Using the natural environment to address the psychosocial impact of neurological disability: A systematic review

Aim To review evidence about the experience of being the recipient of a donated heart, lungs, or heart and lungs. Design A systematic review (registered with PROSPERO: CRD42017067218), in accordance with PRISMA guidelines. Data sources Seven databases and Google Scholar were searched in May 2017 and July 2019 for papers reporting English-language research that had used qualitative methods to investigate experiences of adult recipients. Review methods Quality was assessed and results were analysed thematically. Results 24 papers (reporting 20 studies) were eligible and included. Their results were organised into three chronological periods: pre-transplant (encompassing the themes of ‘dynamic psychosocial impact’, ‘resources and support’), transplant (‘The Call’, ‘intensive care unit’), and post-transplant (‘dynamic psychosocial impact’, ‘management’, ‘rejection’). Sub-themes were also identified. It was evident that contemplating and accepting listing for transplantation entailed or amplified realisation of the precipitating illness’s existential threat. The period surrounding transplantation surgery was marked by profound, often surreal, experiences. Thereafter, although life usually improved, it incorporated unforeseen challenges. The transplantation clinic remained important to the recipient. The meaning of the clinic and its staff could be both reassuring (providing care and support) and threatening (representing onerous medical requirements and potential organ rejection). Conclusion This review has implications for the psychosocial care of transplant recipients and indicates the need for further research to gain insight into the experience of receiving a donated heart and/or lung. Impact Medical consequences of heart and lung transplantation are well documented; this is the first systematic review of research using qualitative methods to investigate the experience of heart, lung, and heart-and-lung transplantation. The psychosocial impact of transplantation was found to be dynamic and complex, with notable features evident before, during, and after transplantation. Clinic staff remained significant to recipients. It is clear that recipients need continuing psychosocial as well as medical support.

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Exergaming for individuals with neurological disability: a systematic review

Disability and Rehabilitation ◽

10.3109/09638288.2016.1161086 ◽

2016 ◽

Vol 39 (8) ◽

pp. 727-735 ◽

Cited By ~ 32

Author(s):

Maziah Mat Rosly ◽

Hadi Mat Rosly ◽

Glen M. Davis OAM ◽

Ruby Husain ◽

Nazirah Hasnan

Keyword(s):

Systematic Review ◽

Neurological Disability

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The psychosocial impact of orthognathic surgery: A systematic review

American Journal of Orthodontics and Dentofacial Orthopedics ◽

10.1067/mod.2001.118402 ◽

2001 ◽

Vol 120 (5) ◽

pp. 490-496 ◽

Cited By ~ 114

Author(s):

Orlagh T. Hunt ◽

Chris D. Johnston ◽

Peter G. Hepper ◽

Donald J. Burden

Keyword(s):

Systematic Review ◽

Orthognathic Surgery ◽

Psychosocial Impact

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Neurological outcomes after traumatic cardiopulmonary arrest: a systematic review

Trauma Surgery & Acute Care Open ◽

10.1136/tsaco-2021-000817 ◽

2021 ◽

Vol 6 (1) ◽

pp. e000817

Author(s):

Daniel Shi ◽

Christie McLaren ◽

Chris Evans

Keyword(s):

Systematic Review ◽

Cardiac Arrest ◽

Cardiopulmonary Arrest ◽

Risk Of Bias ◽

Synthesis Methods ◽

Neurological Disability ◽

Neurological Outcomes ◽

Patient Disposition ◽

Traumatic Cardiac Arrest

BackgroundDespite appropriate care, most patients do not survive traumatic cardiac arrest, and many survivors suffer from permanent neurological disability. The prevalence of non-dismal neurological outcomes remains unclear.ObjectivesThe aim of the current review is to summarize and assess the quality of reporting of the neurological outcomes in traumatic cardiac arrest survivors.Data sourcesA systematic review of Embase, Medline, PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and ProQuest databases was performed from inception of the database to July 2020.Study eligibility criteriaObservational cohort studies that reported neurological outcomes of patients surviving traumatic cardiac arrest were included.Participants and interventionsPatients who were resuscitated following traumatic cardiac arrest.Study appraisal and synthesis methodsThe quality of the included studies was assessed using ROBINS-I (Risk of Bias in Non-Randomized Studies - of Interventions) for observational studies.ResultsFrom 4295 retrieved studies, 40 were included (n=23 644 patients). The survival rate was 9.2% (n=2168 patients). Neurological status was primarily assessed at discharge. Overall, 45.8% of the survivors had good or moderate neurological recovery, 29.0% had severe neurological disability or suffered a vegetative state, and 25.2% had missing neurological outcomes. Seventeen studies qualitatively described neurological outcomes based on patient disposition and 23 studies used standardized outcome scales. 28 studies had a serious risk of bias and 12 had moderate risk of bias.LimitationsThe existing literature is characterized by inadequate outcome reporting and a high risk of bias, which limit our ability to prognosticate in this patient population.Conclusions or implications of key findingsGood and moderate neurological recoveries are frequently reported in patients who survive traumatic cardiac arrest. Prospective studies focused on quality of survivorship in traumatic arrest are urgently needed.Level of evidenceSystematic review, level IV.PROSPERO registration numberCRD42020198482.

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Immediate Psychosocial Impact on Healthcare Workers During COVID-19 Pandemic in China: A Systematic Review and Meta-Analysis

Frontiers in Psychology ◽

10.3389/fpsyg.2021.645460 ◽

2021 ◽

Vol 12 ◽

Author(s):

Fei Dong ◽

Hong-liang Liu ◽

Ming Yang ◽

Chun-li Lu ◽

Ning Dai ◽

...

Keyword(s):

Systematic Review ◽

Study Protocol ◽

Healthcare Workers ◽

Meta Analysis ◽

Hubei Province ◽

Psychosocial Impact ◽

Stress Disorders ◽

Pooled Prevalence ◽

Prevalence Of Depression ◽

Anxiety Depression

Objectives: The corona virus disease-2019 (COVID-19) pandemic spread globally, and we aimed to investigate the psychosocial impact on healthcare workers (HWs) in China during the pandemic.Methods: In this systematic review and meta-analysis, we searched seven electronic databases for cross-sectional studies on psychosocial impact on HWs in relation to COVID-19 from January 1, 2020 to October 7, 2020. We included primary studies involving Chinese HWs during the pandemic, and data were extracted from the published articles. Our primary outcome was prevalence of anxiety, depression, and stress disorders. We pooled prevalence value with their 95% confidence interval using random effect models and assessed study quality on the basis of an 11-item checklist recommended by the Agency for Healthcare Research and Quality. The study protocol was registered in PROSPERO (CRD42020195843).Results: We identified 25 articles comprising a total of 30,841 completed questionnaires and 22 studies for meta-analysis. The prevalence of anxiety, depression, and stress disorders was 34.4% (29.5–39.4%), 31.1% (24.5–37.7%), and 29.1% (24.3–33.8%) for HWs. The pooled prevalence of anxiety disorders for HWs from late January to early February was 46.4% (42.9–49.9%), significantly higher than those in mid-term February (28.0%, 23.9–32.1%) and after late February (27.6%, 16.0–39.2%). The pooled prevalence of depression disorders for HWs from late January to early February was 46.5% (38.8–54.2%), significantly higher than those in mid-term February (27.1%, 19.8–34.5%) and after late February (32.9%, 16.2–49.5%). HWs working in Hubei Province had a higher prevalence of anxiety (37.9 vs. 30.8%) and a lower prevalence of depression (27.5 vs. 34.7%) than those working in other regions. Nurses had a higher prevalence of anxiety (44.1 vs. 29.0%) and depression (34.1 vs. 29.2%) than other HWs.Conclusions: About one-third of HWs in China suffered anxiety, depression, and stress at the early epidemic of COVID-19. HWs in Hubei Province, especially nurses, had a higher prevalence of psychological disorders. During the pandemic, a negative psychological state may persist in a proportion of Chinese HWs, fluctuating with the control of the pandemic. The long-term impact should continue to be observed. Attention should be paid to HWs for their psychological impact due to the pandemic.Systematic Review Registration: The study protocol was registered with PROSPERO (CRD42020195843).

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