patients in the cocreation of digital health technologies to enhance engagement, better support behavior change, and improve surgical outcomes.

G171(P) Providing psychology support in a district paediatric cardiology service

Introduction Advances in medical and surgical care have improved mortality and morbidity rates in children with congenital heart disease (CHD). It has been recognised that children with CHD and their families benefit from psychology input. In 2010 the National Reference Group for Psychologists working in Paediatric Cardiology drafted minimum standards for services to meet the psychosocial needs of these children. These were approved by the British Psychological Society, the Congenital Heart Service Standards Group and the Clinical Implementation Advisory group in 2013. Aims The study reviewed the impact of newly introduced clinical psychology service for Paediatric Cardiology patients in Cambridge. Methods Patients were identified from local paediatric and psychology databases. Children and families were referred to a Clinical Psychologist working in general paediatrics. Access to the service was initially limited the children referred were deemed to be the most complex in the Service. Results Between March 2012 and March 2014 twenty five referrals were made and 18 patients/families were seen, 2 declined input and 5 are pending. Of those seen, 10 were male and 8 female aged between 4 months and 16 years. There were 116 contacts with the psychologist. Most were offered 6 appointments, ranging from 2 to 20. The reasons for referral were for: parental anxiety/trauma (4), attachment issues (1), adjustment to a new diagnosis (4), management of neurodevelopmental concerns and school difficulties (1), behavioural difficulties (2) and emotional difficulties (6). So far, eleven Service satisfaction questionnaires have been sent to 11 families and six have been returned. All respondents valued accessing a psychologist locally rather than travelling to a specialist centre. Conclusions This study supports national and local drivers to provide high quality medical and psychological care close to child’s home from birth through to transition to adult services. There is anecdotal evidence that direct family contact with the psychologist has freed up Consultant time and improved shared care. This data together with the standards documents have been used to establish a dedicated cardiology psychology service.