Relationship between perceived family functioning and recovery from surgery

2011 ◽  
Vol 26 (S2) ◽  
pp. 1333-1333
Author(s):  
F.J. Vaz-Leal ◽  
M.J. Cardoso-Moreno ◽  
M.I. Ramos-Fuentes ◽  
L. Rodriguez-Santos ◽  
N. Fernandez-Sanchez
Keyword(s):  
Social Support ◽  
Salivary Cortisol ◽  
Family Cohesion ◽  
Surgical Intervention ◽  
Recovery Phase ◽  
Daily Basis ◽  
University Hospital ◽  
Biological Variables ◽  
Cortisol Levels ◽  
The Impact

ObjectiveThe aim of the study was to assess the impact of several psychological and/or biological variables in the recovery from surgery.MethodsThe selected sample was composed of 42 patients (age range: 25–70) admited for surgical treatment to a University Hospital. The patients who presented impaired cognitive functioning were excluded from the study. Prior to surgical intervention (48 to 72 hours), patients were administered the Family Adaptability and Cohesion Evaluation Scale (FACES-II). Salivary cortisol was measured 24 hours before surgery. Following surgical intervention, recovery was coded as “good” or “poor” accordingly to Moix et al.’s criteria (1995). Dietary intake, resting and sleeping time, fever, perceived pain and surgery-related complications were assessed on a daily basis.ResultsSignificant relationships between better recovery, family cohesion and salivary cortisol level were found. The patients with lower scores in the cohesion dimension of the FACES-II and higher cortisol levels had more complications during the recovery phase (F = 10.96, p = 0.006).ConclusionsOur results suggest that social support (family cohesion) and the activity of the hypothalamus-pituitary-adrenal axis (cortisol levels) can have a significant influence on postoperatory recovery. Taking these data into account, it would be suitable to assess psychopathology and social support in patients waiting for surgically interventions.

scholarly journals Psychological evolution and assessment in patients undergoing orthotopic heart transplantation

2001 ◽  
Vol 16 (3) ◽  
pp. 180-185 ◽  
Author(s):  
J.M. Triffaux ◽  
J. Wauthy ◽  
J. Bertrand ◽  
R. Limet ◽  
A. Albert ◽  
...  
Keyword(s):  
Social Support ◽  
Heart Transplantation ◽  
General Health ◽  
Surgical Intervention ◽  
Psychological Status ◽  
Orthotopic Heart Transplantation ◽  
Axis I ◽  
Psychological Evolution ◽  
Transplant Candidates ◽  
The Impact

SummaryBackground. Orthotopic heart transplantation (OHT) is a major surgical intervention inducing distress and anxiety. Psychiatric evaluation of organ transplant candidates is now routinely proposed. This study purposed to assess the psychological evolution in patients having received psychological and/or psychiatric assistance before and during 1–6 postoperative months. Methods. Twenty-two consecutive transplant candidates were psychically evaluated as part of the preoperative protocol. In the waiting period, 1 and 6 months after OHT, they were asked to fill out the following questionnaires: the General Health Questionnaire, the Spielberger’s State-Trait Anxiety Inventory, the Beck Depression Inventory, the Perceived Social Support Scale, the Toronto Alexithymia Scale and the Personal Reaction Inventory. Results. A DSM-IV Axis I diagnosis was found in nine patients (41%); four patients (18%) presented with an Axis II diagnosis. One month after OHT, scores of depression, anxiety and general health significantly improved, while scores of social support, alexithymia and social desirability did not differ. In the sixth postoperative month, all psychological scores remained stable. Conclusions. A high prevalence of preoperative psychopathology was reported in 22 candidates who received OHT. Surgical intervention obviously improved the quality of life after cardiac transplantation. If the impact of psychological and/or psychiatric aid remains difficult to appraise, these results emphasize the positive impact of surgery on psychological status and the appropriateness of the psychosomatician’s social support intervention on patients facing the transplant process.

scholarly journals Salivary Cortisol Levels and Depressive Symptomatology in Consumers and Nonconsumers of Self-Help Books: A Pilot Study

2016 ◽  
Vol 2016 ◽  
pp. 1-12 ◽  
Author(s):  
Catherine Raymond ◽  
Marie-France Marin ◽  
Anne Hand ◽  
Shireen Sindi ◽  
Robert-Paul Juster ◽  
...  
Keyword(s):  
Pilot Study ◽  
Salivary Cortisol ◽  
Depressive Symptomatology ◽  
Book Industry ◽  
Secondary Analysis ◽  
The Self ◽  
Cortisol Reactivity ◽  
Self Help ◽  
Cortisol Levels ◽  
The Impact

The self-help industry generates billions of dollars yearly in North America. Despite the popularity of this movement, there has been surprisingly little research assessing the characteristics of self-help books consumers, and whether this consumption is associated with physiological and/or psychological markers of stress. The goal of this pilot study was to perform the first psychoneuroendocrine analysis of consumers of self-help books in comparison to nonconsumers. We tested diurnal and reactive salivary cortisol levels, personality, and depressive symptoms in 32 consumers and nonconsumers of self-help books. In an explorative secondary analysis, we also split consumers of self-help books as a function of their preference for problem-focusedversusgrowth-oriented self-help books. The results showed that while consumers of growth-oriented self-help books presented increased cortisol reactivity to a psychosocial stressor compared to other groups, consumers of problem-focused self-help books presented higher depressive symptomatology. The results of this pilot study show that consumers with preference for either problem-focused or growth-oriented self-help books present different physiological and psychological markers of stress when compared to nonconsumers of self-help books. This preliminary study underlines the need for additional research on this issue in order to determine the impact the self-help book industry may have on consumers’ stress.

scholarly journals Using the Social Robot NAO for Emotional Support to Children at a Pediatric Emergency Department: Randomized Clinical Trial (Preprint)

2021 ◽  
Author(s):  
Silvia Rossi ◽  
Silvano Junior Santini ◽  
Daniela Di Genova ◽  
Gianpaolo Maggi ◽  
Alberto Verrotti ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Emergency Department ◽  
Emergency Room ◽  
Randomized Clinical Trial ◽  
Effect Size ◽  
Salivary Cortisol ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Cortisol Levels ◽  
The Impact

BACKGROUND Social robots (SRs) have been used for improving anxiety in children in stressful clinical situations, such as during painful procedures. However, no studies have yet been performed to assess their effect in children while waiting for emergency room consultations. OBJECTIVE This study aims to assess the impact of SRs on managing stress in children waiting for an emergency room procedure through the assessment of salivary cortisol levels. METHODS This was an open randomized clinical trial in children attending a pediatric emergency department. Children accessing the emergency room were randomized to 1 of 3 groups: (1) playing with a NAO SR, (2) playing with a study nurse, or (3) waiting with parents. The salivary cortisol levels of all children were measured through a swab. Salivary cortisol levels before and after the intervention were compared in the 3 groups. We calculated the effect size of our interventions through the Cohen <i>d</i>-based effect size correlation (<i>r</i>). RESULTS A total of 109 children aged 3-10 years were enrolled in the study, and 94 (86.2%) had complete data for the analyses. Salivary cortisol levels significantly decreased more in the group exposed to robot interaction than in the other two groups (<i>r</i>=0.75). Cortisol levels decreased more in girls (<i>r</i>=0.92) than in boys (<i>r</i>=0.57). CONCLUSIONS SRs are efficacious in decreasing stress in children accessing the emergency room and may be considered a tool for improving emotional perceptions of children and their families in such a critical setting. CLINICALTRIAL ClinicalTrials.gov NCT04627909; https://clinicaltrials.gov/ct2/show/study/NCT04627909

scholarly journals Effects of Litsea cubeba (Lour.) Persoon Essential Oil Aromatherapy on Mood States and Salivary Cortisol Levels in Healthy Volunteers

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Chaiyavat Chaiyasut ◽  
Bhagavathi Sundaram Sivamaruthi ◽  
Jakkrit Wongwan ◽  
Kanyarat Thiwan ◽  
Wandee Rungseevijitprapa ◽  
...  
Keyword(s):  
Essential Oil ◽  
Healthy Volunteers ◽  
Cortisol Level ◽  
Salivary Cortisol ◽  
Mood States ◽  
Healthy Human ◽  
Litsea Cubeba ◽  
Salivary Cortisol Level ◽  
Cortisol Levels ◽  
The Impact

Aromatherapy is one of the complementary therapies to improve health. The aromatic essential oils have been used in the treatment procedure through inhalation of essential oil vapor, massage, and herbal bathing. Litsea species are generally used in traditional medicine, and Litsea cubeba (Lour.) Persoon is a potent fumigant plant, used in cosmetics and foods as essence. The chemical composition of the essential oil of different parts of L. cubeba has been found to be varied. L. cubeba essential oil (LEO) is known for the treatment of cognition-associated discomforts. The current study assessed the impact of inhalation of LEO on mood states and salivary cortisol levels of healthy people. Fifteen healthy volunteers were involved in the study. The Profile of Mood States (POMS) Questionnaire and ELISA methods were employed to determine the mood states and salivary cortisol level, respectively. (-)-β-pinene, β-citral, cis- and trans-citral, citronellal, limonene, linalool, and 6-methyl-5-hepten-2-one were detected in LEO by GC-MS analysis. The heart rate and blood pressure were not affected significantly during LEO exposure. The inhalation of LEO significantly improved the total mood disturbance and reduced the confusion among the healthy human subjects. LEO inhalation reduced the salivary cortisol level at a notable level. The results of the current study warrant further studies on the beneficial effect of LEO aromatherapy in healthy and diseased subjects to uncover the therapeutic nature of the L. cubeba plant.

Does social support from family and friends work as a buffer against reactions to stressful life events such as terminal cancer?

2007 ◽  
Vol 5 (1) ◽  
pp. 61-69 ◽  
Author(s):  
GERD INGER RINGDAL ◽  
KRISTEN RINGDAL ◽  
MARIT S. JORDHØY ◽  
STEIN KAASA
Keyword(s):  
Social Support ◽  
Emotional Functioning ◽  
Stressful Events ◽  
University Hospital ◽  
Terminal Cancer ◽  
Stress Reactions ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Low Degree ◽  
The Impact

Objective: To examine the relationship between social support and emotional functioning and stress reactions. Our hypothesis is that patients who reported a high degree of social support will experience better emotional functioning and less serious stress reactions than patients with a low degree of social support.Method: The sample was comprised of 434 patients at the Palliative Medicine Unit (PMU), University Hospital of Trondheim in Norway. The patients completed a questionnaire monthly including questions about social support from the MacAdam's Scale, subjective stress measured by the Impact of Event Scale (IES), and emotional functioning measured by the subscale in the EORTC QLQ-30.Results: Although our hypothesis was not supported at the baseline assessment, it was supported at the second assessment, 2 months later. Patients with high social support reported better emotional functioning and less serious stress reactions, in terms of lower scores on the IES avoidance subscale, than patients with a low degree of social support.Significance of the results: The mixed findings may indicate that social support has only small effects on emotional functioning and stress reactions. Our results on the second assessment indicate, however, that social support might work as a buffer against reactions toward external stressful events such as terminal cancer.

scholarly journals Evaluation of the impact of intra-operative distractions on teamwork, stress and workload

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
W Aouicha ◽  
M A Tlili ◽  
M Limam ◽  
M Snéne ◽  
M Ben Dhiab ◽  
...  
Keyword(s):  
Daily Basis ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Cross Sectional ◽  
Team Members ◽  
Surgical Workflow ◽  
Global Teamwork ◽  
The Mean ◽  
Teaching Cases ◽  
The Impact

Abstract Background Within the OR, distractions occur on a regular basis, which affects surgical workflow and results in discontinuation of urgent tasks. In addition, engaging into distractions in the OR may not only increase stress and workload, but also impair teamwork performance. This study aimed to observe the occurrence of intra-operative distractions in ORs and to evaluate associations between distractions, teamwork, workload and stress. Methods This observational cross-sectional study was conducted in Sahloul University Hospital; more specifically in four different surgical units: orthopedic, urology, emergency and digestive surgery and over a period of 3 months in 2018. Using validated observation sheets, distractions and teamwork were recorded and rated in real-time during the intraoperative phase of every case. Besides, stress and workload of OR team members were measured at the end of each operation. All ethical considerations were taken into account. Results Fifty cases were observed and 160 participants were included in this study. In total, we recorded 933 distractions that occurred once every 3 minutes, on average. The mean global teamwork score was 3.85 (SD = ±0,67) on a scale of 0 to 6, the mean workload score was 58.60 (±24,27) and the mean stress score was 15.29 (SD = ±4,00). The highest rate of distraction was significantly related to external staff entering or exiting the OR during non-teaching cases (M = 9.43, SD = 3.56; p = 0.006). Surgeons also experienced significantly higher workload with a mean of 66.88 (SD = 25.98,p&lt;0.01). Conclusions This study highlighted a serious problem which is, often, ignored or underestimated. Taking into consideration the results, we recommend the implementation of systemic interventions on a daily basis to reduce the number of distractions in the OR. Key messages Distractions happened in all of the included operations. Stress and workload among nurses got higher as work environment distractions increased.

scholarly journals EP.WE.555Impact of COVID 19 on Renal access surgery

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Abdallah Abdelwahed ◽  
Raghvinder Gambhir ◽  
Hiren Mistry ◽  
Fatima de'figededu ◽  
Domenico Valenti ◽  
...  
Keyword(s):  
Surgical Intervention ◽  
Recovery Phase ◽  
Day Surgery ◽  
Patient Records ◽  
Electronic Patient Records ◽  
Time Period ◽  
Independent Sector ◽  
The Impact ◽  
Access Surgery ◽  
Radiological Intervention

Abstract Aims To assess the impact of COVID -19 on renal access surgery. Methods Electronic patient records and renal ware were accessed to obtain data of all renal access activity during the COVID period. Results There as a shutdown of all elective activity which affected the renal access surgery as well. No new Arterio venous fistulas (AVFs) were created in the time period 14 March to 05th May 2020. No pre-fistula mapping scans were performed. All new starters started with a tunneled dialysis line. In the recovery phase special theatre sessions were asked for and procedures carried out in Day surgery and in independent sector (n-18). A total of 203 new AVF’s were created compared to 272 the year before a fall of 25%. There were 48 patients admitted with blocked access, 70% of whom underwent radiological intervention compared to 52% in 2019. Surgical intervention was offered to just 4% compared to 25% in 2019. The number of access abandoned was 27% in 2020 vs 19% in 2019. Conclusion COVID-19 adversely affected the renal access population and none of the British Renal access surgery targets were met for 2020.

scholarly journals FOSTERING COMPASSIONATE CARE FOR PERSONS WITH ALZHEIMER’S DISEASE AND RELATED DEMENTIAS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S467-S467
Author(s):  
Samantha G Cotton ◽  
Anna Faul ◽  
Joe D’Ambrosio ◽  
and Pamela Yankeelov
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Salivary Cortisol ◽  
Self Efficacy ◽  
Positive Outcomes ◽  
Compassionate Care ◽  
Nursing Facility ◽  
Affiliate Stigma ◽  
Cortisol Levels ◽  
The Impact

Abstract The aim of this study was to examine the impact of the implementation of a new Compassionate Care (CC) curriculum, designed by social workers, on the quality of care provided by Certified Nursing Assistants (CNAs) to residents with Alzheimer’s disease (AD). Additionally, the purpose was to create a collaborative network of CNAs that supported each other. The sample included residents and CNAs from an experimental nursing facility and a control nursing facility. At baseline and 12-weeks, data were collected on AD knowledge, self-efficacy, caregiving satisfaction, and affiliate stigma. CNA changes in terms of their knowledge of AD, self-efficacy, caregiving satisfaction and affiliate stigma were analyzed using a two-way mixed method MANOVA. The stress levels of the residents, specifically agitation and salivary cortisol levels, was examined by testing a hybrid multilevel growth model. The final models were able to show how the changes in the CNAs specifically affected these positive outcomes. CNA knowledge and self-efficacy had the most impact on changing agitation levels, and CNA knowledge and agitation levels had the most impact on salivary cortisol levels. The results of this study showed that integrating a compassionate care curriculum into the work that CNAs perform can lead to positive outcomes on knowledge, self-efficacy, caregiving satisfaction, affiliate stigma and a reduction of agitation and cortisol levels in persons with AD.

scholarly journals Minimally Invasive Markers of Stress and Production Parameters in Dairy Cows before and after the Installation of a Voluntary Milking System

Animals ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. 589
Author(s):  
Lucy J. Jerram ◽  
Steven Van Winden ◽  
Robert C. Fowkes
Keyword(s):  
Minimally Invasive ◽  
Body Condition ◽  
Salivary Cortisol ◽  
Body Condition Score ◽  
Hair Cortisol ◽  
Production Parameters ◽  
Production Values ◽  
Before And After ◽  
Cortisol Levels ◽  
The Impact

Automatic milking systems (AMS) are a low-labour alternative to conventional parlours, with previous studies demonstrating that cows vary in their ability to cope with the change to AMS. Cortisol expression can be combined with other measures to assess stress: saliva and hair have the advantage of requiring minimally invasive sampling. No work has investigated the long-term impact of introduction of AMS. The aims of the study were to assess short-term and chronic stress associated with a change in milking system by measuring salivary and hair cortisol levels and to assess the impact on health and production parameters. Cows from one farm changing their milking system were recruited to the study and sampled for saliva (n = 10) and hair (n = 12) before and after installation. Cortisol levels were measured using a salivary cortisol enzyme immunoassay kit. Body condition, lameness and milk parameters of the whole herd were regularly assessed. Salivary cortisol showed no diurnal pattern but was affected by lameness and gestation. Non-lame cows showed a reduction in salivary cortisol after AMS introduction (p < 0.001). Hair cortisol levels increased after AMS, but it was unclear if this change was seasonal. Milk yield increased by 13% and somatic cell count reduced by 28%. Body condition score was consistently good, but lameness remained high throughout the study. Production values alone do not represent high welfare. The high lameness and associated cortisol levels suggest that cow stress requires consideration when changing milking systems.

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