Psychological Aspects Of Patients Research Articles

Impact of Back Massage on Physical and Psychological Measures in Chronically Ill Patients

Introduction: The significance of massage in providing nursing care is frequently overlooked. Massage therapy has been shown to have beneficial effects, both physically and psychologically, on the whole person. Aims: The purpose of this study was to investigate the effects of giving chronically ill patients a back massage on their physiological and psychological markers while they were getting care at a tertiary care centre. Methods and Material: The purpose of this study was to investigate the influence that back massage has on the physiological and psychological parameters of patients who suffer from chronic illnesses. 1. To determine the effect that back massage has on the physiological and psychological aspects of patients who are suffering from chronic illness. Methodology For the purpose of this study, a one-group, pre- and post-test quasi-experimental design was used to serve as the investigation’s research methodology. Result: This inquiry will focus on collecting samples from 50 chronically ill patients of both sexes between the ages of 16 and 60 who have been hospitalised to Krishna Hospital in Karad. The patients’ ages range from 16 to 60. The results showed that after three days of back massage, the mean score for anxiety decreased from 47 to 35, the score for stress decreased from 16 to 9, and the score for the Patient Health Questionnaire dropped from 58 to 39. After receiving a back massage for three days, the patient’s average pulse decreased from 82 to 75, the average respiration rate decreased from 26 to 19, the patient’s systolic blood pressure decreased from 141 to 129, and the patient’s diastolic blood pressure decreased from 95 to 83. Conclusion: The results of this study indicate that massage therapy is a safe and effective treatment for patients in intensive care units to lower the severity of patients’ physical and mental health problems. As a consequence of this, regular application of back massage in the context of therapeutic therapy is strongly recommended.

Perception of the COVID-19 Pandemic Among Patients With Inflammatory Bowel Disease in the Time of Telemedicine: Cross-Sectional Questionnaire Study.

BackgroundAfter the COVID-19 outbreak, the Italian Government stopped most regular health care activity. As a result, patients with inflammatory bowel disease (IBD) had limited access to outpatient clinics and hospitals.ObjectiveThis study aimed to analyze the perception of the COVID-19 emergency among patients with IBD during the early weeks of the lockdown.MethodsWe invited adult patients with IBD from the University of Salerno (Campania, South Italy) and the University of Padua (Veneto, North Italy) by email to answer an ad hoc anonymous survey about COVID-19. We also collected data on demographic and disease characteristics.ResultsIn total, 167 patients with IBD from Padua and 83 patients from Salerno answered the survey (age: mean 39.7 years, SD 13.9 years; female: n=116, 46.4%). We found that patients with IBD were particularly worried about the COVID-19 pandemic (enough: 77/250, 30.8%; much/very much: 140/250, 56.0%), as they felt more vulnerable to COVID-19 due to their condition (enough: 70/250, 28.0%; much/very much: 109/250, 43.6%). Patients with IBD from the red zone of Veneto were more worried than patients from Campania (P=.001), and men felt more susceptible to the virus than women (P=.05). Additionally, remote medicine was appreciated more by younger patients than older patients (P=.04).ConclusionsThe results of our survey demonstrate that the lockdown had a significant impact on the psychological aspects of patients with IBD and suggest the need for increasing communication with patients with IBD (eg, through telemedicine) to ensure patients receive adequate health care, correct information, and proper psychological support.

O-05 Psychological Aspects of Patients with Penile Cancer: Reports of Patients Accompanied at the Urology Oncology of the Hospital de Clínicas da Unicamp

O-05 Psychological Aspects of Patients with Penile Cancer: Reports of Patients Accompanied at the Urology Oncology of the Hospital de Clínicas da Unicamp

Characterization and psychological aspects of patients with erectile dysfunction

Characterization and psychological aspects of patients with erectile dysfunction

Effects of Repetitive Transcranial Magnetic Stimulation on Psychological Aspects of Patients with Chronic Lower Back Pain

To investigate the effects of repetitive transcranial magnetic stimulation (rTMS) to the anterior cingulate cortex (ACC) area on changes in psychological aspects in chronic lower back pain patients. Twenty-one subjects were randomly assigned to control group (n=10, both general physiotherapy and sham rTMS) and experimental group (n=11, both general physiotherapy and rTMS). Each group received treatment (physiotherapy : 20 minutes, 10 Hz rTMS : 10 minutes) five days per week for 4 weeks. Assessment of psychological aspects was measured pre, post, and 2 week follow up after treatment. The comparison results with regard to heart rate variability (HRV), EEG (α wave), Beck Depression Inventory version (K-BDI), Fear of Daily Activities Questionnaire (FDAQ), and Fear-Avoidance Belief Questionnaire (FABQ) confirmed that experimental group had a greater recovery to positive levels in comparison to control group. As a results, the application of rTMS to the ACC together with physiotherapy can have a positive effect on pain-related psychological aspects.

Influence of new treatment modalities on adherence in glaucoma.

It is well known that glaucoma patients are not adherent to their therapeutic regimens. The issue of nonadherence is multifactorial and includes inadequate communication between doctors and patients, resulting in significant costs associated with enhanced disease progression. Therapeutic regimens are risk factors which often influences adherence rates. Thus, alternative treatment modalities, especially those risk factors that do not rely on patients' cooperation, may enable improvements in long-term outcomes of glaucoma in patient. The studies selected for this review were divided into new medications, especially advancements in pharmaceutical approaches to treat glaucoma and new ways of delivering the medication, new surgical methods, especially minimally invasive surgery methods for glaucoma, and new studies about adherence in glaucoma. Surprisingly, a very few studies on glaucoma medication or surgery addressed the concept of adherence. However, adherence is discussed in studies which consider psychological aspects of patients or communication issues between doctors and patients. Although these studies were performed in clinical settings, the issue of adherence is not addressed; despite it has significant effect on long-term outpatient care. A combination of both aspects, adherence and miscommunication, should be considered in studies.

Pengaruh Psikoedukasi terhadap Pengetahuan dan Tingkat Kecemasan Pasien dengan hipertensi

Psychoeducation is the provision of information about managing disease and the psychological aspects of patients. Psychoeducation teaches someone about a problem so they can reduce the stress associated with the problem. Relaxation can reduce muscle tension, saturation and anxiety so as to prevent the increase in pain stimuli and can help hypertensive patients to reduce anxiety and strengthen individual coping. This study aims to determine the effect of psychoeducation on the knowledge and anxiety level of patients with hypertension. The study design was a quasi-experimental pre-post test with control group psychoeducation intervention with a sample of 80 people. The results were significant differences in the knowledge of patients before and after the intervention group (p value knowledge = 0.013), whereas in the control group there was no difference (p value = 0.770). The conclusion is obtained that psychoeducation can improve the knowledge of patients with hypertension, so that it is expected to be one form of intervention that can be applied to the community in the Cipayung District area.

INFLAMMATORY BOWEL DISEASE: IMPACT ON SCORES OF QUALITY OF LIFE, DEPRESSION AND ANXIETY IN PATIENTS ATTENDING A TERTIARY CARE CENTER IN BRAZIL.

Inflammatory bowel disease frequently affects patients at working age, compromising their quality of life in several levels: physical, psychological, familial and social. Few studies have evaluated the impact of Inflammatory bowel disease on quality of life, anxiety and depression in Brazilian patients. Evaluate quality of life and its correlation with psychological aspects of patients with inflammatory bowel disease through the Inflammatory Bowel Disease Questionnaire and Hospital Anxiety and Depression Scale. Cross-sectional study; Inflammatory Bowel Disease Questionnaire, Short Form-36 and Hospital Anxiety and Depression Scale were applied to consecutive outpatients in a tertiary referral center for inflammatory bowel disease. Harvey-Bradshaw Index and Truelove scores were used to evaluate Crohn's disease and ulcerative colitis activity. Sample calculation: 113 patients for a significance level of 5%, power of 90% and a correlation coefficient of at least 0.3 between scales. Statistical analysis: Student-t test, Pearson and Spearman correlations. One hundred twenty patients participated in the study; mean age: 41.7 years; female: 58.3%; Crohn's Disease: 69 patients. No low scores for quality of life were found across the four Inflammatory Bowel Disease Questionnaire domains; the Short Form-36 showed low scores in physical limitations (47.2±42.4) and emotional aspects (49.8±43.4); Hospital Anxiety and Depression Scale score presented a mean of 9.5±2.7 for anxiety and 8.7±2.0 for depression. Quality of life was decreased and Hospital Anxiety and Depression Scale did show increased indices of anxiety and depression, in both diseases only when clinically active. Inflammatory Bowel Disease Questionnaire and Hospital Anxiety and Depression Scale showed that outpatients of a tertiary care center for inflammatory bowel disease in Brazil presented good quality of life. The worst quality of life was associated with the intensity of the disease activity.

Jimmie Holland: The founder, developer, and the soul of the International Psycho-Oncology Society.

Jimmie Holland: The founder, developer, and the soul of the International Psycho-Oncology Society.

Meta-analysis for psychological impact of breast reconstruction in patients with breast cancer.

This meta-analysis aimed to evaluate the impact of breast reconstruction on the psychological aspects in patients with breast cancer. A literature search on PubMed, Embase, ScienceDirect and Google scholar databases was conducted up to September 2017. The pooled risk radio (RR) or standard mean difference (SMD) and the corresponding 95% confidence intervals (CIs) were calculated using the RevMan 5.3 software. A total of 5 studies were included in this meta-analysis. There were 551 breast cancer patients receiving mastectomy plus breast reconstruction and 574 breast cancer patients receiving mastectomy alone. The results showed that breast reconstruction can significantly decrease the incidence of anxiety (RR=0.62, 95% CI 0.47-0.82, P=0.0006)/depression (RR=0.54, 95% CI 0.32-0.93, P=0.02) and scale score for evaluating anxiety (SMD=-0.20, 95% CI -0.37 to -0.03, P=0.02)/depression (SMD=-0.22, 95% CI -0.39 to -0.66, P=0.007) compared with mastectomy alone. Breast reconstruction after mastectomy was benefit for improving the psychological damages in patients with breast cancer.

Time course of adiponectin and its relationship to psychological aspects in patients with anorexia nervosa during inpatient treatment.

ObjectiveThe protein hormone adiponectin promotes metabolic and psychological health. The aim of the study was to track changes in adiponectin levels in response to weight gain and to assess associations between adiponectin and psychological aspects in patients with anorexia nervosa (AN).MethodsTo investigate if adiponectin levels depend on AN severity, data were assessed from 11 inpatients with a very low body mass index (BMI) and a high chronicity (high severity group; HSS), and nine with less severe symptoms (LSS). During the course of treatment, serum adiponectin concentrations were assessed on a weekly basis along with BMI. Psychological variables (i.e., depression, anxiety, stress, and AN-specific symptoms) were obtained by means of electronic diaries. Longitudinal regressions and correlations were calculated to evaluate the temporal course of adiponectin and its relationship with psychological self-ratings.ResultsAt the beginning adiponectin was not increased in HSS patients (p = .56), and only marginally elevated in LSS patients (p = 0.07) compared with controls. In HSS patients, adiponectin increased along with BMI during the first treatment phase (i.e., when the BMI of patients was below 16 kg/m2) and thereafter decreased with further weight gain. In LSS patients, adiponectin was not associated with BMI increase. Furthermore, adiponectin was strongly negatively correlated with psychological self-ratings when the BMI of patients was above 16 kg/m2, i.e., higher levels of adiponectin were related to lower ratings of depression, anxiety, and AN-specific symptoms.DiscussionThe study connects previous varying results by indicating that the course of adiponectin is dependent on BMI and symptom severity. Similarly, associations of adiponectin and psychological health depended on BMI.

Quality of Life and Psychological Aspects in Patients with Visual Impairment Secondary to Uveitis: A Clinical Study in a Tertiary Care Hospital in Brazil

ABSTRACTPurpose: To evaluate the quality of life in individuals with bilateral visual impairment secondary to uveitis and its association with sociodemographic, clinical and psychosocial aspects.Methods: Data were collected through a structured interviews, using four forms; the SF-12v2, HADS, NEI-VFQ-25 and a specific form developed to collect clinical and sociodemographic data.Results: 80 patients were included with a mean age of 42.8 years; 63.8% female; 57.5% with permanent reduction of familiar income. The average number of medical visits was 15.2 ±10.7/year. In terms of health-related quality of life (HRQol), the mean of VFQ-25 score was 36.6 ± 15.1 and the mean of SF-12 physical and mental components scores were 43.3 ± 9.9 and 44.9 ± 12.2. Anxiety and depression symptoms were found in 65.1% and 32.5% of patients, respectively.Conclusions: Visual impairment has impact on several scales of HRQoL leading to productivity loss and consumption of health resources.

人工透析患者の心理学的側面(第4報) : 糖尿病性腎症における自己管理と失感情症の関連について

人工透析患者の心理学的側面(第4報) : 糖尿病性腎症における自己管理と失感情症の関連について

Negative Affectivity Predicts Lower Quality of Life and Metabolic Control in Type 2 Diabetes Patients: A Structural Equation Modeling Approach.

Introduction: It is essential to consider the clinical assessment of psychological aspects in patients with Diabetes Mellitus (DM), in order to prevent potentially adverse self-management care behaviors leading to diabetes-related complications, including declining levels of Quality of Life (QoL) and negative metabolic control.Purpose: In the framework of Structural Equation Modeling (SEM), the specific aim of this study is to evaluate the influence of distressed personality factors as Negative Affectivity (NA) and Social Inhibition (SI) on diabetes-related clinical variables (i.e., QoL and glycemic control).Methods: The total sample consists of a clinical sample, including 159 outpatients with Type 2 Diabetes Mellitus (T2DM), and a control group composed of 102 healthy respondents. All participants completed the following self- rating scales: The Type D Scale (DS14) and the World Health Organization QoL Scale (WHOQOLBREF). Furthermore, the participants of the clinical group were assessed for HbA1c, disease duration, and BMI. The observed covariates were BMI, gender, and disease duration, while HbA1c was considered an observed variable.Results: SEM analysis revealed significant differences between groups in regards to the latent construct of NA and the Environmental dimension of QoL. For the clinical sample, SEM showed that NA had a negative impact on both QoL dimensions and metabolic control.Conclusions: Clinical interventions aiming to improve medication adherence in patients with T2DM should include the psychological evaluation of Type D Personality traits, by focusing especially on its component of NA as a significant risk factor leading to negative health outcomes.

Assessment of self-esteem and psychological aspects in patients undergoing upper blepharoplasty

Abstract Objective: To evaluate the self-esteem and quality-of-life outcomes in patients undergoing upper blepharoplasty. Methods: A cross-sectional study was performed at Federal University of Sao Paulo. The self-esteem and quality-of-life of 29 patients undergoing upper blepharoplasty were compared with 20 age-matched volunteers from the general population. During preoperative assessment, the patients and volunteers underwent complete ophthalmological examinations and answered two questionnaires: the Rosenberg self-esteem scale (RSES) and the World Health Organization quality of life assessment (WHOQOL-BREF). The RSES is a ten-item questionnaire developed to measure self-esteem that are answered using a four-point scale. The scores range from 0 to 30, and lower scores indicate higher self-esteem. The WHOQOL-BREF is composed of 26 questions divided into four domains. Mean values greater than 5 are considered indicative of very good quality-of-life. Data from the RSES and quality-of-life scores were compared between the two groups using an unpaired t- test. Results: The mean self-esteem scores for the patients and volunteers were 10.31 ± 0.71 and 6.9 ± 0.99, respectively (p < 0.001). The mean response scores for the WHOQOL-BREF questionnaire for the patients and volunteers were 3.67 ± 0.08 and 3.76 ± 0.08, respectively (p = 0.449). For the psychological subscale of the WHOQOL-BREF questionnaire, the results for the patients and volunteers were 3.52 ± 0.09 and 3.78 ± 0.08, respectively (p = 0.041). Conclusions: Subjects who underwent upper blepharoplasty exhibited worse self-esteem based on the RSES. Regarding quality-of-life, as assessed using the WHOQOL-BREF questionnaire, significant differences between the groups were evident in the psychological aspects subscale. Our study confirms the importance of subjecting patients to psychological evaluation prior to upper blepharoplasty.

Shame proneness and eating disorders: a comparison between clinical and non-clinical samples.

To explore the relationship between shame proneness, eating disorders outcomes and psychological aspects of patients with eating disorders (ED). Sixty-six girls applying for inpatient treatment for ED and 110 female undergraduate students were assessed using the Eating Disorder Inventory-3 and the Shame Proneness Scale of the Test of Self-Conscious Affect. Shame proneness showed significant correlations with several ED components and psychological scales of EDI-3, with some variations across the subgroups. Shame proneness levels were significantly higher in the clinical group than in controls. Shame proneness can be an important component for the development and the maintenance of ED due to a strong correlation not only with ED symptoms but also with psychological aspects of this disease, in both clinical and non-clinical samples.

Targeted drugs and Psycho-oncological intervention for breast cancer patients.

Personalized medicine is a new field based on molecular biology and genomics in which targeted tumor therapies are administered to patients. Psycho-oncology is a complementary approach that considers social and psychological aspects of patients as part of the treatments for cancer patients.The aim of this mini-review is to weigh clinical benefits for breast cancer patients of both treatments and possibily enhance benefits by modulating the use of both interventions. We have compared and evaluated on the one hand the use of anti Vascular Endothelial Growth Factor and, on the other hand, psycho-oncological interventions in metastatic and non-metastatic breast cancer patients.Both treatments did not increase survival of metastatic breast cancer patients, while in a selected study psycho-oncological interventions extended lifespan of non-metastatic breast cancer patients and ameliorate psychological and social factors of metastatic breast cancer patients. Because the two approaches address completely different aspects of cancer patients, if the comparison is limited to the extension of survival, the value of these two treatments cannot be assessed and compared.It is likely that by comparing patients reported outcomes, possibly by using standardized Quality of Life questionnaires, both patients and health care providers can weigh the benefits of the two treatments. It is therefore important to evaluate the use of cancer patients’ quality of life measures as a mean to improve their experiences about life and treatment, and possibly to extend their survival.

Selected psychological aspects in patients with Chronic Obstructive Pulmonary Disease (COPD) in Polish studies: the degree of acceptance and the perception of the disease

Abstract Objectives The aim of the study is to determine the level of acceptance and differences in subjective perception of disease and the relation between the level of acceptance, perception, and demographic factors. Methods The study included 100 patients with COPD (Chronic Obstructive Pulmonary Disease) treated in two Pomeranian hospitals: Pneumonology and Allergology Department of Medical University of Gdansk and J.K. Lukowicz Specialist Hospital in Chojnice. Study participants have been divided into two groups: Group I consisted of patients with degree I and II of airways obturation assessed by spirometry: Group II consisted of patients with degree III and IV. The disease perception assessment and acceptance were evaluated respectively with use of The Brief Illness Perception Questionnaire (Brief IPQ) and Acceptance of Illness Scale (AIS). Results and conclusions There have been proven differences in the subjective perception of the disease in patients with COPD. The disease among patients with severe and very severe obturation degree is considered as life threatening. The colloquial idea about causes of COPD in half of the cases is the same as the medical knowledge about its etiology. Patients with mild and moderate obturation present good level of acceptance; patients in poorer health condition present medium level of illness acceptance.

Impact of medication and psychological behaviour assessment by community pharmacists in type 2 diabetes mellitus patients after hospital stay.

Drug related problem (DRPs) is a key factor which will affect the outcome of therapy and safety. To assess the DRPs in type 2 diabetes mellitus (T2DM) patients and psychological aspects of patients by community pharmacists to observe the rate of DRP. Prospective randomized controlled intervention study involved T2DM patients and conducted in two community pharmacies at Kanpur from January 2012 to December 2012. The assessment of DRPs was based on the PCNE. Changes in glycosylated hemoglobin (HBA1c), low density lipoproteins (LDL), blood pressure(BP), foot examinations, changes medical and medication utilization were studied. Using as control group, received usual care, and interventional group provided, intervened with use of the standard treatment guidelines (STG). Researcher provided the knowledge to community pharmacists and patients. Baseline and interventional data were collected at 0,3,6,9 and 12 months. Over the 12 month study, participants' average HBA1C reduced from 8.9% at initial visit to 7.5%. During this time, the eye examination rate was raised from 31% to 48%, and the foot examination rate was raised from 35% to 50%. The intervention of pharmacists showed little influence on any of the intermediate health outcomes in T2DM.

Psychological aspects of patients with intrinsic atopic dermatitis.

Atopic dermatitis (AD) is classified into the IgE-high extrinsic and IgE-normal intrinsic types. While extrinsic AD is the classical type with high prevalence, intrinsic AD occupies approximately 20% of total AD with female predominance [1]. The skin barrier is perturbed in the extrinsic, but not intrinsic type [1], and thus filaggrin gene mutations are not a feature of intrinsic AD [2]. While the two types have comparable frequencies of circulating Th2 cells, intrinsic AD shows a significantly increased [...]