scholarly journals Effect of Humor Therapy on Chronic Pain: A Literature Review

2019 ◽  
Vol 2 (2) ◽  
pp. 97-101
Author(s):  
Yusnaeni Yusnaeni ◽  
Kadek Ayu Erika ◽  
Rini Rachmawaty
Keyword(s):  
Chronic Pain ◽  
Psychological Intervention ◽  
Emotional Experience ◽  
Review Literature ◽  
Moderate Intensity ◽  
Control Group ◽  
Evidence Based ◽  
Scientific Publications ◽  
Control Group Design ◽  
Evidence Based Nursing

Introduction: Chronic pain is an unpleasant sensory and emotional experience with actual or potential tissue damage, or is described as a damage lasting more than 3 months with heavy or moderate intensity. The patient's response to the pain he experienced was done in different ways such as shouting, grimacing, crying, etc. Repair of pain is likely to occur more quickly when psychological intervention is included in medical care because it requires alternative and complementary treatment to overcome the pain including prayer , humor, hypnosis, and group support. Growing evidence-based nursing practice shows progress in helping patients deal with the pain. One of the evidence-based nursing practices is humor therapy. Method: The literature search was done through searching the results of scientific publications 2010-2018 using several databases, such as Such as Google scholar, PubMed, DOAJ, and Cochran, with keyword "Humor Therapy and Chronic Pain. Result: Obtained 6 fulltext articles, were obtained with various methods used, such as quasi-experimental pre- and posttest control group design, randomized two-group review literature, concluded that humor therapy proved effective in reducing chronic pain in all ages. Conclusion: The humor therapy is effective in reducing chronic pain in patients of all ages, both children, adults and the elderly, besides humor therapy can also be used to increase endurance and quality of life in elderly who are cared for in nursing homes

scholarly journals Acute Moderate Intensity Exercise Decreases Oxygen Saturation In Obese Women

2020 ◽  
Vol 9 (2) ◽  
pp. 310-315
Author(s):  
Cornelius Coli ◽  
Gadis Meinar Sari ◽  
Purwo Sri Rejeki
Keyword(s):  
Oxygen Saturation ◽  
Acute Exercise ◽  
Fasting Blood Glucose ◽  
Moderate Intensity ◽  
Control Group ◽  
Obese Women ◽  
Moderate Intensity Exercise ◽  
Control Group Design ◽  
Percentage Body Fat ◽  
Exercise Interventions

This study aims to analyze acute moderate intensity exercise decreases oxygen saturation in obese women. True experiment with a randomized control group design posttest-only design using 14 obese women aged 19-24 years, body mass index 27-33 kg/m2, percentage body fat (PBF) above 30 % and fasting blood glucose (FBG) below 100 mg/dL, normal hemoglobin, normal systolic and diastolic blood pressure, normal resting heart rate and randomly divided into two groups, namely CON (n=7, control without intervention) and MIE (n=7, moderate intensity exercise). Moderate intensity exercise interventions carried out for 40 minutes using a treadmill. Blood sampling is done 10 minutes after the intervention. Measurement of oxygen saturation using a Pulse Oximeter. The results obtained mean oxygen saturation at CON (98.428±0.534) % and MIE (96.571±0.975) % (p=0.001). Based on the results of the study concluded that moderate moderate intensity acute exercise reduces oxygen saturation in obese women.

scholarly journals The role of the psychologist in the inpatient pain service: development and initial outcomes

2020 ◽  
pp. 204946372092621
Author(s):  
Chandran Jepegnanam ◽  
Eleanor Bull ◽  
Sujesh Bansal ◽  
David McCarthy ◽  
Maureen Booth ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Length Of Stay ◽  
Hospital Admissions ◽  
Psychological Intervention ◽  
Intervention Group ◽  
Skills Training ◽  
Service Evaluation ◽  
Control Group ◽  
Psychological Interventions

Aim: This article describes the development and initial evaluation of introducing a psychologist role within an adult inpatient pain service (IPS) in a large North West of England National Health Service (NHS) trust. Background: The role of a psychologist in the management of outpatient chronic pain has been well documented, but their role within the IPS is less well described and rarely evaluated. We describe the development of a psychologist role within the team and initial service evaluation outcomes. Methods: Following an initial needs assessment, a band 8c psychologist joined the IPS one day per week offering brief one-to-one psychological interventions to people struggling with acute or chronic pain in hospital referred by inpatient pain team. The psychologist had an indirect role offering training, supervision and support to members of the inpatient pain team. Regarding direct patient work, following psychometric screening for pain-related disability and distress, a cognitive behavioural therapy (CBT) approach was applied including identifying unhelpful beliefs about pain, psychoeducation about acute and persistent pain, developing and sharing formulations, skills training including breathing and relaxation exercises and where appropriate, signposting onto an outpatient chronic pain services for further pain self-management advice (e.g. pain management programme. To explore the impact of this direct intervention, a prospective service evaluation with a controlled before and after design was conducted. This compared (a) number of admissions and (b) length-of-stay outcomes in the 12 months following psychometric screening for patients who received psychological input (n = 34, the treatment group) and a sample who did not receive input because of discharge before intervention or non-availability of the psychologist, for example, annual leave (n = 30, control group). Demographic information and summaries of psychometric questionnaires were also analysed. Results: Of the sample of 64 patients, 50 were women, ages ranged from 18–80 years, 72% reported being currently unemployed or off sick from work and on screening and 39% and 48% met criteria for severe depression and pain-related anxiety, respectively. Hospital admissions in the intervention group reduced significantly (by 60%) in the 12 months following screening but increased (by 7%) for the control group (F(1,62) = 7.21, p = .009). Days of stay in hospital reduced significantly more (by 84%) in the intervention group than in the control group (by 41%) (F(1,62) = 8.90, p = .004). Illustrated case studies of brief psychological intervention with three people struggling with pain-related distress are presented. Conclusions: The psychologist became a valuable member of the multi-disciplinary IPS team, offering brief direct and indirect psychological interventions. While a relatively small sample, our prospective service evaluation data suggest brief psychological intervention may contribute to reduced length of stay and hospital admissions for people experiencing pain-related distress in hospital.

scholarly journals Secretion Of PGC-1α By Modulating Physical Exercise To Protect Improving Obesity Prevalence

2020 ◽  
Vol 9 (2) ◽  
pp. 345-352
Author(s):  
Moch Nasmay Lupita ◽  
Desiana Merawati ◽  
Sugiharto Sugiharto
Keyword(s):  
Physical Exercise ◽  
Moderate Intensity ◽  
Enzyme Linked Immunosorbent Assay ◽  
Control Group ◽  
Obese Women ◽  
Obesity Prevalence ◽  
Control Group Design ◽  
Interval Exercise ◽  
Prevalence Of Obesity ◽  
Post Hoc

This study aims to analyze the response of physical exercise as a modulation of PGC-1α to protect against the increasing prevalence of obesity. This research is a true experimental design with the randomized pretest-posttest control group design using 15 obese women aged 18-22 years, Body Mass Index (BMI) 25-35 kg/m2, normal blood pressure, Resting Heart Rate (RHR) normal, VO2max 25-35 ml/kg/min and randomly divided into three groups, namely CONT (n=5, Control Without Intervention), MIIE (n=5, Moderate Intensity Interval Exercise) and MICE (n=5, Moderate Intensity Continuous Exercise). The intervention was carried out at 07.00-09.00 a.m. MIIE and MICE interventions carried out for 40-45 minutes using a treadmill. Pre-exercise blood sampling and 10 minutes post-exercise. Measurement of PGC-1α levels used the Enzyme-Linked Immunosorbent Assay (ELISA) method. Data analysis techniques used ANOVA test and LSD post hoc test with the Statistical Package for Social Science (SPSS)

scholarly journals Application Effect of Informationized Teaching Method Based on Evidence-based Nursing in Surgical Nursing Teaching

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Yadi Wang
Keyword(s):  
Teaching Methods ◽  
Teaching Method ◽  
Control Group ◽  
Teaching Model ◽  
Evidence Based ◽  
Theoretical Knowledge ◽  
Traditional Teaching ◽  
Observation Group ◽  
Research Objects ◽  
Evidence Based Nursing

Objective: The study was to analyze the application effect of informationized teaching method based on evidence-based nursing in surgical nursing teaching. Methods: From December 2019 to December 2020, 60 students were selected as the research objects and randomly divided into two groups, each with 30 students in the teaching group. The observation group applied informationized teaching based on evidence-based nursing method,and the control group used the traditional teaching model. The teaching effect was evaluated. Results: The test scores of subjective theoretical knowledge and objective theoretical knowledge of the observation group were significantly higher than those of the control group, and the comprehensive ability evaluation of the observation group was also higher (P<0.05). The majority of students accepted the informationized teaching method based on evidence-based nursing, and a few held a neutral or disapproval attitude. Conclusion:  Informationized teaching method based on evidence based nursing can improve students' theoretical and practical levels in surgical nursing teaching, and most students also accept this teaching method, which has application value.

The definition of fibromyalgia

2018 ◽  
Author(s):  
Mike Shipley
Keyword(s):  
Chronic Pain ◽  
Matched Control ◽  
Control Group ◽  
Evidence Based ◽  
Matched Control Group ◽  
Primary Fibromyalgia ◽  
Management Approaches ◽  
Definition Of ◽  
Normal Controls

The landmark paper discussed in this chapter is ‘Primary fibromyalgia (fibrositis): Clinical study of 50 patients with matched normal controls’, published by Yunus et al. in 1981. Over the years, long-term pain has had a confusing variety of names and, to some extent, that confusion persists. Chronic pain can be defined as pain which persists beyond the time expected for healing. Yunus et al. were the first to define fibromyalgia (fibrositis), as they called it, developing evidence-based diagnostic guidelines by comparing a group of patients with a pain-free matched control group. Based on their work, they also suggested a series of pain management approaches which remain valid today.

scholarly journals Moderate Intensity Exercise is Most Influential in The Expression of UCP-1 in Mice Male

2019 ◽  
Vol 3 (12) ◽  
pp. 490-492
Author(s):  
Chabib Fachry Albab ◽  
Purwo Sri Rejeki ◽  
Muhammad Miftahussurur ◽  
Soebagijo Adi Soelistijo
Keyword(s):  
Treatment Group ◽  
Exercise Intensity ◽  
Intensity Variation ◽  
Negative Control Group ◽  
Negative Control ◽  
Moderate Intensity ◽  
Control Group ◽  
Male Mice ◽  
Moderate Intensity Exercise ◽  
Control Group Design

Sufficient exercise was considered enough to reduce the number of obesities through the process of fat browning. This research was conducted to prove the effect of exercise intensity on fat browning process through increased UCP-1 expression in male mice. Laboratory experimental research with a post test only control group design approach using 24 mice was divided into 4 groups. Determination of the group was based on the negative control group, mild intensity swimming treatment group, moderate intensity swimming treatment group, and heavy intensity swimming treatment group. The treatment was carried out for four weeks with a frequency of three times a week. The control group had UCP-1 expression of 5.47 ± 0.83 IRS / LP, the mild intensity swimming group had UCP-1 expression of 7.23 ± 1.57 IRS / LP, the moderate intensity swimming group had UCP-1 expression of 9.17 ± 1.65 IRS / LP, and the heavy intensity swimming group had an expression of 6.93 ± 1.42 IRS / LP. The giving of exercise intensity variation affects the expression of UCP-1 in male mice. Moderate intensity exercise has the highest UCP-1 expression. Keywords: exercise intensity; UCP-1; male mice

scholarly journals EFFECT OF ASIATIC MANGROVE (RHIZOPHORA MICRONATA) LEAVES EXTRACT AS ANALGESIC IN MALE ALBINO DDW MICE (MUS MUSCULUS L.) INDUCED BY 0,7% ACETIC ACID

2021 ◽  
Vol 5 (2) ◽  
pp. 1-8
Author(s):  
Erika Widianingsih Nanuru ◽  
Lestari Dewi ◽  
Prajogo Wibowo
Keyword(s):  
Acetic Acid ◽  
Emotional Experience ◽  
Mucosal Damage ◽  
Gastric Mucosal Damage ◽  
Control Group ◽  
Rhizophora Mucronata ◽  
Control Group Design ◽  
Significant Difference ◽  
Post Test ◽  
The Difference

Background : Pain is an unpleasant emotional experience that illustrates ongoing tissue damage. Excessive use of non-steroidal anti-inflammatory drugs can cause peptic ulcer to gastric mucosal damage and perforation. Indonesia contains the largest area of mangrove forest in the world. There are 45 species of mangrove found and one of them is Asiatic Mangrove (Rhizophora mucronata). This type is easy to find and rich of alkaloids and flavonoids which can be used as analgesics. Method:  This study used post-test only control group design. The number of mice that used was 25 mice, divided into 5 groups. Which were given different therapies aquadest 10mL/KgBW, acetosal 150 mg/KgBW, extract of Rhizophora mucronata 250 mg/KgBW, 500 mg/KgBW, and 1000 mg/kg bw. The pain was induced by 0,7% glacial acetic acid at a dose of 10 mL/KgBW.  The writhes of the mice was being calculated with an interval of 10 minutes in 30 minutes. Result:  The results of the analysis showed the decrease in writhes of mice  in acetosal group dose 150 mg/kg bw, Rhizophora mucronata leaves extract dose 250 mg/kg bw, 500 mg/kg bw, and 1000 mg/kg bw. There was a significant difference in the results of the Mann-Whitney U test with p<0,05 in the aquadest group and the acetosal group with the Rhizophora mucronata leaves extract group dose 500 mg/kg bw, the difference between the acetosal group and the Rhizophora mucronata leaves extract group dose 250 mg/kg bw, and the difference between the Rhizophora mucronata leaves extract group dose 500 mg/kg bw and the Rhizophora mucronata leaves extract group dose 1000 mg/kg bw. Conclusion: Rhizophora mucronata leaves extract dose 500 mg/kg bw can provide analgesic effect and can reduce the writhing frequency in mice much better than acetosal group.

scholarly journals Application of Evidence-based Nursing in Elderly Patients with Arrhythmia after Acute Myocardial Infarction

2019 ◽  
Vol 1 (01) ◽  
Author(s):  
Xiongxin Wang ◽  
Man Xu
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Elderly Patients ◽  
Nursing Intervention ◽  
Control Group ◽  
Evidence Based ◽  
Clinical Effects ◽  
Observation Group ◽  
The Difference ◽  
Evidence Based Nursing

Objective: To investigate the effect of evidence-based nursing intervention in elderly patients with arrhythmia after acute myocardial infarction. Methods: 146 elderly patients with arrhythmia after acute myocardial infarction treated in our hospital from February 2016 to March 2017 were selected as research objects. According to the random number method, patients were divided into control group (73 cases, traditional nursing) and observation group (73 cases, evidence-based nursing intervention). The clinical effects and nursing satisfaction of the two groups were compared. Results: The hospital stay, average bed rest time, hospitalization cost, and incidence of arrhythmia complications in the observation group were significantly lower than those in the control group. The difference was statistically significant (P<0.05). After nursing, the four grades of heart function and satisfaction of nursing in the observation group were significantly higher than those in the control group. The difference was statistically significant (P<0.05). Conclusions: In elderly patients with arrhythmia after acute myocardial infarction, evidence-based nursing intervention was adopted. The patient's health has been greatly improved and the doctor-patient relationship has been significantly improved. This method is worth promoting.

scholarly journals Understanding And Restoring Dopaminergic Function In Fibromyalgia Patients Using A Mindfulness-Based Psychological Intervention: A [18F]-DOPA PET StudyStudy Protocol For The FIBRODOPA Study- A Randomized Controlled Trial

2021 ◽  
Author(s):  
Katharina Ledermann ◽  
Roland von Känel ◽  
Chantal Berna-Renella ◽  
Haiko Sprott ◽  
Josef Jenewein ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Health Care Providers ◽  
Group Intervention ◽  
Psychological Intervention ◽  
Controlled Trial ◽  
Reward Processing ◽  
Monetary Reward ◽  
Pharmacological Intervention ◽  
Control Group ◽  
Care Providers

Abstract Background: (FM). Fibromyalgia (FM) is a very prevalent and debilitating chronic pain disorder that is difficult to treat. Mindfulness-based techniques are regarded as a very promising approach for the treatment of chronic pain and in particular FM. The Mindfulness-Oriented Recovery Enhancement (MORE) intervention, a mindfulness-based group intervention, has shown beneficial effects in opioid-treated chronic pain patients, including reduced pain severity, functional interference, and opioid dosing, by restoring neurophysiological and behavioral responses to reward. First evidence for a hypodopaminergic state and impaired reward processing in FM have been reported. However, little is known about its impact on dopamine (DA) function and in particular with regard to DA responses to monetary reward in FM. The aim of the present study protocol is to evaluate if MORE is able to restore the DA function in FM patients, in particular with regard to the DA responses to reward, and to reduce pain and mood complaints in FM.Methods/design: The present study is a multi-center RCT with 3 time points: before the intervention, after completion of the intervention and 3-months after completion of the intervention. Eighty FM patients will be randomly assigned to either the MORE intervention (N=40) or to a wait-list control group (N=40). Additionally a comparison group of healthy women (N=20) will be enrolled. The MORE intervention consists of eight 2-hour long group sessions administered weekly over a period of 8 weeks. Before and after the intervention, FM participants will undergo [18F] DOPA Positron Emission Tomography (PET) and functional MR imaging while performing a monetary reward task. The primary outcome will be endogeneous DA changes measured with [18F] DOPA PET at baseline, after the intervention (after 8 weeks for control group), and at 3 months’ follow-up. Secondary outcomes will be (1) clinical pain measures and FM symptoms using standardized clinical scales 2) functional brain changes 3) measures of negative and positive affect, stress and reward experience in daily life using the Experience Sampling method (ESM) 4) biological measures of stress including cortisol and alpha-amylase.Design: If the findings of this study confirm the effectiveness of MORE in restoring DA function, reducing pain and improving mood symptoms, MORE can be judged to be a promising means to improve quality of life in FM patients. The findings of this trial may inform health care providers about the potential use of the MORE intervention as a possible non-pharmacological intervention for FM.Trial registration: ClinicalTrials.gov NCT 04451564. Registered on 3 July 2020. The trial was prospectively registered.

scholarly journals Application of Evidence-based Nursing in Elderly Patients with Arrhythmia after Acute Myocardial Infarction

2019 ◽  
Vol 1 (1) ◽  
Author(s):  
Xiongxin Wang ◽  
Man Xu
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Elderly Patients ◽  
Nursing Intervention ◽  
Control Group ◽  
Evidence Based ◽  
Clinical Effects ◽  
Observation Group ◽  
The Difference ◽  
Evidence Based Nursing

Objective: To investigate the effect of evidence-based nursing intervention in elderly patients with arrhythmia after acute myocardial infarction. Methods: 146 elderly patients with arrhythmia after acute myocardial infarction treated in our hospital from February 2016 to March 2017 were selected as research objects. According to the random number method, patients were divided into control group (73 cases, traditional nursing) and observation group (73 cases, evidence-based nursing intervention). The clinical effects and nursing satisfaction of the two groups were compared. Results: The hospital stay, average bed rest time, hospitalization cost, and incidence of arrhythmia complications in the observation group were significantly lower than those in the control group. The difference was statistically significant (P<0.05). After nursing, the four grades of heart function and satisfaction of nursing in the observation group were significantly higher than those in the control group. The difference was statistically significant (P<0.05). Conclusions: In elderly patients with arrhythmia after acute myocardial infarction, evidence-based nursing intervention was adopted. The patient's health has been greatly improved and the doctor-patient relationship has been significantly improved. This method is worth promoting.

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