Category: Nevin Manimala

Arch Psychiatr Nurs. 2022 Dec;41:241-247. doi: 10.1016/j.apnu.2022.08.002. Epub 2022 Aug 18.

ABSTRACT

PURPOSE: This study aimed to determine the relationship between women’s anxiety levels and their style of coping with stress and emotional eating in the COVID-19 pandemic.

METHODS: This is a cross-sectional study and data were collected using online surveys. The sample of the study consisted of 450 women between the ages of 18-65, who have no understanding and perception problems, and who are willing to participate in the study. The data were obtained using the “Introductory Information Form”, “Coronavirus Anxiety Scale”, “Stress Coping Styles Scale” and “Emotional Eating Scale”. Descriptive statistics, Pearson correlation analysis and multiple regression analysis were used to analyze the data.

RESULTS: Increased emotional eating was increased helpless approach, submissive approach and Coronavirus anxiety increase while decreasing the self-confident approach. Increased Coronavirus anxiety was increased the total scores of helpless approach, submissive approach, disinhibition, guilt, and emotional eating increased while decreasing the scores of the self-confident approach and optimistic approach. BMI, weight change in pandemic, age, self-confident approach to coping with stress and helpless approach score explained emotional eating 30.8 %.

CONCLUSION: Considering the emotional eating score average (11-20), women were emotional eating, and their Coronavirus anxiety score was below the average. In minimizing emotional eating in women, first of all, emotional eating awareness should be created, and it is recommended to increase their awareness of stress coping styles for the stress that causes this situation.

PMID:36428056 | DOI:10.1016/j.apnu.2022.08.002

Arch Psychiatr Nurs. 2022 Dec;41:214-220. doi: 10.1016/j.apnu.2022.08.007. Epub 2022 Aug 31.

ABSTRACT

BACKGROUND: Clinical hospital stressors during the COVID-19 pandemic are one of the problems that affect the quality of education among first-year nursing students, particularly in the first 6 months of their practice.

OBJECTIVE: Assess the types and severity of clinical hospital stressors among first-year nursing students and investigate the relationship between students’ clinical stressors and their level of worry from COVID-19.

DESIGN: A descriptive correlational research design. The study was conducted at the Faculty of Nursing, Alexandria’s main university hospital. The study included a convenience sample of 200 first-year nursing students.

TOOLS: Socio-demographic and academic data of nursing students. The Perceived Stress Scale (PSS) is used to assess the degree and type of stressors.

RESULTS: The highest reported types of stressors were stress from the clinical hospital (M = 13.54) and stress from a lack of professional knowledge and skills (M = 13). Concerning the overall stressors, all students experienced a severe degree of stress (M = 116.87). Furthermore, students’ age, sex, number of study hours/week, number of assignments/week, and worry from COVID 19 were highly statistically significant with degrees of perceived stress as (p = 0.000, 0.030).

CONCLUSION: Clinical hospital stressors had a significant negative impact on the majority of students’ education in the hospital. As well as worrying about COVID 19, positively increased the perceived stressors of nursing students.

RECOMMENDATIONS: Implement an educational program for the first-year nursing students about clinical hospital stressors during COVID-19 and trained them how they can cope with these stressors by using stress management.

PMID:36428052 | DOI:10.1016/j.apnu.2022.08.007

Arch Psychiatr Nurs. 2022 Dec;41:166-174. doi: 10.1016/j.apnu.2022.07.029. Epub 2022 Aug 5.

ABSTRACT

BACKGROUND: This study was carried out to evaluate the effect of a solution-focused approach on anger management and violent behavior in adolescents.

METHOD: The study was an experimental and randomized controlled trial including pre-test and post-test measurements and control group. The sample of experimental (n = 24) and control groups (n = 24) of the study consisted of 48 students. A 7-session program of anger management and prevention of violent behavior based on a solution focused approach was applied to the experimental group.

RESULTS: There were no statistically significant differences between trait anger, anger in, anger out, anger control sub-dimensions and VTS scores of the experimental and control groups before the intervention (p > 0.05). In post-test and follow-up test, trait anger (23.32 ± 2.83) (21.10 ± 3.51), anger-out (14.95 ± 4.16) (15.50 ± 3.49) and the mean scores of VTS (30.77 ± 4.01) (32.80 ± 4.53) of the individuals in the experimental group were significantly lower, whereas their mean score of anger control (24.86 ± 3.62) (23.65 ± 4.44) were significantly higher than the control group.

CONCLUSION: Solution-oriented approach programs should be used by psychiatric nurses to provide anger management and reduce violence tendencies in adolescents.

PMID:36428044 | DOI:10.1016/j.apnu.2022.07.029

Arch Psychiatr Nurs. 2022 Dec;41:1-10. doi: 10.1016/j.apnu.2022.07.014. Epub 2022 Jul 9.

ABSTRACT

AIMS: This study was aimed at investigating the effects of family support and psychoeducation program based on Calgary Family Intervention Model on coping, psychological distress and psychological resilience levels of families of chronic psychiatric patients.

METHODS: The sample of this quasi-experimental study consisted of the caregivers of chronic psychiatric patients who were admitted to the adult psychiatry inpatient and outpatient unit of a university hospital and the caregivers of chronic psychiatric patients registered with the Schizophrenia Solidarity Association. Nonparametric analysis was used in the analysis of the data.

RESULTS: It was found that there was a significant decrease between the mean distress scores the caregivers participating in the Calgary Family Intervention-Based Family Support and Psychoeducation Program obtained from the measurements before, right after, and 3 and 6 months after the intervention (p < 0.05). There was no statistically significant difference between the coping scores and psychological resilience scores the caregivers obtained from the measurements before, right after, and 3 and 6 months after the intervention (p > 0.05).

CONCLUSION: It was concluded that the family support and psychoeducation program based on the Calgary Family Intervention Model applied to family members giving care to individuals with chronic mental illnesses had positive effects on the general health status of the caregivers.

PMID:36428035 | DOI:10.1016/j.apnu.2022.07.014

BMJ Open. 2022 Nov 25;12(11):e060049. doi: 10.1136/bmjopen-2021-060049.

ABSTRACT

OBJECTIVES: Patients with systemic lupus erythematosus (SLE) may experience body image disorders, which can adversely affect their physical and mental health. We aimed to assess the body-image-related quality of life of patients with SLE, explore the influencing factors and determine the potential predictors of body image disturbance (BID) in these patients.

DESIGN: Cross-sectional study.

SETTING: The department of rheumatology and immunology in Nantong.

PARTICIPANTS: A convenience sample of 230 patients with SLE.

INTERVENTIONS: The study survey included an assessment of demographic information and evaluations using the Body Image Disturbance questionnaire (BIDQ), Hospital Anxiety and Depression Scale, Multidimensional Fatigue Inventory-20 and Body Image Quality of Life Inventory (BIQLI).

PRIMARY AND SECONDARY OUTCOME MEASURES: BID scores and their possible predictors. Data were analysed using descriptive statistics, correlational analysis and stepwise multiple linear regression analysis.

RESULTS: The mean BIDQ score and the mean scores for anxiety, depression and fatigue were 23.04 (SD, SD=11.90), 6.94 (SD=4.53), 6.49 (SD=4.51) and 54.21 (SD=11.63), respectively. The mean BIQLI score was 0.31 (SD=16.59). The findings revealed significant correlations with education level, comorbidities, SLE Disease Activity Index (SLEDAI), anxiety, depression, fatigue and BIQLI. Fatigue, depression, presence of comorbidities and SLEDAI were predictors of worsening BID (p<0.05).

CONCLUSION: In our study, the relationship between BIDQ and anxiety, depression, and fatigue was analysed, and predictors of BID were defined. When formulating interventional measures, the patient’s condition should be evaluated, and effective interventions should be implemented to improve the patient’s body image and ultimately improve the patient’s quality of life.

PMID:36428020 | DOI:10.1136/bmjopen-2021-060049

BMJ Open. 2022 Nov 25;12(11):e064673. doi: 10.1136/bmjopen-2022-064673.

ABSTRACT

OBJECTIVE: Antenatal care (ANC) is crucial to protecting the health of pregnant women and their unborn children; however, the uptake of ANC among pregnant women in low and middle-income countries (LMICs) is suboptimal. One popular strategy to increase the uptake of health services, including ANC visits, are conditional cash transfer (CCT) programmes. CCT programmes require beneficiaries to comply with certain conditionalities in order to receive a financial sum. A systematic review was carried out to determine whether CCT programmes have a positive impact on ANC uptake in LMIC populations.

METHODS: Electronic databases CENTRAL, MEDLINE, Embase, Maternity and Infant Care and Global Health were searched from database inception to 21 January 2022. Reference checking and grey literature searches were also applied. Eligible study designs were randomised controlled trials, controlled before-after studies and interrupted time series analysis. Risk of bias assessments were undertaken for each study by applying the Risk of Bias 2 tool and the Risk of Bias in Non-randomised Studies of Interventions tool.

RESULTS: Out of 1534 screened articles, 18 publications were included for analysis. Eight studies reported statistically non-significant results on all reported outcomes. Seven studies demonstrated statistically significant positive effects ranging from 5.5% to 45% increase in ANC service uptake. A further three studies reported small but statistically significant impact of CCT on the use of ANC services in both positive (2.5% increase) and negative (3.7% decrease) directions. Subanalysis of results disaggregated by socioeconomic status (SES) indicated that ANC attendance may be more markedly improved by CCT programmes in low SES populations; however, results were inconclusive.

CONCLUSION: Our evidence synthesis presented here demonstrated a highly heterogeneous evidence base pertaining to the impact of CCTs on ANC attendance. More high-powered studies are required to elucidate the true impact of CCT programmes on ANC uptake, with particular focus on the barriers and enablers of such programmes in achieving intended outcomes.

PMID:36428017 | DOI:10.1136/bmjopen-2022-064673

BMJ Open. 2022 Nov 25;12(11):e060169. doi: 10.1136/bmjopen-2021-060169.

ABSTRACT

OBJECTIVES: The main objective was to investigate 5-year outcomes in patients with knee osteoarthritis, randomised to one of two non-surgical treatments.

SETTING: Two outpatient clinics.

PARTICIPANTS: At baseline, 100 patients with radiographic and symptomatic knee osteoarthritis not found eligible for knee replacement (KR) were included. Main exclusion criteria were average score above 75 of the Knee injury and Osteoarthritis Outcome Score (KOOS) subscales pain, symptoms, function of daily living and quality of life; KOOS₄ and average knee pain the previous week greater than 60 mm on a 100 mm visual analogue scale.

INTERVENTIONS: Patients were randomised to supervised non-surgical treatment consisting of patient education, supervised exercise, weight loss, insoles, and pain medication (the MEDIC treatment) or written advice. The 12-week MEDIC treatment included patient education, neuromuscular exercise, insoles and a dietary weight loss programme and/or pain medication if needed and written advice consisted of two leaflets.

PRIMARY AND SECONDARY OUTCOME MEASURES: Primary outcome was 5-year mean change for KOOS₄. Secondary outcomes included KOOS subscales, self-reported health, usage of pain medication and self-reported physical activity.

RESULTS: Thirty-nine (78%) and 36 (72%) from the MEDIC and written advice groups responded at 5 years. There were no between-group differences in KOOS₄ (difference 5.3 (95% CI -1.5 to 12.1) or any secondary outcomes. However, the 95% CI included the minimal clinically important difference for the main outcome.Seventy-six percent of the MEDIC group and 66% of the written advice group experienced clinically important improvements in KOOS₄.Fifteen patients (30%) from the MEDIC group and 17 (34%) from the written advice group received KR in the index knee. Undergoing KR did not result in a statistically significant greater improvement in KOOS₄ (difference 6.1 (95% CI -1.1 to 13.4).

CONCLUSIONS: No statistically significant differences between supervised non-surgical treatment and written advice were demonstrated at 5 years. Most patients experienced clinically important improvements, irrespective of initial treatment strategy or KR.

TRIAL REGISTRATION NUMBER: NCT01535001; ClinicalTrials.gov.

PMID:36428014 | DOI:10.1136/bmjopen-2021-060169

Taiwan J Obstet Gynecol. 2022 Nov;61(6):984-988. doi: 10.1016/j.tjog.2021.01.034.

ABSTRACT

OBJECTIVE: To assess whether chronic endometritis (CE) affects embryo implantation in patients with repeated implantation failure (RIF).

MATERIALS AND METHODS: We retrospectively analyzed 126 RIF patients who were never diagnosed with CE and received no prior antibiotic therapy. Endometrial specimens obtained by endometrial scratching during mid-luteal phase were immunostained by CD138, a hallmark plasmacyte marker, to identify CE. Pregnancy outcome in RIF patients who underwent IVF-ET frozen-embryo within transfers 6 months after endometrial scratching was compared between women with and without CE.

RESULTS: The prevalence of CE in patients with RIF was found to be 11.9% (15/126). Moreover, a significantly reduced clinical pregnancy rate was observed in RIF patients with CE (20% vs. 46.85%; p = 0.04). The live birth rate also exhibited a decreasing trend in RIF patients with CE, although there was no statistically significant difference (20% vs. 41.58%; p = 0.109).

CONCLUSIONS: CE may be involved in the failure of embryo implantation and reduced clinical pregnancy outcome in patients with RIF.

PMID:36428002 | DOI:10.1016/j.tjog.2021.01.034

Taiwan J Obstet Gynecol. 2022 Nov;61(6):960-964. doi: 10.1016/j.tjog.2022.06.013.

ABSTRACT

OBJECTIVE: Our aim in this study is to determine the relationship between TPOAb positivity and pregnancy outcomes in the subclinical hypothyroid patient group.

MATERIALS AND METHODS: This study was started with 21,321 pregnant women, but after the exclusion criteria, 11,387 pregnant women were included int his study. Demographic characteristics of each patient group included in the study, such as age, bodymass index (BMI), and laboratory parameters such as complete blood count (hemogram), liver and kidney function tests, type of delivery, birth weight, neonatal intensive care admission, 1st and 5th minute APGAR scores, glucose tolerance test results, whether there was high blood pressure during pregnancy, whether there was premature rupture of membranes were recorded from the hospital information system and patient files.

RESULTS: Pregnant women with subclinical hypothyroidism were divided into groups according to their TPOAb status. When maternal and neonatal outcomes were evaluated between groups; Among these four groups there was a statistically significant difference only in impaired glucose tolerance (IGT) antibody groups with and without subclinical hypothyroidism according to their positivity (p < 0.01). When the euthyroid TPOAb negative group was taken as reference, the risk of impaired and TPOAb positive groups (OR: 1.210; 95% CI: 0.936-1.563; P = 0.145), impaired in the group with subclinical hypothyroidism but TPOAb positivity glucose tolerance 1.358(OR: 1.358); 95% CI: 1.042-1.770; P = 0.023) fold increased by 3.556 (OR: 3.556) in the group with subclinical hypothyroidism and TPOAb positivity; (95% CI: 2.37-5.343; p < 0,001).

CONCLUSION: In ourstudy, there was a significant difference only in terms of IGT between the Groups with and without subclinical hypothyroidism, depending on whether they were positive for TPOAb or not. Therefore, studies in volving larger patient groups are needed.

PMID:36427998 | DOI:10.1016/j.tjog.2022.06.013

Andrology. 2022 Nov 25. doi: 10.1111/andr.13346. Online ahead of print.

ABSTRACT

BACKGROUND: Prostate biopsy represents one of the most frequently performed urologic procedures worldwide and therefore presupposes knowledge on potential effects like on erectile function, especially in extensive or repeated biopsies. The robotic assisted biopsy system (Mona Lisa) offers a minimal invasive approach via only two incision points ensuring maximal accuracy combined with protection of the neurovascular bundle of the prostate.

OBJECTIVE: Our purpose was to analyse the impact of of robotic-assisted transperineal biopsy of the prostate on erectile function.

METHODS: Our prospective study analyses the outcomes of 210 patients, who had undergone minimal-invasive, transperineal robotic assisted biopsy of the prostate at the University Hospital Basel from January 2020 – March 2023 and provided sufficient data. Of these, 157 (74.8%) were included in final analysis.

RESULTS: Mean (range) age, prostate volume, PSA and IIEF-5 score at baseline were 63.8 years (46.1 – 83.6), 46.4 ml (9 – 310), 13.2 ng/ml (0.2 – 561) and 18.8 points (6 – 25), respectively. EF before and one month after intervention was assessed with the IIEF-5 questionnaire for the whole cohort. No significant change of IIEF-5 was observed for the whole cohort with a mean (± SD) decrease of 0.4 (± 3.1) points. Except for patients > 69 years, subgroup analysis revealed no change of IIEF-5 in statistically significant manner for all subgroups. Number of biopsy cores (< 20 and ≥ 20), previous biopsies and active surveillance showed no significant influence.

CONCLUSION: Our results suggest that the minimally invasive and highly precise robotic technique can spare erectile function without limiting the extent of biopsy and without compromising diagnostic accuracy. This article is protected by copyright. All rights reserved.

PMID:36427333 | DOI:10.1111/andr.13346