Effect of Spiritual Care on Anxiety and Fear of Orthopaedic Surgery Patients

Author(s):  
Mohammad Amiri ◽  
Samaneh Mirzaei ◽  
Khadijeh Nasiriani

Fear and anxiety can affect surgery outcomes. Spirituality is one of the basic aspects of human beings. This study determined the effect of spiritual care on the fear and anxiety of orthopaedic surgery candidates. A spiritual care programme was implemented for the experimental group. The results showed the spiritual care could reduce the anxiety and fear of orthopaedic surgery candidates. Therefore, nurses should pay more attention to spiritual care and receive the necessary training.

2020 ◽  
pp. 193864002098092
Author(s):  
Cornelia Keyser ◽  
Abhiram Bhashyam ◽  
Abdurrahman Abdurrob ◽  
Jeremy T. Smith ◽  
Eric Bluman ◽  
...  

Background Previous research indicates low disposal rates of excess postoperative narcotics, leaving them available for diversion or abuse. This study examined the effect of introducing a portable disposal device on excess opiate opioid disposal rates after lower extremity orthopaedic surgery. Methods This was a single site randomized control trial within an outpatient orthopaedic clinic. All patients 18 years or older, undergoing outpatient foot and ankle surgery between December 1, 2017 and August 1, 2018 were eligible. Patients were prospectively enrolled and randomized to receive standard opioid disposal instructions or a drug deactivation device at 2-week postoperative appointments. Participants completed an anonymous survey at 6-week postoperative appointments. Results Of the 75 patients surveyed, 68% (n = 26) of the experimental group and 56% (n = 21) of the control group had unused opioid medication. Of these, 84.6% of patients who were given Deterra Drug Deactivation System deactivation pouches safely disposed of excess medication, compared with 38% of controls (P = .003). When asked if they would use a disposal device for excess medication in the future, 97.4% (n = 37) of the experimental and 83.8% (n = 31) of the control group reported that they would. Conclusions Providing a portable disposal device with postoperative narcotic prescriptions may increase safe disposal rates of excess opioid medication following lower extremity orthopaedic surgery. Levels of Evidence Level I


Author(s):  
Paweł Piwowarczyk ◽  
Agnieszka Kaczmarska ◽  
Paweł Kutnik ◽  
Aleksandra Hap ◽  
Joanna Chajec ◽  
...  

Anxiety and fear are determinants of acute and chronic pain. Effectively measuring fear associated with pain is critical for identifying individuals’ vulnerable to pain. This study aimed to assess fear of pain among students and evaluate factors associated with pain-related fear. We used the Fear of Pain Questionnaire-9 to measure this fear. We searched for factors associated with fear of pain: gender, size of the city where the subjects lived, subject of academic study, year of study, the greatest extent of experienced pain, frequency of painkiller use, presence of chronic or mental illness, and past hospitalization. We enrolled 717 participants. Median fear of minor pain was 5 (4–7) fear of medical pain 7 (5–9), fear of severe pain 10 (8–12), and overall fear of pain 22 (19–26). Fear of pain was associated with gender, frequency of painkiller use, and previously experienced pain intensity. We found a correlation between the greatest pain the participant can remember and fear of minor pain (r = 0.112), fear of medical pain (r = 0.116), and overall fear of pain (r = 0.133). Participants studying medicine had the lowest fear of minor pain while stomatology students had the lowest fear of medical pain. As students advanced in their studies, their fear of medical pain lowered. Addressing fear of pain according to sex of the patient, frequency of painkiller use, and greatest extent of experienced pain could ameliorate medical training and improve the quality of pain management in patients.


2020 ◽  
Vol 60 (17) ◽  
pp. 1995
Author(s):  
G. F. de Oliveira ◽  
F. R. Caldara ◽  
A. V. Marcon ◽  
R. A. Martins ◽  
C. Crone ◽  
...  

Context Animals in situations of stress and constant fear exhibit unwanted behaviours for production. Pigs that are afraid of humans tend to associate any management as stressful. The use of environment enrichment for pigs may help to alleviate anxiety and fear, and hence reduce unwanted behaviours during handling. However, provision of appropriate enrichment presents challenges such as the rapid loss of interest in objects by animals. Aims The present study evaluated the effects of different environmental enrichment strategies on the behaviour of pigs at the nursery stage, maintenance of animal interest in the enrichment objects, and their reflexes when faced with emotionally negative situations. Methods Piglets (n = 425) were assigned in a completely randomised design with five treatments and five replicates per treatment (17 animal per replicate). The treatments employed were: control, no enriching objects in the environment; WB, wooden box with popcorn and wood shavings; PT, objects made of plastic tubing; WB and PT concurrently; and WB or PT on alternate days. Behavioural observations were made over 10 days for 8 h each day, divided into four periods of 2 h. Piglets from enriched (n = 10) and non-enriched (n = 10) environments were subjected to three fear tests (human approach, novel object and novel arena). Key results No significant (P > 0.05) effect was found for the type of enrichment provided or strategy adopted (concurrent vs alternating) on the time piglets interacted with the enrichment objects. Animals kept in an environment with no stimulus had higher frequency (P < 0.05) of undesirable behaviours than those with enrichment, regardless of enrichment type or strategy adopted. Piglets reared without enrichment, when isolated in a new environment, had higher frequency of behaviours such as defecating, urinating and attempting escape, as well as more and longer vocalisation events (P < 0.05). Piglets reared in an enriched environment had higher frequency and duration of interaction with a new object, as well as shorter latency time for the first contact with the object (P < 0.05). Conclusions The use of enrichment objects in the rearing environment of piglets at the nursery stage reduced undesirable behaviours, suggesting reduced fear and anxiety, and may therefore improve their psychological wellbeing. Implications Use of enrichment objects during rearing may have implications for alleviation of chronic stress, which leads to constant release of cortisol, an immune suppressor hormone that reduces the health status of the batch and hence production indices.


1968 ◽  
Vol 23 (2) ◽  
pp. 369-370 ◽  
Author(s):  
Hiram E. Fitzgerald ◽  
Yvonne Brackbill

Classical pupillary conditioning to CS-UCS intervals of 1.5, 6, and 9 sec. was studied in adult human beings. There was no evidence of uniform conditioning in any experimental group. Nevertheless, one or more Ss did condition in each experimental group. There was no evidence of conditioning in either control group (0-sec. SI).


2016 ◽  
Vol 44 (9) ◽  
pp. 2255-2262 ◽  
Author(s):  
Harry T. Mai ◽  
Andrew P. Alvarez ◽  
Ryan D. Freshman ◽  
Danielle S. Chun ◽  
Shobhit V. Minhas ◽  
...  

2022 ◽  
Vol 2 ◽  
Author(s):  
Sarah Alonzi ◽  
Thomas J. Caruso ◽  
Sayantani B. Sindher ◽  
Shu Cao ◽  
Sara Varadharajulu ◽  
...  

Phlebotomy procedures required in food allergy (FA) diagnosis and clinical trials often induce fear and anxiety for pediatric patients. The primary aim of this study was to determine whether virtual reality (VR) applications were effective in reducing anxiety for pediatric FA patients undergoing phlebotomy during FA clinical trials. Secondary aims assessed fear, pain, procedural compliance, and adverse events. Participants undergoing phlebotomy were enrolled and randomized to a VR group or standard of care (SOC) group for this prospective pilot randomized, pragmatic study. Participants in the VR group played interactive applications on a customized Samsung Gear VR headset and those in the SOC group received the standard of care. Participants' anxiety, fear, and pain were assessed with the Children's Anxiety Meter, Children's Fear Scale, and FACES pain scale pre, during, and post phlebotomy procedure. Compliance was assessed using the modified Induction Compliance Checklist during the procedure and compared between two groups. Forty-nine participants were randomized to VR (n = 26) and SOC (n = 23) groups. Although both the VR and SOC groups experienced a decrease in anxiety and fear from pre- to post-procedure, those in the VR group experienced less anxiety and fear during the procedure than SOC participants. Similarly, both groups experienced an increase in pain from pre- to post-procedure; however, the VR group reported less pain during the procedure than SOC. Fewer symptoms of procedural non-compliance were reported in the VR group. Interactive VR applications may be an effective tool for reducing fear, anxiety, and pain during phlebotomy for FA clinical trials.


2020 ◽  
Vol 9 (2) ◽  
pp. 1545-1551
Author(s):  
Yenny Puspitasari ◽  
Budi Santoso ◽  
Nursalam Nursalam ◽  
Agus Sulistyono

Incidence of preeclampsia cases is about 5-8% of all pregnancies. This research aims to analyze articles related the application of nursing model in pregnant with preeclampsia. The design of the research used is the literature review, articles collected using search engines such as EBSCO, Sciencedirect, Proquest and Elsevier. The article used was published in 2010-2019. Based on the article collected obtained the results that diagnose preeclampsia while pregnant can cause anxiety and fear increases during pregnancy. Because of this condition, individuals have increased blood pressure so as to develop a pathological nature. The role of nurses in providing therapy according to this model is to focus on human beings as a biopsicosocial creature as a unified and interconnected whole. Further studies are advised consider the effects on various variables by taking into account the random effects and changes in the model with the addition of contextual effects in the analysis.


2017 ◽  
Author(s):  
Liang Wang ◽  
Jie Zhang ◽  
Gang-hui Yin ◽  
Zhong-min Zhang ◽  
Tian-yu Chen ◽  
...  

AbstractObjectiveTo develop a simple but reproducible overuse induced animal model of Achilles tendinopathy in mice for better understanding the underlying mechanism and prevention of calcific Achilles tendinopathy.Methods80 C57/B6 mice (8-9 weeks old) were employed and randomly divided into control group and experimental group. Unilateral Achilles tenotomy was performed on the right hindlimb of experiment group. After 12 weeks, the onset of Achilles tedinopathy in the contralateral Achilles tendon was determined by radiological assessment, histological analysis, electron microscopy observation and biomechanical test.ResultsThe onset of calcific Achilles tendinopathy in contralateral Achilles tendon was confirmed after 12 weeks unilateral tenotomy. The contralateral Achilles tendon of experimental group was characterized as hypercelluarity, neovascularization and fused collagen fiber disarrangement, compared to the control group. Importantly, intratendon endochondral ossification and calcaneus deformity was featured in contralateral Achilles tendon. Additionally, poor biomechanical properties in the contralateral Achilles tendon revealed the incidence of Achilles tedinopathy.ConclusionWe hereby introduce a novel simple but reproducible spontaneous contralateral calcific Achilles tendinopathy model in mice, which represents the overuse conditions during the tendinopathy development in human-beings. It should be a useful tool to further study the underlying pathogenesis of calcific Achilles tendinopathy.


2016 ◽  
Vol 12 (1) ◽  
pp. 49
Author(s):  
Linda Rykkje

Understanding spirituality and spiritual care for older people – a hermeneutical studyIn old age, spirituality and existential issues may become salient. The study aim is an understanding of older peoples’ perception of spirituality and spiritual care in a Norwegian context. Gadamer hermeneutics is the guiding methodology. 30 interviews were conducted with 17 participants between 74-96 years, six self-reliant, five with homecare, and six nursing home residents. The findings present understanding of spirituality, soul and spirit, the meaningful in life, inner peace, care from family in old age, and spiritual care. The study discusses spirituality as a force that contributes to wholeness and health, especially by the experience of “inner calm and peace”. That which may contribute to inner peace is love for fellow human beings and being with others, religion and nature, together with meaningful activities and feeling “alive”. Spiritual care involves “to care about” the whole person through compassionate care, presence, listening, touch and facilitating socializing and activities. 


Sign in / Sign up

Export Citation Format

Share Document