Psychological Nursing Care Research Articles

Combined Mindfulness-Based Stress Reduction and Exercise Intervention for Improving Psychological Well-Being in Patients With Non-Small Cell Lung Cancer.

This study aims to assess the clinical effectiveness of combining mindfulness-based stress reduction (MBSR) with exercise intervention in improving anxiety, depression, sleep quality and mood regulation in patients with non-small cell lung cancer (NSCLC). A total of 60 patients with NSCLC who had not received surgical treatment were selected using convenience sampling and divided into an intervention group and control group, with 30 patients in each group. The control group received conventional psychological nursing care, whereas the intervention group received a combination of MBwSR and exercise therapy. Before the intervention, a questionnaire was completed to collect the basic data of the two groups. Further questionnaires were administered at 6 and 8 weeks after treatment to assess anxiety, depression, sleep quality and other items included in the five-item Brief Symptom Rating Scale (BSRS-5). No significant differences between the intervention and control groups were identified in terms of personal and clinical characteristics (p > 0.05). No significant differences were determined in the BSRS-5, Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS) or Pittsburgh Sleep Quality Index (PSQI) scores between the intervention and control groups before the intervention. However, 6 and 8 weeks after the intervention, scores were significantly lower in both groups (p < 0.001). Significant differences in the BSRS-5, SAS, SDS and PSQI scores were identified between the two groups at different time points (p < 0.001). The combination of MBSR and exercise intervention demonstrated improvements in anxiety, depression, sleep quality and BSRS-5 scores in patients with NSCLC.

Nursing discharge teaching of hospitalized postpartum women in China: A cross-sectional study

BackgroundPostpartum women encounter a diverse array of physiological challenges following childbirth, and they may also contend with issues such as a lack of self-care knowledge childcare knowledge, and childcare experience. This study aimed to explore the quality of discharge teaching for hospitalized postpartum women. MethodsA total of 292 parturients who gave birth in a tertiary hospital were selected using the convenience sampling method and surveyed using a general data questionnaire and discharge teaching quality scale. ResultsThe total score for the quality of discharge teaching was 111.95 ​± ​28.64. In bivariate analysis, significant differences were identified between postpartum women with differences in postpartum complications, ambulation time, wound pain, infant health status, and infant feeding methods (p ​< ​0.05). Wound pain and infant feeding methods were significant factors in a multiple linear regression model (p ​< ​0.05). ConclusionsNursing staff should focus on psychological nursing care and give more personalized teaching to postpartum women with severe wound pain and who bottle feed their newborns.

Effects of psychological nursing care on anxiety and depression in perioperative patients with lung cancer: A systematic review and meta-analysis.

Background:This study aimed to investigate the effects of psychological nursing care (PNC) on anxiety relief in perioperative lung cancer (LC) patients.Methods:We searched the Cochrane Library, PubMed, Embase, CNKI, CBM, and Wangfang electronic databases from inception to May 1, 2022. Eligible randomized controlled trials (RCTs) investigating the effects and safety of PNC on anxiety relief in perioperative LC patients. Anxiety was the primary outcome measure. The secondary outcomes were depression, length of hospital stay, and the occurrence of adverse events.Results:Six eligible RCTs with 494 patients were included in this study. Compared with routine nursing care, PNC showed better outcomes in terms of anxiety relief (mean difference [MD] = –13.24; random 95% confidence interval (CI), –18.28 to –8.20; P<.001), depression decrease (MD = –11.84; random 95% CI, –18.67 to –5.01; P < .001), and length of hospital stay (MD = –2.6; fixed 95% CI, –3.13 to –2.07; P < .001). No data on adverse events were pooled because only 1 trial reported this outcome.Conclusions:This study showed that PNC may benefit more than routine nursing care for patients with LC in anxiety, depression, and length of hospital stay. High-quality RCTs are needed to validate the current findings in the future.

Rapid Rehabilitation in Urological Surgery with Psychological and Preoperative Care

Urological surgery patients will be studied to see whether a combination of rapid recovery surgery and psychological nursing might help them recover more quickly. Methods There were 74 patients identified and treated in our urological surgery department between April 2020 to April 2022, and they were separated into two groups: the control group and the observation group, with 37 cases in each. During the preoperative period, the control group received regular nursing care, whereas the observation group was exposed to the quick recovery surgical concept in conjunction with psychological nursing care. In the end, here's what happened: Patients in the observation group spent less time getting out of bed and tiring themselves during the first hour after insertion of the drainage tube than those in the control group (P0.05). A larger percentage of the observation group's nurses were satisfied with their work than the control group's nurses, at 94.59 percent (P0.05), while the observation group's complication rate was lower than the control group's (at 18.91 percent) at 8.11 percent (P0.05). Fast recovery surgery coupled with psychological nursing may help patients recover from surgery, minimize the time it takes for them to get out of bed and indwell the drainage tube, enhance their psychological condition, and lower their risk of problems. As a nursing intervention strategy, it is both effective and practical.

The Psychological Nursing Interventions Based on Pygmalion Effect Could Alleviate Negative Emotions of Patients with Suspected COVID-19 Patients: a Retrospective Analysis.

PurposeThis study aims to explore the psychological status of suspected COVID-19 patients during quarantine and put forward a new yet effective psychological nursing strategy for intervention.Patients and MethodsWe performed a retrospective study with suspected COVID-19 patients who were hospitalized to the two hospitals of Hunan province, China and accepted the intervention of psychological nursing from 01/2020 to 03/2020. The control group received routine psychological nursing care and the observation group received the new psychological nursing intervention according to Pygmalion effect.ResultsA total of 89 objects were included in the analysis. Results of the questionnaire before intervention showed that the majority of isolated suspected COVID-19 patients showed negative emotions, with the incidence of depression (51.69%), anxiety (14.617%), inverted provocation (22.47%), extraverted provocation (25.84%). And the extraverted provocation scores of female patients was significantly higher than that of male counterparts (P < 0.05). At discharge, compared with the control group, the scores of depression, anxiety, introversion and extraversion of patients in the observation group were significantly lower after nursing intervention based on Pygmalion effect. The satisfaction rate of psychological care based on Pygmalion effect was 86.66%.ConclusionSuspected COVID-19 patients tend to show the symptoms of depression, anxiety and irritation during quarantine. The psychological nursing based on Pygmalion effect is helpful to alleviate their negative emotions.

Effect of Psychological Nursing on the Mental State and Quality of Life of Patients After Heart Valve Replacement for Rheumatic Heart Disease

Objective: To explore the effect of psychological nursing on the mental state and quality of life of patients after heart valve replacement for rheumatic heart disease. Methods: Seventy-four patients with rheumatic heart disease that underwent heart valve replacement in Zhenjiang First People’s Hospital from January 2017 to May 2020 were selected as the research subjects. Thirty-seven patients that were treated from January 2017 to September 2018 were included in the control group. Routine care was provided for the patients in the control group. From October 2018 to May 2020, the Department of Cardiothoracic Surgery improved their preoperative and postoperative psychological care. Thirty-seven patients that were treated during this period were included in the research group. The research group received psychological nursing care in addition to routine care. The effects of different nursing modes on the quality of life and postoperative mental state of the patients were determined. Results: The scores for depression, anxiety, somatization, and compulsion in the research group were significantly lower than those in the control group (p &lt; 0.05); the scores for the quality of life of patients in the research group were significantly higher than those in the control group (p &lt; 0.05). Conclusions: Strengthening psychological nursing for patients with rheumatic heart disease is helpful to improve their quality of life and mental state after heart valve replacement.

Applying a Psychological Nursing Care Quality Evaluation Index in hospitalized patients: A pilot study.

Psychological problems have become a significant public health problem. Appropriate mental health care is crucial in promoting patient care quality. This study aimed to test the feasibility of a Psychological Nursing Quality Evaluation Index in hospitalized patients. This is a pilot study with patients hospitalized with myocardial infarction from July to September 2020 in China. The researchers used an observational approach to examine nurses' psychological health care performance based on the Psychological Nursing Quality Evaluation Index. The results indicated high compliance rates of nurses' psychological care performance, which provides references for evaluating and monitoring inpatient psychological nursing care.

Psychological Nursing of Patients With Stroke in China: A Systematic Review and Meta-Analysis

The present study aimed to evaluate the efficacy of psychological nursing of patients with stroke in China. The Embase, PubMed, Cochrane Library, CNKI, and Wanfang databases were searched from inception to February 1, 2020. Randomized controlled trials (RCTs) reporting the efficacy of psychological nursing of patients with stroke were included. Revman 5.3 and Stata 15.0 were used for data analysis. Twelve RCTs and 1,013 patients with stroke were included in this systematic review and meta-analysis. The results revealed a significant difference in the Hamilton depression score between the psychological nursing and usual care groups. The meta-analysis of three studies (n = 235) that used a depressive symptom control of ≥25% as the outcome measure showed a significant difference between the two groups. In addition, significant differences were detected in the National Institute of Health stroke scale score and activities of daily living score between the two groups. The present meta-analysis suggests that in China, compared to the usual care, psychological nursing is more effective for alleviating depressive symptoms, improving neurological rehabilitation, and recovering the ability of daily life.

Nursing needs assessment scale for women with infertility: development and validation

High-quality nursing care must be provided for women with infertility, and their nursing care needs must be identified. Although scales have been developed to assess infertility-related stress, quality of life, and psychosocial status, there is a lack of scales that assess the nursing care needs of women with infertility. The purpose of this study was to develop a needs assessment scale for nursing care in women with infertility and to verify its reliability and validity. The 250 subjects in this study were women with infertility recruited from four hospitals. The scale was developed following the framework of DeVellis, through a literature review, in-depth interviews, development of preliminary items, verification of content validity, development of secondary items, verification of construct validity, and extraction of the final items. Date were analyzed using item analysis, factor analysis, confirmatory factor analysis, Pearson correlation coefficients, and Cronbach's alpha. Reliability was tested using Cronbach's alpha, and validity was evaluated using item analysis, exploratory factor analysis, and criterion validity. The final version of the nursing needs assessment scale for woman with infertility consisted of 18 items. Four factors (physical and psychological nursing needs, needs for information regarding treatment, needs for infertility-related understanding and concern, and supportive needs) explained 66.0% of the total variance. Cronbach's alpha was .92 for the overall instrument and ranged from .88 to .91 for the subscales. These results suggest that this needs assessment scale for nursing care in women with infertility demonstrated acceptable validity and reliability and contained items suitable for assessing the level of nursing care needed by women with infertility.

Research progress of nursing interventions for postintensive care syndrome

There were 30%-60% of patients undergoing postintensive care syndrome (PICS) after hospitalized stay in intensive care unit (ICU) , which seriously affected their qualities of life. The article aimed to review the current research status of physical and psychological nursing care approaches for PICS both in China and abroad, consider and prospect existing deficiencies, and provide academic suggestions for the establishment of physical and psychological care strategies to healthcare practitioners in China. Key words: Review; Rehabilitation; Postintensive care syndrome

Effects of psychological crisis intervention in amputation patients with limbs high-voltage burns

Objective To explore the effects of psychological crisis intervention in amputation patients with limbs high-voltage burns. Methods A total of 68 amputation patients with limbs high-voltage burns who were treated in Harbin Fifth Hospital from January 2011 to December 2016 were selected in this study using purposive sampling. The participants were randomly divided into the observation group (n=34) and the control group (n=34) . The control group received routine psychological nursing care while the observation group was given psychological crisis intervention. The Stress Reaction (SR) , SAS, and SDS were used to evaluate the effects of the intervention. Results The observation group had significantly lower scores of SR, SAS, and SDS compared with the control group [ (17.89±3.66) vs. (26.89±3.98) for SR; (42.31±8.48) vs. (50.32±10.25) for SAS; (45.32±8.96) vs. (52.77±11.18) for SDS; (t=17.328, 4.512, 3.581; P<0.05) ]. Conclusions The psychological crisis intervention can effectively improve negative emotions such as anxiety and depression in amputation patients with limbs high-voltage burns. It helps patients to develop positive attitudes towards the reality of amputation. Key words: Burns, electric; Amputation; Psychological crisis intervention

Physician-patient relations: current studies and hotspot analysis using PubMed database

Objective To retrieve literature on physician-patients relations for analysis of current studies and hotspots. Methods Papers on physician-patient relations published from January 2013 to September 2017 were retrieved in PubMed using such key words asphysician-patient relationsandnurse-patient relationsrespectively for analysis and comparison. Bibliographies of literature on such relations were downloaded, and their publication years, journals, and countries of the journal, as well as their first authors were also analyzed. High frequency words were chosen using a new method based on Zipf′s law to identify the cut-off points of high-low frequency words in the corpus. Then the co-word matrix was formed using BICOMB2 to calculate the frequency of main key words, and a dendrogram was developed using SPSS 24.0 for clustering analysis. Results A total of 4 924 papers on physician-doctor relations were reviewed using 74 key words with occurrence higher than 31 times, and 2 145 papers on nurse-patient relations were retrieved using 41 key words with occurrence higher than 25 times. Co-word clustering analysis found six research focuses in recent five years:informed consent and ethical issues,communication barriers,trust,implementation and construction of training courses for improving the relationship between doctors and patients,hospice care, andpatient participation in shared decision-making. It also found four research focuses on nurse-patient relations:health knowledge, attitude and behavior,communication and psychological nursing,psychiatry and hospice care, andpatient centered and patient education. Conclusions Co-word clustering analysis found six research focuses in the recent five years helps understand the current situation and development trend. Key words: Physician-patient relations; Nurse-patient relations; Cluster analysis; Research focus; Bibliometrics

The clinical application of grading psychological nursing on the nursing of acute pancreatitis

Objective To explorer the clinical application of grading psychological nursing care on patients with acute pancreatitis. Methods A total of 80 patients with acute pancreatitis were selected and were randomly divided into observation group (40 cases) and control group (40 cases). Patients of the two groups both received appropriate conventional medical treatment and general care.The patients of the control group only received routine psychological care, while the patients of the observation group received grading psychological nursing care on the basis of the routine psychological care.The socre of anxiety rating scale (SAS), self-rating depression scale (SDS) and mastery of knowledge of the disease in acute pancreatitis of the two groups of patients admitted to hospital 72 hours (before treatment) and hospitalization on day 8 (after treatment) were compared. Results The results showed that the difference of the SAS and SDS scores at admission of the two groups had no statistical significance.The score of the anxiety and depression of the two groups was significantly reduced after received grading psychological nursing care (P<0.001), and the score of the observation group was lower than that of the control group (P<0.001). The score of the master degree of AP prevention knowledge of the two groups was significantly increased (P<0.001), and the score of the observation group was higher than that of the control group (P<0.001). Conclusion The grading psychological nursing care can significantly reduce the psychological care of patients with anxiety and depression, improve patients' knowledge of the extent of prevention and treatment of acute pancreatitis disease control. Key words: Grading psychological nursing care; Acute pancreatitis

Psychoanalysis and psychological nursing care in adolescent patients with chronic hepatitis B

The chronic hepatitis B infection makes adolescent patients not only bear physical illness but also face discrimination from the society. Because of this, adolescent patients with chronic hepatitis B are being under enormous pressure. From the perspective of psychological nursing, this paper summarizes the influencing factors and psychological intervention of negative psychology in adolescent patients with chronic hepatitis B. The aim of this paper is to renew the idea of psychological nursing, improve the skill of psychological nursing, effectively relieve the patients'pressure so as to amend the condition of disease control and comprehensively improve the quality of life of adolescent patients with chronic hepatitis B. Key words: Review; Hepatitis B, chronic; Psychological nursing; Adolescent

Bearing Witness: The Lived Experience of Sitting With Patients

There is abundant literature focused on the practice of using hospital sitters as part of standard patient safety care. However, minimal attention has been paid to understanding the actual experiences of hospital workers as they sit with distressed and often agitated patients. With the overwhelming number of hospitalized patients who require sitters, attention must be paid to the healthcare workers' perspective. In this study a phenomenological approach was used to elicit the perceptions of these hospital sitters. Themes which emerged from the participant's lived experiences of sitting included: Accepting them, It's not about me, You're not alone, Taking it to heart, Lifts me up, and Supporting role, with an overarching focus of Bearing witness. Nursing implications for this study suggest that using advanced practice psychiatric nurses in med–surg settings may help to support the hiring and training of skilled sitters and lead to improved psychological nursing care. In addition, identifying health care workers who best "fit" the sitter profile may promote the role from one of safety surveillance to one of therapeutic engagement.

The Effect of Nursing Intervention on the Psychological States of Hemodialysis Patients with Uremia

&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To investigate the effect of nursing intervention on the psychological states of hemodialysis patients with uremia. &lt;strong&gt;Method:&lt;/strong&gt; 57 hemodialysis patients with uremia who received regular hemodialysis in our hospital were gathered, and were divided into the control group and the research group randomly, between which the control group was treated giving routine life nursing care, while the research group was given psychological nursing care with the same treatment of the control group as a basis. Then, Zung Self-rating Depression Scale (SDS) and Self-rating Anxiety Scale (SAS) were used to evaluate the psychological states of hemodialysis patients with uremia before the intervention and five months after the intervention respectively. &lt;strong&gt;Result:&lt;/strong&gt; Three months later, in the research group, the scores of SDS and SAS of those 27 hemodialysis patients with uremia reduced 5.7 points and 5.5 points respectively; the results were significantly higher than those of the control group, and differences were statistically significant. &lt;strong&gt;Conclusion:&lt;/strong&gt; Reasonable and effective nursing intervention can relieve the anxiety and depression of hemodialysis patients with uremia and can prevent the development of bad psychological factors.&lt;/p&gt;

The Effect of Nursing Intervention on the Psychological States of Hemodialysis Patients with Uremia

Objective: To investigate the effect of nursing intervention on the psychological states of hemodialysis patients with uremia. Method: 57 hemodialysis patients with uremia who received regular hemodialysis in our hospital were gathered, and were divided into the control group and the research group randomly, between which the control group was treated giving routine life nursing care, while the research group was given psychological nursing care with the same treatment of the control group as a basis. Then, Zung Self-rating Depression Scale (SDS) and Self-rating Anxiety Scale (SAS) were used to evaluate the psychological states of hemodialysis patients with uremia before the intervention and five months after the intervention respectively. Result: Three months later, in the research group, the scores of SDS and SAS of those 27 hemodialysis patients with uremia reduced 5.7 points and 5.5 points respectively; the results were significantly higher than those of the control group, and differences were statistically significant. Conclusion: Reasonable and effective nursing intervention can relieve the anxiety and depression of hemodialysis patients with uremia and can prevent the development of bad psychological factors.

Establishment and application of psychological nursing care model in general hospital

Objective To introduce the method and experience of the setting of psychological care nurses, to discuss its effect on high-quality nursing and on amelioration of the patients' negative moods. Methods Psychological care nurses were set up in all the clinical departments, after systemic training of psychological knowledge and became qualified psychological consultant via national certification examination. We took psychological care nurses as the leading role, assisted with other nursing modes. By the means of mental status scale in non-psychiatric settings (MSSNS) and the satisfaction questionnaire of psychological care to evaluate the patients' mental status and satisfaction degrees before and after the intervention in 297 cases. Results Patients' scores of anxiety scale, depression, anger, loneliness factor and the total score of the MSSNS after the psychological nursing intervention were significant differences than those before the psychological nursing intervention, [(39.66±4.70) vs (45.59±6.45), (23.31±2.28) vs (26.59±3.35), (13.91±3.01)vs (15.12±2.58), (17.58±3.74)vs(20.29±4.67), (92.09±6.85) vs(106.66±8.58), t values was 14.376,15.213,23.992,13.974,13.641 respectively,P<0.05].The satisfaction rate of patients for psychological nursing intervention after the intervention was 96.97%(288/297), which was significant higher than that before the intervention, 69.70% (207/297),χ2=79.53,P<0.05. Conclusions Psychological care demands professional qualities. Only through systemic training, can grasp the nurses master professional psychological knowledge and skill, so as to apply scientific psychological care to the patients and help them to solve their psychological perplexities and maintain physical and psychological well-beings. Key words: Hospitals, general; Psychological care nurses; Psychological nursing care; Quality of nursing

Specific measures and analysis of requirements of emergency patients in need of psychological nursing in ICU

Objective To evaluate the demand of emergency patients in need of psychological nursing in ICU and explore the measures of psychological nursing. Methods 445 cases of emergency patients, treated in the hospital from September 2012 to September 2013, were selected as the research object. The psychological care need was self-made. The analysis scale of the demand of psychological nursing was made by ourselves and at the same time questionnaire survey was carried out. The demand of psychological nursing before the beginning of psychological nursing was measured by using the MSSNS. The plan of targeted psychological nursing was made according to the content of the questionnaire and the effect of nursing was recorded. Results The results of the analysis scale of psychological nursing care showed that the patients needed the nurses'kind attitude and friendly greetings and the nurses could understand the patients. MSSNSscale showed that the negative psychological score of patients was(85.13±10.92)%, including the sub item score inside, which was at a relatively high level. The effect of nursing showed that the average of the total time of psychological nursing that the patients received was(81.4±7.1)min and the times of psychological nursing was(1.97±0.32) times. After the effective psychological nursing, the MSSNS scores of patients decreased to(62.32±8.51)%, including the sub item score, which was significantly lower than before(P< 0.05)and there was statistical significance. Conclusions Patients in ICU have high demand for psychological nursing, and nursing staff needs to make a effective plan of psychological nursing to deal with the treatment. Key words: ICU emergency patients; Psychological nursing; Demand analysis; Nursing measures

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