scholarly journals The effect of the preoperative anaesthesiological interview on the levels of stress and anxiety of the heart surgical patient

2016 ◽  
Vol 10 (4) ◽  
pp. 2237-2240
Author(s):  
Androula C. Karaolia ◽  
Georgios I. Tagarakis ◽  
Elena Argyriadou ◽  
Ilias Bonotis ◽  
Ioannis Alexiou ◽  
...  
Keyword(s):  
Trait Anxiety ◽  
Surgical Procedures ◽  
Heart Surgery ◽  
Intervention Group ◽  
Positive Influence ◽  
Control Group ◽  
Surgical Patient ◽  
Test Results ◽  
State Trait Anxiety Inventory ◽  
Surgical Operations

Background. Stress and Anxiety are commonly observed before major surgical procedures, such as heart surgical operations. Aim of the current study is to investigate the effect of the preoperative anaesthesiological interview on these parameters. Methods. We prospectively included in the study 152 patients planned to undergo elective heart surgery. All patients were examined with the State-Trait anxiety inventory (STAI) scale on admission and again before surgery (prior to the anaesthesiological interview for the control group and after the latter for the intervention group). Results. Members of the control group had significantly higher levels of stress based on the test results, on the day prior to surgery. On the contrary, the members of the intervention group had significantly lower levels of stress on the same day. Conclusions. The anaesthesiological interview has a positive influence as it lowers the preoperative levels of stress and anxiety. 

scholarly journals Effects of relaxation exercises on the ways of coping with stress and anxiety level in primiparous pregnant women diagnosed with preterm labor

2017 ◽  
Vol 14 (4) ◽  
pp. 3158 ◽  
Author(s):  
Ayten Arıöz Düzgün ◽  
Emel Ege
Keyword(s):  
Pregnant Women ◽  
Trait Anxiety ◽  
Preterm Labor ◽  
Intervention Group ◽  
Control Group ◽  
State Trait Anxiety Inventory ◽  
Coping With Stress ◽  
Ways Of Coping ◽  
The Difference ◽  
Relaxation Exercises

This experimental study aims to evaluate the effects of relaxation exercises on the ways of coping with stress and anxiety level in primiparous women diagnosed with preterm labor. The study included a total of 60 pregnant women who were admitted to the outpatients clinics of the Department of Obstetrics and Gynecology at a tertiary setting between November 2012 and February 2014. Of these women, 30 were allocated into the intervention group and 30 were allocated into the control group. The Pregnant Women Identity Information Form, Ways of Coping with Stress Inventory, and State-Trait Anxiety Inventory were used as data collection tools.The pregnant women in the intervention group achieved higher scores in the State-Trait Anxiety Inventory in the first assessment and lower scores in the final assessment, and the difference from baseline was significantly different (p<0.005). The women in the control group achieved lower scores in the State-Trait Anxiety Inventory in the first assessment and higher scores in the final assessment, and the difference from baseline was significantly different (p<0.005). The scores of pregnant women in the intervention group in efficient ways of coping subscale increased as from the baseline (p<0.005), whereas there was an increase in the scores of women in the control group in inefficient ways of coping subscale and the difference was statistically significant (p<0.005). Our study results suggest that relaxation exercises are effective in reducing anxiety and coping with stress in pregnant women with imminent premature labor.

P205 Effectiveness of a portable patient education video prior to coronary angiography and angioplasty

2020 ◽  
Vol 41 (Supplement_1) ◽  
Author(s):  
T Teo ◽  
J Yap ◽  
P Fong ◽  
N Hussin ◽  
H Wang ◽  
...  
Keyword(s):  
Patient Education ◽  
Coronary Angiography ◽  
Trait Anxiety ◽  
Intervention Group ◽  
Standard Of Care ◽  
Adverse Outcomes ◽  
Bleeding Complications ◽  
Control Group ◽  
P Value ◽  
State Trait Anxiety Inventory

Abstract Introduction  Coronary angiography and angioplasty is widely used in the diagnosis and treatment of coronary artery disease. Limited time to explain the procedure to patients in busy clinical settings may lead to increased adverse outcomes.  Purpose To evaluate the effectiveness of a portable patient education video in improving knowledge and allaying patient"s anxiety prior to coronary angiography and angioplasty. Methods  Consecutive patients undergoing coronary angiography and angioplasty were prospectively recruited over 1 year from June 2016 to May 2017 from a tertiary cardiac institution. We developed a 3 minute animated patient education video on the procedure. Patients were randomised 1:3 into a control group (receiving routine standard of care) and intervention group (watched video plus routine standard of care). Before the procedure, a self-administered written survey was conducted in the control group, pre-video in the intervention group, and post-video in the intervention group. Demographic data, knowledge and State Trait Anxiety Inventory (STAI) scores were gathered. Figure 1 shows excerpts of the video. Results We recruited 332 patients- 80 controls (80% males, mean age 59.6 ± 11.5, 51% previous procedures) and 252 intervention group (86% males, mean age 59.0 ± 9.4, 52% previous procedure). Compared to the control group, the intervention group had lower overall baseline knowledge scores (7.6vs8.5, p = 0.022) and similar anxiety scores (94vs92, p = 0.323); but significantly higher overall knowledge scores (10.3vs8.5, p= &lt;0.001) and lower anxiety scores (75vs92, p= &lt;0.001) after watching the video. Within the intervention group, there was a significant increase in overall knowledge scores (7.6vs10.3, p= &lt;0.001) and reduction in anxiety scores (94vs 75, p= &lt;0.001) before versus after watching the video. See Table 1. Subjectively, after watching the video, 98% of the patients reported benefit, 96% were more prepared and 85% less worried. There was significant improvement in knowledge scores and reduction in anxiety scores (p &lt; 0.001) in the subset of patients who had previously underwent a similar procedure (n = 131). Conclusion The video improved knowledge and reduced anxiety in patients undergoing coronary angiography and angioplasty. This is a useful adjunct to incorporate into existing workflows to improve patient care. Table 1 Total scores* Procedural events - Sedation Procedural events - Access site Procedural events-Contrast Procedural events-Stent Complications-General risk Complications-Bleeding Complications-Myocardial infarction Complications-Stroke Complications-Re-stenosis Anxiety-STAI# P-value comparing pre and post amongst cases (n = 252) &lt;0.001 &lt;0.001 &lt;0.001 &lt;0.001 &lt;0.001 0.094 &lt;0.001 &lt;0.001 &lt;0.001 &lt;0.001 &lt;0.001 P-value comparing cases (post) and controls (n = 80) &lt;0.001 0.042 0.005 0.006 0.131 0.021 &lt;0.001 &lt;0.001 &lt;0.001 &lt;0.001 &lt;0.001 * Range from 0-12 # State-Trait Anxiety Inventory (STAI), 40 questions, score range from 40-160 Abstract P205 Figure 1

scholarly journals The Effect of a Stress and Anxiety Coping Program on Objective Structured Clinical Examination Performance Among Nursing Students in Shiraz, Iran

2019 ◽  
Author(s):  
Sadaf Mojarrab ◽  
Leila Bazrafkan ◽  
Azita Jaberi
Keyword(s):  
Nursing Students ◽  
Trait Anxiety ◽  
Clinical Examination ◽  
Substantial Reduction ◽  
Intervention Group ◽  
Anxiety Reduction ◽  
Objective Structured Clinical Examination ◽  
Control Group ◽  
State Trait Anxiety Inventory ◽  
Significant Difference

Abstract ABSTRACT Background: Nursing students experience a significant level of stress and anxiety prior to the objective structured clinical examination (OSCE). The present study aimed to evaluate the effect of anxiety coping program on the OSCE performance level of first-year nursing students in Shiraz, Iran. Methods: The present two-stage interventional study was conducted among 76 nursing students; control group: n=35 and intervention group: n=41. Data collection instruments included a demographic characteristic form and State-Trait Anxiety Inventory (STAI) questionnaire. The intervention group followed anxiety coping program before taking the OSCE. The STAI questionnaire was filled in before and after the OSCE and the results were compared with those of the control group. The data were analysed using SPSS software (version 22.0). P<0.05 was considered statistically significant. Results: Demographic characteristics of the participants indicated an overall homogeneity within the study population. As a result of the anxiety coping program, a substantial reduction in the anxiety score (by 11.61 units) in the intervention group was observed. There was a significant difference in the pre- and post-exam anxiety scores between the control and intervention groups (P=0.001). The anxiety coping program improved the examination results of nursing students in the final exam compared to the midterm results (an increase of 0.9487 units, P=0.001). Conclusion: The anxiety coping program reduced the anxiety level among nursing students and improved their OSCE results. Educational planners should consider anxiety reduction strategies to help students improve their examination results. Keywords: Anxiety, Nursing Students, State-Trait Anxiety Inventory

scholarly journals Bone Metabolism Markers and their Correlation with Body Mass Index in Aerobic Physical Activity

2018 ◽  
Vol 49 (2) ◽  
Author(s):  
Zorislava Bajić ◽  
Nela Rašeta ◽  
Nenad Ponorac
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Bone Formation ◽  
Body Mass ◽  
Young Women ◽  
Intervention Group ◽  
Positive Influence ◽  
Control Group ◽  
Bone Resorption Marker

Introduction: Bone formation marker osteocalcin (OC) and bone resorption marker C-terminal telopeptide of type 1 collagen (CTX) can be used to detect or to monitor the early responses of the skeleton to physical activity. Literature suggests that it is likely that higher body mass index (BMI) has positive effect on bones and can postpone onset of osteoporosis.Aim of the Study: The aim of this study is to:1.Determine the effect of aerobic physical acitivity on OC and CTX in young women2.Investigate correlation of OC, CTX and BMI in young women engaged into structured aerobic excerciseMaterial and methods: Study included 64 healthy young women, aged 19 to 25 years, devided into two groups: intervention group (n=32) and control group (n=32). The study duration was six weeks with follow-up period of four weeks. The intervention group underwent structured aerobic physical activity program for six weeks, but the control group did not receive such program. Level of OC, CTX and BMI were measured at baseline, after 6-week aerobic program, and after 4-week follow up (only intervention group).Results: There was significant increase of OC level after 6-week aerobic program, while level of CTX did not changed. OC level was at its maximum immediately after finishing the program in the participants with normal BMI (p<0.001). There was no statistically significant interaction of BMI and CTX level.Conclusion: Aerobic physical activity increases level of osteocalcin, suggesting that it has positive influence on bone formation in young women, primarily in women with normal BMI.

scholarly journals Influences of Therapeutic Communication on Model of Structural Reflection on Parents of Patients Satisfaction

2020 ◽  
Vol 5 (1) ◽  
pp. 208
Author(s):  
Agostinha Soares ◽  
Kusnanto Kusnanto ◽  
Ninuk Dian Kurniawati
Keyword(s):  
Intervention Group ◽  
Parent Satisfaction ◽  
Practical Experience ◽  
Positive Influence ◽  
General Purpose ◽  
Control Group ◽  
Therapeutic Communication ◽  
Control Group Design ◽  
Reflection Model ◽  
Timor Leste

Background: Therapeutic communication with reflection is a process of learning from experience, recapturing practical experience and reflecting on it critically to gain new understanding, tends to involve individual practitioners to become self-aware of the situation. However, at the Hospital in Dili Timor Leste the nurse does not explain the procedure of giving medication to the patient's parents. Purpose: The general purpose of the study is to know the effect of therapeutic communication with the model of structural reflection on patient parent satisfaction Methods: In this study using a posttest-only control group design with a sample of 126 people in each group of 63 people Purposive sampling method. Intervention using the MSR module, for 3 consecutive days, on the third day the two groups conducted a post-test using a questionnaire on patient satisfaction, using Mann Whitney analysis. Results: The results of this study obtained a value of p = 0,000 which means that there is a significant influence between the control group in the perinatology room and the intervention group in the pediatric room on the satisfaction of patients' parents in the Pediatric Department of Hospital Dili Timor Leste Conclusion: Therapeutic communication with the structural reflection model (MSR) has a positive influence on the patient's parents at the Dili Timor Teste Hospital, the patient's parents are very satisfied with the communication made by the nurse, with therapeutic communication the nurse looks for the patient, supports, supports, questions, establishes a relationship of trust , the method required by this MSR needs to be applied in Hospital Dili Timor Leste

Influence of Adolescent Reproductive Health Promotion Media Booklet on Knowledge and Attitude of Adolescents Living in Work Area of Ibrahim Adjie Public Health Center in 2018

2020 ◽  
Vol 8 (2) ◽  
Author(s):  
Sri Hennyati Amiruddin ◽  
Sri Komalaningsih ◽  
Ma'mun Sutisna ◽  
Hidayat Wijayanegara ◽  
Leri Septiani ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Intervention Group ◽  
Control Group ◽  
Test Results ◽  
Work Area ◽  
Post Test ◽  
Quasi Experimental ◽  
Kolmogorov Smirnov ◽  
Adolescent Reproductive Health ◽  
Knowledge And Attitude

Adolescent period is a critical period that requires quality health services. The aim of this study was to analyze the effect of health education through booklet media on the knowledge and attitude towards reproductive health among adolescents. This was a quasi-experimental case control study with nonequivalent two group design conducted on 282 students of SMP Negeri 37, a public junior high school, in the work area of Ibrahim Adjie Public Health Center in Bandung city during December 2018–May 2019. Subjects were divided into two groups, intervention and control groups, with 141 subjects in each group. Data collected were tested for normality and homogeneity using Kolmogorov-Smirnov and Levene tests, respectively, followed by a bivariate analysis using Wilcoxon test to determine the difference. Knowledge of all students in both groups was poor during pre-test with an increase found in 135 subjects (95.7%) in the intervention group (p=0.001) and 63 subjects (44.7%) in the control group (p=0.003) based on the post-test results. Negative attitude was also seen in both groups during pre-test, with a shift towards positive attitude was evident in 134 students (95.0%) in the intervention group (p=0.001) and 117 students (83.0%) in the control group (p=0.002) based on post-test results. This presence that health information conveyed through booklet has a probability of giving 0.995 times stronger influence leaflet. Thus, the use of booklet can improve knowledge and attitude towards adolescent reproductive health. PENGARUH BOOKLET MEDIA PROMOSI KESEHATAN REPRODUKSI REMAJA TERHADAP PENGETAHUAN DAN SIKAP REMAJA YANG BERTEMPAT TINGGAL DI WILAYAH KERJA PUSKESMAS IBRAHIM ADJIE TAHUN 2018Masa remaja merupakan masa kritis yang membutuhkan pelayanan kesehatan yang berkualitas. Tujuan penelitian ini adalah menganalisis pengaruh pendidikan kesehatan melalui media booklet terhadap pengetahuan dan sikap remaja tentang kesehatan reproduksi. Penelitian ini merupakan penelitian quasi-experimental case control dengan rancangan nonequivalent two group yang dilaksanakan terhadap 282 siswa/i SMP Negeri 37 di wilayah kerja Puskesmas Ibrahim Adjie Kota Bandung selama Desember 2018–Mei 2019. Subjek dibagi menjadi dua kelompok, yaitu kelompok intervensi dan kontrol dengan 141 subjek di setiap kelompok. Data yang terkumpul diuji normalitas dan homogenitasnya masing-masing menggunakan Uji Kolmogorov-Smirnov dan Levene, dilanjutkan dengan analisis bivariat menggunakan Uji Wilcoxon untuk mengetahui perbedaannya. Pengetahuan semua siswa pada kedua kelompok kurang saat pre-test dengan peningkatan pengetahuan 135 subjek (95,7%) pada kelompok intervensi (p=0,001) dan 63 subjek (44,7%) pada kelompok kontrol (p=0,003) berdasar atas hasil post-test. Sikap negatif juga terlihat pada kedua kelompok selama pre-test dengan pergeseran ke arah sikap positif 134 siswa (95,0%) pada kelompok intervensi (p=0,001) dan 117 siswa (83,0%) pada kelompok kontrol (p=0,002) berdasar atas hasil post-test. Informasi kesehatan yang disampaikan melalui media booklet ini berpeluang memberikan pengaruh 0,995 kali lebih kuat daripada media leaflet. Dengan demikian, penggunaan booklet dapat meningkatkan pengetahuan dan sikap remaja terhadap kesehatan reproduksi. Simpulan, terdapat pengaruh pendidikan kesehatan melalui media booklet terhadap pengetahuan dan sikap remaja tentang kesehatan reproduksi.

Reflective testing – A randomized controlled trial in primary care patients

2020 ◽  
pp. 000456322096837
Author(s):  
Wytze P Oosterhuis ◽  
Wilhelmine PHG Verboeket-van de Venne ◽  
Cees TBM van Deursen ◽  
Henri EJH Stoffers ◽  
Bernadette AC van Acker ◽  
...  
Keyword(s):  
Primary Care ◽  
Randomized Controlled Trial ◽  
General Practitioners ◽  
Medical Records ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Test Results ◽  
Randomized Controlled ◽  
Primary Care Patients

Background Reflective testing, i.e. interpreting, commenting on and, if necessary, adding tests in order to aid the diagnostic process in a meaningful and efficient manner, is an extra service provided by laboratory medicine. However, there have been no prospective randomized controlled trials investigating the value of reflective testing in patient management. Methods In this trial, primary care patients were randomly allocated to an intervention group, where general practitioners received laboratory tests results as requested as well as add-on test results with interpretative comments where considered appropriate by the laboratory specialist, or to a control group, where general practitioners only received the laboratory test results requested. Patients’ medical records were evaluated with a follow-up period of six months. For both groups, the primary outcome measures, i.e. both intended action and actual management action, were blindly assessed by an independent expert panel as adequate, neutral or inadequate. Results In 226 of the 270 cases (84%), reflective testing was considered to be useful for the patient. In the intervention group ( n = 148), actual management by the general practitioner was scored as adequate ( n = 104; 70%), neutral ( n = 29; 20%) or not adequate ( n = 15; 10%). In the control group ( n = 122), these numbers were 57 (47%), 37 (30%) and 28 (23%). This difference was statistically significant ( P < 0.001). Conclusion This randomized controlled trial showed a positive effect of reflective testing in primary care patients on the adequacy of their management, as documented in medical records.

Use of Music Intervention for Reducing Anxiety and Promoting Satisfaction in First-Time Filipino Fathers

2014 ◽  
Vol 10 (2) ◽  
pp. 120-127 ◽  
Author(s):  
Leodoro J. Labrague ◽  
Denise M. McEnroe-Petitte
Keyword(s):  
Visual Analogue Scale ◽  
Trait Anxiety ◽  
Analogue Scale ◽  
Lower State ◽  
Control Group ◽  
Music Intervention ◽  
State Trait Anxiety Inventory ◽  
Paternal Anxiety ◽  
First Time ◽  
Experimental Group

Childbirth is an anxiety-provoking event in a man’s life. Therefore, strategies to decrease paternal anxiety during childbirth are necessary. This study determined the effects of music and satisfaction of first-time Filipino fathers during childbirth. In the study, a prospective quasi-experimental design was utilized. Ninety-eight purposive samples of first-time fathers were included in the study, 50 were allocated in the experimental group (music group) and 48 in the control group (nonmusic group) during the months of August to October 2013. Paternal anxiety and satisfaction were measured using the State Trait Anxiety Inventory and the Visual Analogue Scale for Satisfaction, respectively. Results revealed that the first-time fathers in the experimental group had lower State Trait Anxiety Inventory scores ( p < .05) and higher Visual Analogue Scale for Satisfaction scores ( p < .05) than those in the control group. Findings of the study provide substantial evidence to support the use of music in reducing anxiety and promoting satisfaction among first-time fathers during childbirth.

scholarly journals The Potential of Noni (Moringa citrifolia) in Lowering Blood Glucose Levels in Diabetes Mellitus Patients

BIOEDUSCIENCE ◽  
2020 ◽  
Vol 4 (2) ◽  
pp. 120-123
Author(s):  
Putri Dafriani ◽  
Mutiara Karamika ◽  
Siska Sakti Anggraini ◽  
Roza Marlinda
Keyword(s):  
Diabetes Mellitus ◽  
Blood Glucose ◽  
Intervention Group ◽  
Control Group ◽  
Diabetic Patients ◽  
Test Results ◽  
Glucose Levels ◽  
Glucose Testing ◽  
Blood Glucose Levels ◽  
Reduce Blood Glucose

Background: Diabetes Mellitus is a chronic metabolic disorder caused by insulin resistance. Noni juice has the potential as herbal medicine which believed to reduce blood glucose levels. This study aims to determine the effect of noni juice on blood sugar levels on diabetic patients. Methods: This study used 16 respondents. They divided two groups, a control group and a treatment group. Each group consists of 8 respondents. The intervention group received 150 ml of noni juice which was given once a day for ten days. Glucose testing was carried out by the glucose-check method. The blood was taken from the respondent's fingertips capillary. The blood glucose levels between the control group and the intervention group were analyzed using independent t-test. Results: The average blood glucose level in the intervention group was 199.88 mg/dl, while the control group was 326.25 mg/dl. The test results of the mean blood glucose levels between the control group and the intervention group had a significant difference with a value of p = 0.003 (p ≤ 0.05). This indicates a significant effect between blood glucose levels in the control group and the intervention group. Conclusion: Noni can reduce blood glucose levels because it contains flavonoid. It has a hypoglycemic effect. Health workers can suggest consuming noni juice to decrease blood glucose in diabetic patients.    

scholarly journals Effect of relaxation on stress, anxiety and depression level of the caregivers' of cancer patients

2017 ◽  
Vol 26 (2) ◽  
pp. 151-158
Author(s):  
Zinnatul Borak ◽  
Shahjahan Ali ◽  
Sabrina Mahmood
Keyword(s):  
Cancer Patients ◽  
Life Stress ◽  
Intervention Group ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Control Group ◽  
Test Results ◽  
Before And After ◽  
Scale Levels ◽  
Depression Level

The study was carried out to explore the outcome of relaxation on stress, anxiety and depression level of the caregivers of cancer patients. Fifty caregivers of cancer survivors were randomly assigned to two groups. In intervention group, participants received relaxation once a week for five consecutive weeks while control group received no intervention. Stress (life‐stress questionnaire), anxiety (anxiety scale) and depression (depression scale) levels were assessed before and after the intervention. Data were analyzed by independent sample t test. Results showed that relaxation helped the caregivers of cancer patients to reduce their stress and anxiety. But relaxation did not reduce the level of depression. Implication of the research and future guideline are also discussed. Dhaka Univ. J. Biol. Sci. 26(2): 151-158, 2017 (July)

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