scholarly journals Exploring the Caring Incorporating Yoga Program in Promoting Physical Recovery of Stroke Patients in Acute Phase

2020 ◽  
Author(s):  
Kalpana Paudel Paudel Aryal ◽  
Urai Hatthakit ◽  
Nongnut Boonyoung
Keyword(s):  
Acute Phase ◽  
Cultural Practices ◽  
Cultural Practice ◽  
University Hospital ◽  
Main Theme ◽  
Structured Interviews ◽  
Stroke Patients ◽  
Positive Health ◽  
Recovery And Healing ◽  
Physical Recovery

Abstract Background: Currently, caring science integrating cultural practices has become an important health resource to get positive health outcomes for hospitalized acutely ill patients. Yoga, a cultural practice, has the power to bring multiple physical improvements among chronic stroke patients. The purpose of the study is to analyze the experiences of participants focusing on their roles and perceptions of the power of caring incorporating yoga to promote physical recovery among stroke patients during the acute phase. Methods: The study is a part of action research entitled "Development of a Caring Model Incorporating Yoga for Promoting Physical Recovery and Wisdom of People Living with Stroke". Purposeful sample was used to select the participants of 16 nurses, 16 stroke patients and their family caregivers. Data was collected using semi-structured interviews guideline and continues until data saturation in a neurology unit of a university hospital, Nepal. An inductive content analysis approach was used for data analysis. Results: Three main themes and 9 sub-themes were emerged from the qualitative data in terms of experiences of the participants on the program. The three main theme included "caring as a tool to develop trusting relationship"; "yoga as a practical and powerful tool for physical recovery of stroke patients during acute phase"; and "perceived physical recovery as a result of the caring incorporating yoga intervention". Conclusions: The finding of the study shown that that nurses can successfully facilitate early physical recovery of stroke patients using caring incorporating yoga during their acute phase. As yoga is well accepted by Hindu stroke patients due to it being culturally congruent with their sociocultural background, it may be effective for physical recovery and healing of the whole person.

scholarly journals Exploring the Caring Incorporating Yoga Program in Promoting Physical Recovery of Stroke Patients in Acute Phase

2020 ◽  
Author(s):  
Kalpana Paudel Aryal ◽  
Urai Hatthakit ◽  
Nongnut Boonyoung
Keyword(s):  
Acute Phase ◽  
Cultural Practices ◽  
Structured Interview ◽  
Cultural Practice ◽  
University Hospital ◽  
Stroke Patients ◽  
Positive Health ◽  
Data Saturation ◽  
Recovery And Healing ◽  
Physical Recovery

Abstract Background: Caring science integrating cultural practices has become an important health resource to get positive health outcomes for hospitalized acutely ill patients. Yoga, a cultural practice, has the power to bring multiple physical improvements among chronic stroke patients. The purpose of the study is to analyze the experiences of participants by focusing on their roles and perceptions of the power of caring incorporating yoga to promote physical recovery among stroke patients during the acute phase. Methods: The study is part of an action research entitled "Development of a Caring Model Incorporating Yoga for Promoting Physical Recovery and Wisdom of People Living with Stroke" conducted in a neurology unit of a university hospital in Nepal. Purposeful sample was used to select participants consisting of 16 nurses, 16 stroke patients and their family caregivers. Data was collected using semi-structured interview guidelines and was continued until data saturation. An inductive content analysis approach was used for data analysis.Results: Three main themes and nine sub-themes emerged from the qualitative data in terms of experiences of the participants of the program. The three main themes were "caring as a tool to establish trusting relationship in acute phase"; "yoga as a practical and powerful tool for physical recovery from stroke during acute phase"; and "perceived physical recovery as a result of the caring incorporating yoga program". Conclusions: The findings of the study showed that nurses can successfully facilitate early physical recovery of stroke patients using caring incorporating yoga during acute phase. As yoga is well accepted by Hindu stroke patients due to it being culturally congruent with their sociocultural background, it may be effective for physical recovery and healing of the whole person.

scholarly journals Phenomena of Psychological Sufferings Among Nepalese Stroke Survivors and Analysis of Applicability of Samkhya Philosophy for Enhancing Their Psychological Wellbeing

2021 ◽  
Vol 7 ◽  
pp. 237796082098839
Author(s):  
Urai Hatthakit ◽  
Kalpana Paudel Aryal ◽  
Rekha Timalsina
Keyword(s):  
Family Members ◽  
Acute Stage ◽  
University Hospital ◽  
Psychological Wellbeing ◽  
Stroke Survivors ◽  
Structured Interviews ◽  
Stroke Patients ◽  
Religious Rituals ◽  
Psychological Suffering ◽  
Online Databases

Introduction Psychological suffering is commonly found among stroke survivors, particularly in the acute stage. Objectives This study aimed to explore the phenomenon of psychological sufferings of stroke survivors and analyze the applicability of Samkhya philosophy for enhancing their psychological wellbeing. Methods A qualitative study was conducted at a university hospital of Nepal among 16 stroke patients in the acute stage, selected by purposive sampling. Data collection was done by using semi-structured interviews. Data were analyzed using deductive content analysis. Additionally, the analysis of Samkhya philosophy was done by using descriptive literature review from online databases. Results Stroke survivors in the acute stage experienced psychological sufferings, which were analyzed as intrinsic, extrinsic, and divine based on Samkhya philosophy. The intrinsic sufferings were (a) shock and denial with a sudden loss of normal body function, (b) worry about the possibility of lifelong disability and future life, and (c) fear and concern about the consequences of the disease to self. The extrinsic sufferings consisted of (a) worry when thinking about dependent family members and (b) feelings of making trouble or being a burden to the family members because of their dependency. The divine suffering consisted of feeling of being a burden caused by distress resulting from an inability to perform religious rituals. Samkhya philosophy explains the methods of relieving these sufferings by using yoga practice. Conclusion Psychological sufferings are prevalent among Nepalese stroke survivors, and Samkhya philosophy might be one of suitable strategies to relieve these sufferings of the Hindu stroke survivors in the acute stage, and promote their psychological wellbeing. This study recommends integrating yoga in caring for stroke patients in the acute stage to promote psychological wellbeing.

“I thought I lost my home”: resource loss, distress and recovery after the Manaro Voui volcanic disaster on Ambae Island

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Rachel Clissold ◽  
Karen Elizabeth McNamara ◽  
Ross Westoby ◽  
Ladonna Daniel ◽  
Elizabeth Raynes ◽  
...  
Keyword(s):  
Cultural Practices ◽  
Cultural Continuity ◽  
Conservation Of Resources ◽  
Resource Loss ◽  
Structured Interviews ◽  
Content Type ◽  
Recovery Processes ◽  
Psychological Harm ◽  
Recovery And Healing ◽  
Personal Accounts

PurposeThis paper builds on existing studies by drawing on Conservation of Resources theory to explore the losses, psychological impacts as well as recovery processes of the 2017/18 volcanic disaster on Ambae Island, Vanuatu.Design/methodology/approachThis discussion is based on local perspectives and personal accounts collected through a series of eight semi-structured interviews (five males and three females).FindingsThe volcanic activity and subsequent displacement and evacuation led to significant resource loss which had a spiralling nature, causing psychological harm. Locals invested resources to recover and protect against future loss in diverse ways and, as resource gains were secured, experienced emotional relief. Key to recovery and healing included returning “home” after being displaced and reinvigorating cultural practices to re-establish cultural continuity, community and identity. Resource gains spiralled as people reconnected and regained a sense of place, optimism and the motivation to rebuild.Originality/valueNumerous studies have drawn upon the Conservation of Resources (COR) theory to explore how resource loss can trigger psychological distress during environmental disasters; however, it has not been applied in Vanuatu, the most at-risk nation globally to natural hazards. This paper builds on existing studies by exploring personal accounts of resource loss, distress and recovery, and providing insights into resource spirals, caravans and passageways.

scholarly journals Alimentação e aleitamento materno exclusivo do recém-nascido: representação social do pai [Feeding and exclusive breastfeeding of newborns: social representation of fathers] [Alimentación y la lactancia materna exclusiva del recién nacido: representación social del padre]

2018 ◽  
Vol 26 ◽  
pp. e26740
Author(s):  
Ihana Arrieche Fazio ◽  
Camila Daiane Silva ◽  
Daniele Ferreira Acosta ◽  
Marina Soares Mota
Keyword(s):  
Exclusive Breastfeeding ◽  
Cultural Practices ◽  
Social Representations ◽  
Social Representation ◽  
Contextual Analysis ◽  
University Hospital ◽  
Central Nucleus ◽  
Maternity Ward ◽  
Structured Interviews ◽  
Structural Relationships

Objetivo: identificar a estrutura e os conteúdos da representação social do pai acerca da alimentação e do aleitamento materno exclusivo e analisar as relações estruturais entre essas representações. Método: estudo qualitativo, fundamentado na Teoria das Representações Sociais. Realizado na maternidade de um hospital universitário ao sul do país, com 54 pais. Coletaram-se os dados por evocações com os termos indutores alimentação do bebê e aleitamento materno exclusivo e entrevistas semiestruturadas. Trataram-se os dados pelo software EVOC e análise de contéudo. pesquisa aprovada com parecer nº 71/2016. Resultados: a palavra aleitamento materno figurou no núcleo central de ambos os termos indutores. Em relação ao aleitamento materno exclusivo, ainda constaram as palavras essencial e exclusivo, demonstrando o aspecto inerente à saúde. Conclusão: a representação dos pais teve como influência os significados de práticas culturais, todavia eles reconhecem o aleitamento materno além do aspecto nutricional, ou seja, valorizam a esfera afetiva dessa prática.ABSTRACTObjective: to identify the structure and content of fathers’ social representations of feeding and exclusive breastfeeding, and to analyze the structural relationships among these representations. Method: this qualitative study, based on Social Representations Theory, was conducted with 54 fathers on the maternity ward of a university hospital in south Brazil. Data collected through evocations from the stimulus-terms ‘baby feeding’ and ‘exclusive breastfeeding’, and semi-structured interviews, were treated using EVOC software and contextual analysis. The study was approved in Opinion No. 71/2016. Results: the word ‘breastfeeding’ appeared in the central nucleus of both stimulus-terms. In relation to ‘exclusive breastfeeding’, the words ‘essential’ and ‘exclusive’ were still present, demonstrating that his was inherent to health. Conclusion: fathers’ representations were influenced by the meanings of cultural practices, but they acknowledge breastfeeding beyond its nutritional aspects, that is, they value the affective dimension of this practice.RESUMEN: Objetivo: identificar la estructura y los contenidos de la representación social del padre sobre la alimentación y la lactancia materna exclusiva y analizar las relaciones estructurales entre estas representaciones. Métodos: Estudio cualitativo basado en la teoría de las representaciones sociales. Realizado en la maternidad de un hospital universitario al sur del país, con 54 padres. Se obtuvieron los datos por evocaciones con los términos inductores alimentación del bebé y lactancia materna exclusiva y entrevistas semiestructuradas. Los datos se han procesado con el software EVOC y análisis de contenido. Investigación aprobada con dictamen Nº 71/2016. Resultados: la palabra lactancia materna estaba presente en el núcleo central de ambos términos inductores. Respecto a la lactancia materna exclusiva constaron las palabras ‘esencial y exclusivo’, lo que demuestra el aspecto inherente a la salud. Conclusión: la representación de los padres tuvo la influencia de los significados de prácticas culturales, sin embargo reconocen la lactancia materna más allá del aspecto nutricional, es decir, valoran la esfera afectiva de esta práctica.

scholarly journals Symptoms of post-stroke depression

2019 ◽  
Vol 17 (3) ◽  
pp. 235-242
Author(s):  
D. Komsiyska
Keyword(s):  
Acute Phase ◽  
Depressive Disorders ◽  
Rating Scale ◽  
Somatic Complaints ◽  
University Hospital ◽  
Stroke Patients ◽  
High Occurrence ◽  
Post Stroke ◽  
Post Stroke Depression ◽  
The University

The purpose of this manuscript is to present our research on post-stroke depression and compare them to previous observations. Depression is a very common among disorders found in stroke patients, thus there is а high necessity in its research. We have used a contingent of 93 patients in the acute phase after stroke, which were treated at the Neurological Clinic to the University Hospital "Prof. Dr. Stoyan Kirkovich" in Stara Zagora for the period 2015 – 2016. We tested them with The Hamilton Depression Rating Scale (HAM-D-17) and analyzed the results with Statistica, version 10 (StatSoft, Inc.). We found high occurrence of depression in stroke patients. We tested for its severity and for its different symptoms in order to compare them to other studies and discover which are most common in post-stroke depression. As a conclusion, we summarize our results that among our contingent there are predominantly mild and moderate depressive disorders with reduced mood, sadness, increased psychic and somatic anxiety, insomnia, somatic complaints and superfluous hypochondriac thoughts.

Cytisine as an alternative smoking cessation product for Pacific smokers in New Zealand

2018 ◽  
Vol 21 (2) ◽  
pp. 89-95
Author(s):  
Vili Nosa ◽  
Kotalo Leau ◽  
Natalie Walker
Keyword(s):  
Smoking Cessation ◽  
New Zealand ◽  
Nicotinic Acetylcholine Receptors ◽  
Cultural Practices ◽  
Partial Agonist ◽  
Snowball Sampling ◽  
Structured Interviews ◽  
Liquid Form ◽  
Pacific People ◽  
The Pacific

ABSTRACT Introduction: Pacific people in New Zealand have one of the highest rates of smoking.  Cytisine is a plant-based alkaloid that has proven efficacy, effectiveness and safety compared to a placebo and nicotine replacement therapy (NRT) for smoking cessation.  Cytisine, like varenicline, is a partial agonist of nicotinic acetylcholine receptors, and blocks the rewarding effects of nicotine. Cytisine is naturally found in some plants in the Pacific region, and so may appeal to Pacific smokers wanting to quit. This paper investigates the acceptability of cytisine as a smoking cessation product for Pacific smokers in New Zealand, using a qualitative study design. Methods: In December 2015, advertisements and snowball sampling was used to recruit four Pacific smokers and three Pacific smoking cessation specialists in Auckland, New Zealand. Semi-structured interviews where undertaken, whereby participants were asked about motivations to quit and their views on smoking cessation products, including cytisine (which is currently unavailable in New Zealand). Interviews were recorded and transcribed verbatim, with thematic analysis conducted manually. Findings: Pacific smokers reported wanting to quit for loved ones and family, but did not find currently available smoking cessation products effective. Almost all participants had not previously heard of cytisine, but many of the Pacific smokers were keen to try it. Participants identified with cytisine on a cultural basis (given its natural status), but noted that their use would be determined by the efficacy of the medicine, its cost, side-effects, and accessibility. They were particularly interested in cytisine being made available in liquid form, which could be added to a “smoothie” or drunk as a “traditional tea”.  Participants thought cytisine should be promoted in a culturally-appropriate way, with packaging and advertising designed to appeal to Pacific smokers. Conclusions: Cytisine is more acceptable to Pacific smokers than other smoking cessation products, because of their cultural practices of traditional medicine and the natural product status of cytisine.

A Qualitative Study Exploring Harmful Cultural Practices and HIV Stigma in North Central Nigeria

2020 ◽  
Vol 6 (1) ◽  
pp. 5-11
Author(s):  
Bala Augustine Nalah ◽  
Azlinda Azman ◽  
Paramjit Singh Jamir Singh
Keyword(s):  
Hiv Infection ◽  
Hiv Transmission ◽  
Cultural Practices ◽  
Qualitative Interviews ◽  
Well Being ◽  
Cultural Practice ◽  
Hiv Stigma ◽  
Hiv Positive ◽  
North Central ◽  
Harmful Cultural Practices

Harmful cultural practices have psychosocial implications on stigmatization and vulnerability to HIV infection among HIV positive living in North Central Nigeria. To understand this, we conducted qualitative interviews with purposively selected 20 diagnosed HIV positive to explore how culture influences stigmatization and HIV transmission. Data was collected using audio-recorder, transcribed, and analyzed through thematic analysis using ATLAS.ti8 software to code and analyze interview transcripts. The coded data were presented using thematic network analysis to visualize the theme, sub-themes, and quotations in a model. The findings reveal that lack of education was a significant determinant for the continual practice of harmful cultural rites, thereby increasing the risk of HIV infection and stigmatization. Hence, six cultural facilitators have been identified to include female genital mutilation, lack of education, tribal marks and scarification, postpartum sexual abstinence during breastfeeding, sexual intercourse during menstruation, and gender inequality, polygamy, and inheritance law. We conclude that educational teachings and advocacy campaigns be organized in rural schools and public places on the implications of harmful cultural practice to health and psychological well-being. We recommend that the social workers and behavioral scientists should collaborate with other agencies to employ a behavioral-based intervention in eliminating cultural practices and HIV stigma.

scholarly journals Couples’ experiences with expanded carrier screening: evaluation of a university hospital screening offer

2021 ◽  
Author(s):  
Ivy van Dijke ◽  
Phillis Lakeman ◽  
Naoual Sabiri ◽  
Hanna Rusticus ◽  
Cecile P. E. Ottenheim ◽  
...  
Keyword(s):  
High Risk ◽  
Medical Center ◽  
Informed Choice ◽  
Carrier Screening ◽  
University Hospital ◽  
Structured Interviews ◽  
Expanded Carrier Screening ◽  
Post Test ◽  
Future Child ◽  
Clinically Significant

AbstractPreconception carrier screening offers couples the possibility to receive information about the risk of having a child with a recessive disorder. Since 2016, an expanded carrier screening (ECS) test for 50 severe autosomal recessive disorders has been available at Amsterdam Medical Center, a Dutch university hospital. This mixed-methods study evaluated the experiences of couples that participated in the carrier screening offer, including high-risk participants, as well as participants with a general population risk. All participants received genetic counselling, and pre- (n = 132) and post-test (n = 86) questionnaires and semi-structured interviews (n = 16) were administered. The most important reason to have ECS was to spare a future child a life with a severe disorder (47%). The majority of survey respondents made an informed decision (86%), as assessed by the Multidimensional Measure of Informed Choice. Among the 86 respondents, 27 individual carriers and no new carrier couples were identified. Turn-around time of the test results was considered too long and costs were perceived as too high. Overall, mean levels of anxiety were not clinically elevated. High-risk respondents (n = 89) and pregnant respondents (n = 13) experienced higher levels of anxiety before testing, which decreased after receiving the test result. Although not clinically significant, distress was on average higher for carriers compared to non-carriers (p < 0.0001). All respondents would opt for the test again, and 80.2% would recommend it to others. The results suggest that ECS should ideally be offered before pregnancy, to minimise anxiety. This study could inform current and future implementation initiatives of preconception ECS.

scholarly journals Preoperative Group Consultation Prior to Surgery for Colorectal Cancer—an Explorative Study of a New Patient Education Method

2021 ◽  
Author(s):  
Sofie Walming ◽  
Eva Angenete ◽  
David Bock ◽  
Mattias Block ◽  
Hanna de la Croix ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Patient Education ◽  
Response Rate ◽  
University Hospital ◽  
Sense Of Control ◽  
Structured Interviews ◽  
Group Setting ◽  
Disease Treatment ◽  
Explorative Study ◽  
Group Consultation

Abstract Patients with colorectal cancer may lack information about the disease and treatment. In 2017, a group consultation before start of surgery was introduced at a university hospital in western Sweden to inform about the disease, treatment, and ongoing scientific studies. The primary aim of this study was to explore the experience of the patients attending the group consultation. Based on semi-structured interviews with patients with colorectal cancer, a questionnaire was constructed and administered to patients, both those attending and those not attending the group consultation. In total, 124 patients were included and the response rate was 86%. A majority of patients attending the group consultation would recommend it to someone else with the same illness. Of the patients attending the group consultation, 81% (30/37) patients agreed, fully or partially, that attending the group consultation had increased their sense of control and 89% (33/37) that the information they received at the group consultation increased their feeling of participation in the treatment. Preoperative group consultation is a feasible modality for informing and discussing the upcoming treatment for colorectal cancer with the patients, and the patients who attended the group setting appreciated it. Attending the group consultation increased the patients’ feeling of active participation in their treatment and their sense of control, which could possibly both improve their experience of their illness and facilitate recovery. ClinicalTrials.gov identifier NCT03888313

scholarly journals Physiological parameters deterioration in acute stage after stroke: Rehabilitation versus conventional care

2019 ◽  
Vol 10 (3) ◽  
pp. 79
Author(s):  
Reham AbdElhamed AbdElmawla Elsaid ◽  
Amina Mohamed AbdElfatah Sliman
Keyword(s):  
Acute Stroke ◽  
Acute Phase ◽  
Stroke Rehabilitation ◽  
Recovery Period ◽  
Acute Stage ◽  
Conventional Care ◽  
Physiological Parameters ◽  
Stroke Recovery ◽  
University Hospital ◽  
Control Group

Objective: Stroke is considered the main health problem and the second leading cause of death worldwide. Stroke resulting in varied and unpredictable complications if not managed correctly in the acute stage with intensive rehabilitation therapy which may affect stroke prognosis, and resulting functional decline. Therefore, the aim of the study was to explore the consequences of rehabilitation versus conventional care on physiological parameters during the acute stroke recovery period.Methods: The quasi-experimental research design was used in the neurology department at Mansoura University Hospital. A convenient sample of sixty-four adult patients of both sex with stroke, who corresponded to inclusion criteria was assigned into two equal groups, study group (rehabilitation group) and control group (conventional care).Results: The results indicates, acute phase rehabilitation limit physiological parameters deterioration during acute stroke recovery period comparing to conventional care only.Conclusions: Acute phase stroke rehabilitation has a significant positive impact on physiological parameters.

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