Application Effect of Targeted Nursing in the Care of Elderly Patients with Severe Pneumonia and Its Influence on Psychological State and Sleep Quality

2021 ◽  
Vol 7 (5) ◽  
pp. 4314-4323
Author(s):  
Liangyou Zheng ◽  
Bing Chen ◽  
Hancheng Dai ◽  
Yuan Liu ◽  
Li Tong
Keyword(s):  
Elderly Patients ◽  
Sleep Quality ◽  
Severe Pneumonia ◽  
The Elderly ◽  
Psychological State ◽  
Control Group ◽  
Inflammatory Factor ◽  
Nursing Satisfaction ◽  
Care Of Elderly ◽  
Experimental Group

Objective. To explore the application of targeted nursing in the care of elderly patients with severe pneumonia and its influence on psychological state and sleep quality. Methods. 90 elderly patients with severe pneumonia treated in our hospital from January 2019 to January 2020 were chosen for the study and split into the control group and the experimental group, with 45 cases in each group. Routine nursing was performed to the control group, and the targeted nursing was introduced on this basis to the experimental group to compare their nursing satisfaction and inflammatory factor indicators, and evaluate their sleep quality and metal state by referring to the Pittsburgh Sleep Quality Index (PSQI) and Mental Status Scale in Non-Psychiatric Settings (MSSNS) before and after intervention. Results. Compared with the control group, the experimental group achieved significantly better PSQI scores (P<0.001), higher nursing satisfaction (P<0.05), and lower CRP indicators (P<0.001), TNF-a indicators (P<0.001), IL-6 indicators (P<0.005) as well as MSSNS scores (P<0.001). Conclusion. Performing targeted nursing to the elderly patients with severe pneumonia can effectively improve the clinical indexes, alleviate the negative emotions, and enhance the quality of life, which is worthy of application and promotion.

Effects of Pharmaceutical Pictograms on Medication Adherence in Elderly Patients with Chronic Diseases at Primary Health Care Center in Hat Yai, Songkhla

2021 ◽  
Vol 104 (3) ◽  
pp. 482-488
Keyword(s):  
Medication Adherence ◽  
Elderly Patients ◽  
Chronic Diseases ◽  
Care Center ◽  
The Elderly ◽  
Control Group ◽  
Health Care Center ◽  
Primary Health ◽  
Pill Counts ◽  
Experimental Group

Objective: To compare drug adherence with or without pharmaceutical pictograms in the elderly with chronic diseases. Materials and Methods: The present study was a randomized controlled trial conducted between April 2019 and June 2019 at a primary health care center in Hat Yai, Songkhla, Thailand. The elderly patients with chronic diseases were randomly allocated to the experimental group (n=25) and the control group (n=25). The experimental group received pictogram labels, text labels, and verbal information on the consumption of medications from the pharmacist. The control group received text labels and verbal information from the pharmacist. Both groups received follow-up home visits two weeks later. Results: The present study results showed that medication adherence using pill counts in the experimental group was significantly higher than in the control group. The median medication adherence scores from pill counts was (interquartile range, IQR) 100 (100, 100) versus 95.56 (90.25, 100), respectively, p=0.011. The medication adherence with the medication taking behavior measure for Thai patients (MTB-Thai) significantly increased in the experimental group (100.0%) compared with the control group (45.8%) (p=0.0002). Conclusion: The present study showed that medication adherence is greatly improved when the medication instruction is supplemented with pictograms. Therefore, medication should include pictograms on labels to better convey medical instructions to elderly patients with chronic diseases. Keywords: Pharmaceutical pictograms, Medication adherence, Chronic disease, Elderly patients

scholarly journals PENGARUH TERAPI BEAPREASI (KOMBINASI SENAM OTAK DENGAN RELAKSASI BENSON) TERHADAP KUALITAS TIDUR PADA LANJUT USIA DENGAN INSOMNIA

2019 ◽  
Vol 3 (1) ◽  
pp. 8
Author(s):  
Wulansari Wulansari ◽  
Mukhamad Mustain ◽  
Fiktina Vifri Ismiriyam
Keyword(s):  
Sleep Quality ◽  
Pittsburgh Sleep Quality Index ◽  
The Elderly ◽  
Control Group ◽  
Control Groups ◽  
Post Test ◽  
The Mean ◽  
Improve Sleep Quality ◽  
And Control ◽  
Experimental Group

AbstrakKualitas tidur pada lansia yang mengalami insomnia sangat bervariasi  yaitu ada yang baik dan ada yang buruk.  Salah satu keluhan tidur lansia adalah Insomnia , dimana ini  merupakan suatu proses degenerasi pada lansia menyebabkan waktu tidur yang efektif semakin berkurang, dan menyebabkan tidak tercapainya kualitas tidur yang adekuat.  Intervensi yang diberikan dapat disisipkan dalan kegiatan Posbindu. Salah satu Intervensi yang dapat diberikan adalah terapi beapreasi. Penelitian ini bertujuan untuk mengetahui  ada atau tidaknya pengaruh terapi Beapreasi terhadap kualitas tidur pada lansia dengan insomnia di  Posbindu Kemuning Kelurahan Candirejo Ungaran. Design penelitian yang digunakan adalah quasi experiment pre-test post-test with control group dan dilakukan pada 128 responden yang terbagi kedalam kelompok eksperimen dan kelompok kontrol,  masing-masing kelompok terdiri dari 64 responden . Metode  yang digunakan untuk menentukan responden adalah teknik purposive sampling. Penilaian Kualitas tidur di ukur dengan kuesioner PSQI dan dilakukan 2 kali pengukuran yaitu sebelum dan sesudah diberikan terapi Beapreasi. Penelitian menunjukkan bahwa rerata nilai PSQI pada kelompok eksperimen sebelum dilakukan intervensi sebesar 6.27 dan rerata  nilai PSQI pada kelompok kontrol sebesar 5.15. Selanjutnya rerata nilai PSQI pada kelompok eksperimen setelah  dilakukan intervensi sebesar 3.67, sedangkan  rerata  nilai PSQI kelompok kontrol  sebesar  5,73. Terdapat perbedaan nilai PSQI pada kelompok eksperimen dan kontrol dengan nilai p 0.00, nilai p < 0.05 sehingga ada pengaruh yang bermakna dari pemberian terapi beapreasi terhadap peningkatan  kualitas tidur. Intervensi terapi Beapreasi dapat meningkatkan kualitas tidur pada lansia yang mengalami insomnia . Terapi Beapreasi dapat dijadikan salah satu intervensi mandiri perawat dalam  merawat lansia yang mengalami insomnia dalam upaya meningkatkan kualitas tidur pada lansia.  Kata kunci: Terapi beapreasi , kualitas tidur, PSQI (the pittsburgh sleep quality index), lansia insomnia, posbindu Abstract The Effect of Breapreasi  Therapy (combain for brain Gym and benson relaxation) on Sleep Quality in the Elderly with Insomnia. Sleep quality in the elderly who experience insomnia varies greatly, there are good and some are bad. One of the complaints of elderly sleep is Insomnia, which is a degeneration process in the elderly which causes effective sleep time to decrease, and causes inadequate quality sleep. The intervention provided can be inserted in the activities of Posbindu. One of the interventions that can be given is therapy of beapreasi. This study aims to determine whether or not there is an effect of beapreasi therapy on sleep quality in the elderly with insomnia at Posbindu Kemuning, Candirejo Village, Ungaran. The research design used was quasi experiment pre-test post-test with control group and carried out on 128 respondents divided into experimental groups and control groups, each group consisting of 64 respondents. The method used to determine respondents is purposive sampling technique. Assessment of sleep quality was measured by the PSQI questionnaire and carried out 2 measurements, namely before and after being given therapy Beapreasi. The study showed that the mean PSQI value in the experimental group before intervention was 6.27 and the mean PSQI value in the control group was 5.15. Then the mean PSQI value in the experimental group after intervention was 3.67, while the mean PSQI value of the control group was 5.73. There are differences in the PSQI values in the experimental and control groups with a value of p 0.00, the value of p <0.05 so that there is a significant effect of the provision of beapreasi therapy on improving sleep quality. Beapreasi therapy interventions can improve sleep quality in elderly who experience insomnia. Beapreasi therapy can be used as one of the nurse's independent interventions in treating elderly people who experience insomnia in an effort to improve sleep quality in the elderly. Keywords: Beapreasi therapy, sleep quality, psqi (the pittsburgh sleep quality index), elderly insomnia, posbindu

scholarly journals An Analysis for the application of rapid rehabilitation surgery concept in the nursing satisfaction of the perioperative period of the elderly’s hip arthroplasty

2020 ◽  
Vol 2 (1) ◽  
pp. 21-25
Author(s):  
Hua-ping Shi
Keyword(s):  
Elderly Patients ◽  
Hip Arthroplasty ◽  
Operation Time ◽  
Perioperative Period ◽  
Control Group ◽  
Nursing Satisfaction ◽  
Recovery Score ◽  
Hospitalization Time ◽  
Function Recovery ◽  
Experimental Group

Objective To explore the application of rapid rehabilitation surgery concept in the nursing satisfaction of the perioperative period of the elderly’s hip arthroplasty. Methods To select 58 cases of elderly patients undergoing hip arthroplasty in our hospital from March 2017 to February 2018 as the research subjects. The patients were randomly divided into the experimental group and the control group by number table method and there were 29 cases per group. The patients in the experimental group were in the nurse of the concept model of rapid rehabilitation surgery, while the patients in the control group were in the routine nurse of perioperative period. Results After the comparison of hip joint function recovery score, operation time and hospitalization time between the two groups of patients, the advantages of hip function recovery score, operation time, and hospitalization time in the experimental group were obvious statistically significant(P<UNK> 0.05). Compared with the patients in the control group, the nursing satisfaction of the patients in the experimental group was higher and statistically significant(P<UNK> 0.05). Conclusion The concept of rapid rehabilitation surgery is effective for the elderly patients with hip arthroplasty, which can promote the rehabilitation of patients and improve the nursing satisfaction of patients. It is of great significance to improve the relationship between nursing patients.

Impact of an educative program on dialysis patients’ knowledge and mental health: controlled before and after program

2018 ◽  
Vol 10 (2) ◽  
pp. 20204
Author(s):  
Laetitia Idier ◽  
Aurélie Untas ◽  
Nicole Rascle ◽  
Michèle Koleck ◽  
Maider Aguirrezabal ◽  
...  
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Vascular Access ◽  
Educational Program ◽  
Psychological State ◽  
Control Group ◽  
Dialysis Patients ◽  
Emotional Change ◽  
The Impact ◽  
Experimental Group

Introduction:Psychological impact of Therapeutic Patient Education (TPE) for dialysis patients is rarely evaluated since the focus of many studies is on medical variables (i.e., adherence).Objectives:The aims of this study were: 1) to estimate the impact of a TPE program on knowledge, depression and anxiety, 2) to examine change in knowledge as a mediator of the effects of a TPE program on mental health.Method:This study was conducted in three hemodialysis units and comprised two groups: an experimental group with education and a control group with routine care. The program was based of 5 educative sessions. Knowledge, depressive and anxious symptoms were assessed with self-reported outcomes measured before and 3 months after the program.Results:The sample comprised 125 patients. Knowledge about vascular access and nutrition (p < 0.01) and depressive symptoms increased in the experimental group (p < 0.01). Analysis of mediation showed that changes in knowledge about vascular access were a significant mediator of the effects of the program on depressive symptoms (F = 4.90;p = 0.01).Discussion:Knowledge acquired during an educational program could lead to an emotional change. Improving knowledge often leads to an awareness of the risks that can modify the psychological state of patients by reminding them of their vulnerability. This study shows that it is required to be attentive to the way of transmitting knowledge. It’s necessary adapting this transmission to the needs of patients and promoting the acquisition of psychosocial competence too.Conclusion:This study shows that knowledge acquired during an educational program can lead to an emotional change in the short term. A long-term follow-up of the population should be interesting to observe these emotional effects.

scholarly journals Effects of a positive thinking program on hope and sleep quality in Iranian patients with thalassemia: a randomized clinical trial

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Somayeh Makaremnia ◽  
Marieh Dehghan Manshadi ◽  
Zahra Khademian
Keyword(s):  
Clinical Trial ◽  
Sleep Quality ◽  
Training Program ◽  
Randomized Clinical Trial ◽  
Thalassemia Major ◽  
Trial Registration ◽  
Control Group ◽  
Positive Thinking ◽  
Experimental Group

Abstract Background Thalassemia have a negative impact on the patients' psychological health and sleep quality. This study aimed to determine the effects of a positive thinking training program on hope and sleep quality of patients with thalassemia major. Methods This randomized clinical trial was conducted on 78 patients with thalassemia major including 36 males (46.2%) and 42 females (53.8%) with a mean age of 25.56 ± 29.6 in Iran. Subjects were randomly assigned into experimental and control groups. Experimental group received 16 h training based on positive thinking materials published by Martin Seligman. Control group received only usual programs. Data were collected at baseline, as well as immediately and one month after the intervention, using Snyder’s Hope Scale and the Pittsburgh Sleep Quality Index. Data analysis was performed using SPSS Software 18.0; statistical tests included the independent T-test, the Chi-square, Mann Whitney, and Friedman test. Significance level was set at 0.05 in this study. Results The experimental group had a significantly higher mean hope score compared to the control group immediately (45.38 ± 7.82 vs. 35.32 ± 5.54, P < 0.001) and one month following intervention (44.67 ± 3.47 vs. 35 ± .54, P < 0.001). Moreover, the mean sleep quality scores of the experimental group was significantly greater than that for control group immediately (5.35 ± 2.02 vs. 7 ± 2.4, P = 0.004) and one month after the intervention (4.23 ± 2.2 vs.7.02 ± 3.03, P < 0.001). Conclusion Since our training program on positive thinking improved hope and quality of sleep in patients with thalassemia major, we recommend the use of such courses as an important step toward promotion of hope and sleep quality among these patients. Trial registration The name of the registry: Iranian Registry of Clinical Trials. Trial Registration Number: IRCT2017010431774N1. URL of the trial registry record: https://en.irct.ir/trial/24923. Registration Date: 07/03/2017.

scholarly journals Effects of Cognicise-Neurofeedback on Health Locus of Control, Depression, and Quantitative Electroencephalography Alpha Asymmetry in Elderly Women

2021 ◽  
Vol 11 (7) ◽  
pp. 899
Author(s):  
Heewook Weon ◽  
Jieun Yoo ◽  
Jumhwa Yu ◽  
Miso Park ◽  
Haekyoung Son
Keyword(s):  
Locus Of Control ◽  
Elderly Women ◽  
Health Locus Of Control ◽  
Cognitive Activity ◽  
The Elderly ◽  
Control Group ◽  
Quantitative Electroencephalography ◽  
Alpha Asymmetry ◽  
Post Test ◽  
Experimental Group

Background: With an increase in the aged population, there is a growing concern regarding the care of the elderly. This study aims to identify effects of cognicise-neurofeedback on health locus of control, depression, and quantitative electroencephalography (QEEG) alpha asymmetry in elderly women. Methods: A quasi-experimental control group pre-test–post-test design was used. Korean women aged 65 years or over at a senior welfare center were randomly allocated to the control (n = 12) or experimental (n = 19) groups from July to October 2019. The intervention consisted of cognicise (exercise with intensified cognitive activity) and neurofeedback twice a week for 10 weeks. The locus of control and depression were measured via self-reported questionnaires. QEEG alpha asymmetry was measured using BrainMaster. Results: Depression significantly decreased in the experimental group (t = 4.113, p = 0.001), while internality in the locus of control significantly decreased in the control group (t = 3.023, p = 0.012). On the other hand, QEEG alpha asymmetry index differences in F3-F4 between the pre-test and post-test were not significant in the experimental group (t = 0.491, p = 0.629) or control group (t = 0.413, p = 0.678). Conclusions: Due to the coronavirus disease (COVID-19) pandemic, contact between the elderly and healthcare workers in the clinical practice field has become more restricted. These findings can help decrease negative emotions among elderly women in the community based on an integrated neuroscientific approach.

Radical Cystectomy in Elderly Patients

1993 ◽  
Vol 60 (1) ◽  
pp. 19-22
Author(s):  
P. Bassi ◽  
M. Gholam Alipour ◽  
G.L. Drago Ferrante ◽  
N. Piazza ◽  
N. Panza ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Radical Cystectomy ◽  
Urinary Diversion ◽  
Length Of Hospital Stay ◽  
Wound Dehiscence ◽  
The Elderly ◽  
Elderly Group ◽  
Medical Complications ◽  
Control Group ◽  
Pelvic Hematoma

Radical cystectomy is the most common treatment for deeply invasive bladder cancer; due to reported operative risks, concerns have been expressed regarding the suitability of this operation in elderly patients. We reviewed the morbility and mortality rates in 50 patients aged 70 years and over (elderly group), undergoing radical cystectomy and urinary diversion, to verify if this procedure could be considered as initial treatment in older-age patients. The findings were compared with those observed in 50 patients aged 40 to 69 years (control group). In the elderly group there was no operative mortality; however 2 patients (4%) died post-operatively due to pulmonary embolism and multi-organ-failure syndrome respectively. Four patients (8%) were re-operated due to intestinal obstruction (2 pts), pelvic hematoma (1 pt) and wound dehiscence (1 pt). Wound separation was the more frequent complication (15%); 6% of patients experienced extended intestinal atonia. The length of hospital stay was 17.1 days. In the control group, surgical complications were comparable to those observed in the elderly group: furthermore medical complications were more frequent. In conclusion, these data suggest that radical cystectomy and urinary diversion can be safely performed in the elderly. Radical surgery is an effective treatment modality for elderly individuals who are in reasonably good general health. A higher incidence of medical complications must be expected in elderly patients.

scholarly journals Effect of the Leisure Activities on the Level of Psychological stress among the elderly during the Coronavirus Outbreak

2021 ◽  
Vol 9 (1) ◽  
pp. 70-78
Author(s):  
Ayed Zureigat ◽  
Osama Abdel Fattah
Keyword(s):  
Psychological Stress ◽  
Healthy Aging ◽  
Leisure Activities ◽  
The Elderly ◽  
Control Group ◽  
Face To Face ◽  
Quasi Experimental ◽  
Physical Abilities ◽  
The Individual ◽  
Experimental Group

Background: It is well known that advancing age is accompanied by many negative feelings due to the feeling of loneliness and psychological emptiness, which leads to the individual feeling that society does not need him due to his weak physical abilities and thus this, will negatively affect healthy aging. Objective: The study aimed to investigate the effect of the leisure activities on the psychological stress among the elderly during Coronavirus (COVID-19) Outbreak. Design: To achieve this, we used the quasi-experimental approach on a sample consisting of 54, with the average age of (65.4±2.3) years. Divided into two groups 27 as a control group and 27 as the experimental group and this sample was purposively selected. Because of the home quarantine and to reduce face-to-face interaction, we used a questionnaire to measure the psychological stress level by using the Google form. The study tool consisted of 7 paragraphs associated with depression and 6 paragraphs associated with anxiety, finally 6 paragraphs associated with aggression. Before applying the experiment, the psychological stress was measured among the study sample, and then the leisure activities program was sent to the experimental group by the WhatsApp application. The researchers used means, standard deviations, paired and independent sample t-test by using SPSS version 24 with a confidence level of 95% (p<0.05). Results: The results of the study have shown that the level of the psychological stress among both groups came with a high average in the pre-measurement, as well as the anxiety domain that were the most affected in a positive way through leisure activities practicing. Additionally, there were statistically significant differences between the pre and post measurement among experiment group and favor of the post measurement. Conclusion: the leisure activities practicing among the elderly have contributed positively to reducing the level of psychological stress represented by depression, anxiety.

scholarly journals Effects of Yoga on Sleep Quality, Depression, Anxiety, Stress, and Blood Glucose Levels Among Tertiary Students

2020 ◽  
Vol 2 (1) ◽  
pp. 48
Keyword(s):  
Blood Glucose ◽  
Sleep Quality ◽  
Sleep Disturbances ◽  
Control Group ◽  
Emotional States ◽  
Glucose Levels ◽  
Blood Glucose Levels ◽  
Periodic State ◽  
Experimental Group ◽  
Larger Sample

Sleep is defined as an easily reversible periodic state marked by the absence of wakefulness. Studies have shown that university students tend to have a diminished amount of sleep. This would lead to the loss of concentration, daytime sleepiness, and reduced academic performances. The aim of this study was to investigate the effects of yoga on overall sleep quality, depression, anxiety, stress, and blood glucose levels. A total of 88 participants with 44 students in each group, control and experimental, were recruited from Universiti Tunku Abdul Rahman based on the outcome of the Godin Shephard questionnaire. A total score of less than 14 was considered mild hence falling into the control group while above 14 and had practiced yoga for a minimum of 6 weeks were placed in the experimental group. The participants were required to self-administer a set of questionnaires consisting of socio-demographic information, the Pittsburgh Sleep Quality Index (PSQI) questionnaire and Depression, Anxiety, Stress Scores. Three components of sleep, namely the habitual sleep efficiency, sleep disturbances, and daytime dysfunctions, were better in the experimental group compared to the control one. Depression, anxiety, stress, and blood glucose levels also appeared to be more desirable in the experimental group with yoga students. It was found that blood glucose levels were positively correlated to the Global PSQI score, depression, anxiety, and stress measures in this study. In conclusion, yoga-practicing students have healthier sleep patterns, negative emotional states, and blood glucose levels. In order to obtain more conclusive findings, similar studies should be carried out in different universities with larger sample size and for longer periods.

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