Effects of nurse-led square dancing on older patients with mild cognitive impairment combined with depressive symptoms: A pilot study

ObjectiveThe present study aimed to verify the feasibility and preliminary effects of nurse-led square dancing designed to improve older adults’ cognitive function and depressive symptoms who with MCI.MethodsA quasi-experimental pilot study design was adopted for the present study. Screening for cognitive function was conducted among older adults (≥ 60 years old) living in two communities in Beijing who complained of memory loss. A total of 107 older patients with MCI and depressive symptoms were diagnosed after obtaining informed consent. Thirty-five patients selected from each community were included in the study as control and intervention groups, respectively. The two groups of patients received health education while the intervention group participated in a square dance intervention program led by nurses three times per week for 60 min per session over a period of three months. The Montreal Cognitive Assessment-Peking version (MoCA-P) and Geriatric Depression Scale (GDS-30) were used to assess the cognitive function and depressive symptoms of patients in the two groups at three time intervals; before intervention, at the end of the three-month intervention period, and over a three-month follow-up period after the end of intervention.ResultsFeasibility of the intervention was established with a high completion rate of 90%. Data collection for 63 out of 70 patients enrolled for the study was completed after six months. MoCA-P and GDS-30 scores of the intervention group were significantly different after the intervention when compared with the control group. A significant improvement in cognition was observed in the intervention group, and depressive symptoms decreased after intervention and follow-up when compared with the control group. During the intervention and follow-up phases, the MoCA-P score of the intervention group increased gradually with time. Furthermore, the MoCA-P and GDS-30 scores of the control group remained unchanged.ConclusionThis study has revealed that square dance intervention exerts a positive impact on cognitive function and depressive symptoms among older patients suffering from MCI and depressive symptoms. The results of this study support the feasibility and preliminary effects of square dancing on relieving cognitive decline and depressive symptoms. Square dancing is a recommended type of intervention that can be applied to the local Chinese population because of its simplicity, convenience, and suitability for the older adults.     

Important elements in farm animal-assisted interventions for persons with clinical depression: a qualitative interview study

Purpose: The main aim of this study was to obtain participants' own experience of a farm animal-assisted intervention, and what they perceived as important elements in relation to their mental health. Method: A qualitative study, inspired by a phenomenological-hermeneutical perspective was conducted. Eight persons with clinical depression who had completed a 12-week farm animal-assisted intervention at a dairy farm participated in thematic interviews between May and June 2009. Results: The intervention was regarded as a positive experience for the participants. The analyses revealed that central elements in the intervention were the possibility to experience an ordinary work life, but also the importance of a distraction to their illness. Furthermore, the flexibility of the intervention made it possible to adjust the intervention to the participants' shifting reality and was thereby a key element in farm animal-assisted intervention. The flexibility and adapted work tasks were important elements that the participants associated with their experience of coping. A model showing the interaction between the different elements reported as important by the participants was constructed. Conclusions: This study shows that a farm animal-assisted intervention could be a supplement in mental health rehabilitation. All the elements in our model could possibly influence positively on mental health. [Box: see text].     

Developing an intervention to alter catastrophizing in persons with fibromyalgia

PURPOSE: The purpose of this pilot study was to develop and evaluate a brief psychoeducational intervention to decrease pain catastrophizing, a focus on pain and its negative consequences in patients with fibromyalgia. DESIGN: A case-study design was used to design the targeted intervention. The intervention was piloted with 2 small groups of patients and family members. SAMPLE: Thirty-nine patients with fibromyalgia completed the surveys; patients/family members (N = 9) and ten interdisciplinary staff members participated in separate focus groups or e-mail surveys to provide data to develop the intervention. Two additional groups of patients and family members (N = 7) participated in the pilot intervention sessions. FINDINGS: Catastrophic thinking and associated declines in function were confirmed by survey results and focus group themes. A 2-hour session using self-efficacy theory was developed from these findings and other data sources. The patients/family members in pilot groups reported an increased knowledge of pain catastrophizing and satisfaction with the intervention. IMPLICATIONS FOR NURSING PRACTICE: A brief, psychoeducational offering that targets the reduction of catastrophizing is a feasible addition to the usual treatment protocol in a fibromyalgia treatment program and warrants further study.     

How effective is a short‐term educational and support intervention for families of an adolescent with type 1 diabetes?

Purpose. To study adaptation and coping strategies of parents who had adolescents with diabetes and the effect of a short‐term educational and support intervention. Design and Method. A quasi‐experimental design was used in the study on 23 families of adolescents with diabetes. Results. A significant difference was found between parents' coping patterns before the intervention. Fathers were, however, found to rate their coping patterns significantly more helpful after the intervention than before. The mothers demonstrated, nevertheless, a significantly greater use of all the coping patterns. Practice Implications. Educational and support intervention is helpful for parents of adolescents with diabetes.     

Using Touchpoints to promote parental self-competence in low-income, minority, pregnant, and parenting teen mothers

This pilot study was designed to test an intervention developed to increase parenting self-confidence in teen mothers. Group discussions of personal experience and parenting were substituted for a traditional child development course. Using a Touchpoints approach, teachers focused on strengths of the adolescents and their children. Information about child development was presented as it naturally occurred. A total of 20 students took part in the study. There was a significant increase in parenting self-confidence after the intervention. Although the sample size was small, the results were encouraging with this group of teens. A larger study is planned to continue development of the intervention.     

正性音乐刺激联合认知干预对ICU重症肺炎患者的影响

目的探讨正性音乐刺激联合认知干预对ICU重症肺炎患者的影响。方法选取2017年5月至2018年5月收治的80例重症肺炎患者作为研究对象,以随机抽签法分为研究组与对照组,各40例。对照组予以常规护理干预,研究组则予以正性音乐刺激联合认知干预。比较两组在干预前后睡眠指数、情绪状态及自我感受负担方面的差异。结果干预后研究组与对照组匹兹堡睡眠质量指数(PSQI)相比干预前均较低,且研究组低于对照组,差异有统计学意义(均P<0.05)。干预后研究组与对照组自我感受负担量表评分比干预前降低,且研究组低于对照组,差异有统计学意义(均P<0.05)。干预后研究组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比对照组低,差异有统计学意义(均P<0.05)。结论正性音乐刺激联合认知干预可显著改善ICU重症肺炎患者的睡眠质量,同时有利于缓解患者负性情绪,降低自我感受负担。     

Efficacy of therapeutic group by telephone for women with breast cancer

A pilot study was conducted to test the efficacy of a therapeutic group by telephone conference call for women with breast cancer. Sixty-six women with stage I or stage II breast cancer consented to participate in the study. Participants were randomly assigned to a usual psychosocial care or intervention group, using a permuted block method. Only 2 of 68 patients dropped out of the study, which included 27% African Americans. Assessments at 3 time periods (pretest, immediately after the intervention, and 3 months after the group ended) included evaluation of quality of life (QOL), mood, and immune function. ttests were performed to determine if differences on important variables existed at pretest. The intervention group had worse QOL and mood scores than did the control group on the pretests. A mixed-model repeated-measures procedure controlling for pretest differences was used to analyze data. A significant Group by Time interaction was found for spiritual well-being and mood. These differences were not in the expected direction. The intervention group showed improvement in QOL and mood during the intervention, but showed decompensation following the intervention. Conversely, the control group demonstrated stable or declining scores. This intervention is feasible and practical for women with breast cancer, especially African American participants. The puzzling results suggest several areas for future research, including a better conceptual fit with outcome measures, increasing dosage, and exploration of the value of emotional expression.     

护理干预对儿童Tourette综合征的影响

目的探讨护理干预对儿童Tourette综合征(TS)疗效的影响。方法将38例TS患儿随机分成观察组和对照组,观察组采用常规药物治疗与针对性护理干预,对照组采用常规药物治疗。使用耶鲁抽动症整体严重度量表(YGTSS)及Rutter儿童行为问卷(父母问卷)评估干预效果。结果 (1)观察组与对照组干预后较干预前患儿运动抽动评分、发声抽动评分和总体损害程度评分均有显著下降(P0.05),并且干预后观察组的评分显著低于对照组(P0.05);(2)观察组与对照组干预后较干预前患儿Rutter儿童行为问卷总分、A分和N分评分均有显著下降(P0.05),并且干预后观察组的评分显著低于对照组(P0.05)。结论对Tourette综合征患儿,在药物治疗的同时采用针对性的护理干预,有助于改善临床症状及行为问题,提高生活质量。     

Effect of early vocational intervention in a rheumatological outpatient clinic--a randomized study.

This study aims to explore the effect of vocational intervention in a rheumatological outpatient clinic. The study is designed as a randomized study with intervention in 108 patients and with 93 patients serving as controls. The study population comprises patients referred for non-inflammatory diseases of the locomotor system who are all active members of the workforce and whose vocational status is threatened by their disease. Intervention consisted of sociomedical examination, multidisciplinary assessment and individual sociomedical rehabilitation plans. The study shows that intervention was an important instrument in the process of clarifying patients' future maintenance situation as assessed 1 year after intervention (relative risk (RR) = 1.2 (CI 1.0-1.5)). The effect was particularly prominent among well-educated women. A non-significant effect was established for vocational status in general (RR = 1.1 (CI 0.8-1.4)). This effect was significant and positive for well-educated patients with a short-term sick leave (maximum 6 months). The verified effect of early sociomedical intervention in the secondary healthcare sector warrants the permanency of routine intervention.     

回授法联合正念护理干预对妊娠期糖尿病患者的血糖控制及疾病获益的影响研究*[1]

Abstact Objective: Taking gestational diabetes mellitus as an example, the effect of back-teaching method combined with mindfulness intervention on their glycemic control and disease benefits was discussed. Methods: A total of 96 patients with gestational diabetes admitted to our hospital from January 2020 to December 2020 were included in the study, and were divided into control group and study group according to the randomized number table method, and 48 patients in each of the two groups were enrolled. The control group implemented routine nursing intervention, and the study group implemented the feedback method combined with mindfulness nursing intervention to compare the blood glucose and disease benefits of the two groups.Results: Before intervention, there was no significant difference in postprandial blood glucose and glycosylated hemoglobin between the two groups (P > 0.05); Compared with that before the intervention, postpartum blood glucose and glycosylated hemoglobin in the two groups decreased significantly after the intervention (P < 0.05), and the study group was lower than that in the control group (P < 0.05). Before intervention, there was no significant difference in the score of disease benefit between the two groups (P > 0.05); Compared with that before the intervention, the score of disease benefit in the two groups was significantly improved after the intervention (P < 0.05), and the score in the study group was higher than that in the control group (P < 0.05). Conclusion: The application of feedback method combined with mindfulness intervention in patients with gestational diabetes mellitus can help them control blood sugar level, increase the benefit of disease.     

The effect of an ICU liaison nurse on patients and family''s anxiety prior to transfer to the ward: An intervention study

While an admission to the Intensive Care Unit (ICU) is stressful, the impending transfer from ICU to the ward can also result in anxiety for patients and their families. The aim of this study was to identify the effect of an ICU liaison nurse on anxiety experienced by patients and their families just prior to transfer to the ward. This block intervention study used a repeated before and after design, with the first control and intervention periods of 4 months, a wash-out period of 1 month, and then a second control and intervention period of 4 months duration. That is, after 4 months of control and another 4 months of intervention, the liaison nurse services were withdrawn and no data collection occurred for a month (wash-out) then a second set of 4-month blocks of control and intervention were undertaken. A standard transfer protocol was followed during the control periods whereas during the intervention periods, the liaison nurse prepared patients and their families for transfer to the ward. The State Trait Anxiety Form Y (State) was used to measure anxiety just prior to physical relocation to the ward. A total of 115 patients (62 control, 53 intervention) and 100 families (52 control, 48 intervention) were enrolled in the study. There was no difference in anxiety scores between the control and intervention groups in either patients or family groups. This study did not demonstrate a statistically significant beneficial effect of the liaison nurse in terms of pre-transfer anxiety, however it highlights several methodological issues that must be considered for future research including sample size estimates, timing and measurement of transfer anxiety and finally the intervention itself.     

护理干预对癫痫患者治疗依从性的临床效果观察

目的:探讨护理干预对癫痫患者治疗依从性的临床效果.方法:选择在我院进行治疗的癫痫患者68例,随机分为护理干预组和对照组,观察护理干预对提高治疗依从性的效果.结果:护理干预后,癫痫患者经护理干预后,患者的依从性有了很大提高,完全依从患者从38.24%增加到73.53%,两组比较差异具有统计学意义(P＜0.01).结论:护理干预对提高癫痫患者的依从性具有很重要的作用.     

心理疏导对2型糖尿病血糖及情绪的影响

目的 探讨心理干预对糖尿病患者血糖控制及情绪的影响.方法 2001年3月- 2009年7月将120例2型糖尿病患者随机分成干预组和对照组,每组各60例.两组均给予正规药物治疗,干预组同时予心理干预.8周后用焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating ...     

The effects of planned activities training,low-demand schedule,and reinforcement sampling on adults with developmental disabilities who exhibit challenging behaviors

A case study is described in which Planned Activities Training (PAT), a low-demand schedule, and reinforcement sampling were used to decrease challenging behaviors in two adults with developmental disabilities. The two participants in the study were selected for the intervention based on their seriously challenging behaviors and the potential threat of injury to others. Data were collected on frequency of aggression and throwing for one of the participants, and aggression for the other participant during pre- and postintervention. A combined intervention of PAT (a treatment component consisting of advance preparation for activities, establishing rules, incidental teaching, and performance feedback), a low-demand schedule (with a gradual increase in demands as challenging behaviors decrease), and reinforcement sampling was provided for each participant. Following implementation of the intervention, data clearly demonstrated a decrease in frequency of challenging behaviors exhibited by both participants, suggesting that use of this combined intervention was instrumental in abtained change. A review of the value and of a case study is examined, with suggestions made for future research.     

Effects of phonological awareness and semantic intervention on word-learning in children with SLI

This study examined the effects of phonological awareness and semantic intervention on word-learning abilities in children with Specific Language Impairment (SLI) and whether treatment order influenced outcomes. An alternating treatment design was implemented to evaluate whether phonological awareness, semantic awareness, or a combination of both interventions positively influenced children's word-learning ability and whether the order of the treatments influenced outcomes. Nineteen children with SLI, aged between 6;3 and 8;2 years, and 19 age-matched children with typical language development participated in this study. The children with SLI were randomly assigned either to treatment condition A (phonological awareness intervention followed by semantic intervention) or treatment condition B (same interventions in reverse order). A word-learning paradigm was applied at pre-, mid-, and post-testing to evaluate which condition accelerated the receptive and expressive learning of novel words. Positive treatment effects on producing new words were found for the children who received phonological awareness intervention followed by semantic intervention. There was no improvement on the comprehension of new words for either group. The findings suggest that phonological awareness intervention may not only improve children's phonological skills, but may help to facilitate some aspects of word-learning when followed by an additional semantic based intervention.     

A tailored program for the promotion of physical exercise among Korean adults with chronic diseases.

This study evaluated the effect of a tailored stage-matched intervention designed to increase exercise among Korean adults with chronic diseases. A physician and a nurse collaborated to deliver the intervention to 21 patients; the control group (CG) consisted of 20 patients. A nonequivalent CG pretest-posttest design was used. On follow-up, commitment to a plan for exercise was significantly greater in the intervention group (IG) than in the CG. Furthermore, the proportion of the IG in the active stage was significantly increased compared to that of the CG. The results suggest the potential of a stage-matched intervention program for increasing commitment to physical activity and for promoting progress through stages of exercise among patients with chronic diseases in a physician-based Korean clinic.     

Effects of phonological awareness and semantic intervention on word-learning in children with SLI

This study examined the effects of phonological awareness and semantic intervention on word-learning abilities in children with Specific Language Impairment (SLI) and whether treatment order influenced outcomes. An alternating treatment design was implemented to evaluate whether phonological awareness, semantic awareness, or a combination of both interventions positively influenced children's word-learning ability and whether the order of the treatments influenced outcomes. Nineteen children with SLI, aged between 6;3 and 8;2 years, and 19 age-matched children with typical language development participated in this study. The children with SLI were randomly assigned either to treatment condition A (phonological awareness intervention followed by semantic intervention) or treatment condition B (same interventions in reverse order). A word-learning paradigm was applied at pre-, mid-, and post-testing to evaluate which condition accelerated the receptive and expressive learning of novel words. Positive treatment effects on producing new words were found for the children who received phonological awareness intervention followed by semantic intervention. There was no improvement on the comprehension of new words for either group. The findings suggest that phonological awareness intervention may not only improve children's phonological skills, but may help to facilitate some aspects of word-learning when followed by an additional semantic based intervention.     

分级心理干预联合医护一体化护理对冠状动脉搭桥患者术后负性情绪及睡眠质量的影响

目的探讨分级心理干预联合医护一体化护理干预对冠状动脉搭桥患者术后负性情绪及睡眠质量的影响.方法将103例冠状动脉搭桥手术患者依照入院顺序分为研究组52例,对照组51例,对照组采取常规护理干预,研究组于对照组基础上采取分级心理干预联合医护一体化护理干预,两组均干预至出院.干预前后采用焦虑自评量表评定焦虑状况,抑郁自评量表评定抑郁状况,匹兹堡睡眠质量指数评定睡眠质量,日常生活能力指数评定日常生活能力,自护能力量表评定自护能力,自制护理工作满意度量表评定护理工作满意度.结果干预后两组焦虑自评量表、抑郁自评量表、匹兹堡睡眠质量指数评分较干预前显著下降(P<0.01),研究组评分均显著低于对照组(P<0.01);两组日常生活能力指数、自护能力量表评分较干预前显著升高(P<0.01),研究组评分均显著高于对照组(P<0.01);研究组护理工作满意度(98.1%)显著高于对照组(84.3%)(P<0.05).结论冠状动脉搭桥手术患者采取分级心理干预联合医护一体化护理干预,能显著缓解负性情绪,提升睡眠质量、日常生活能力,改善自护能力,提高护理工作满意度.     

Outcomes of an educational intervention for the family of a person with bipolar disorder: a 2-year follow-up study

This study aimed to analyse the outcomes of an educational intervention for family members living with a person with bipolar disorder. A longitudinal study was conducted comprising a 10-session educational intervention designed for families with members in outpatient mental health care. Thirty-four family members agreed to participate. Data were collected on five occasions, at baseline and during a 2-year follow-up through self-assessment instruments: the Carers of Older People in Europe Index, the Jalowiec Coping Scale-40, the Sense of Coherence questionnaire and the Social Adaptation Self-evaluation Scale. The results showed that the condition had a considerable negative impact on the family members as carers, but the educational intervention increased their understanding, which facilitated the management of their lives. A significant improvement in stress management was seen over time and social functioning was retained. The study showed that families living with one member with bipolar disorder benefited from the educational intervention in terms of increasing understanding of the condition and reducing stress. Mental health care needs to develop educational interventions further and offer the families support to strengthen their ability to manage with the situation.     

EFFECTS OF A PROGRAM OF INTERVENTION ON PARENTAL DISTRESS FOLLOWING INFANT DEATH

A longitudinal study of 144 parents (65 fathers, 79 mothers) was conducted to evaluate the effectiveness of a program of intervention in relieving the psychological distress of parents a ected by infant death. Participants were assessed in terms of their psychiatric disturbance, depression, anxiety, physical symptoms, dyadic adjustment, and coping strategies. The experimental group (n=84) was offered an intervention program comprising the use of specially designed resources and contact with a trained grief worker. A control group (n=60) was given routine community care. Parental reactions were assessed at four to six weeks postloss (prior to the implementation of the intervention program), at six months postloss, and at 15 months postloss. A series of multivariate analyses of variance revealed that the intervention was effective in reducing the distress of parents, particularly those assessed prior to the intervention as being at high-risk of developing mourning difficulties. Effects of the intervention were noted in terms of parents overall psychiatric disturbance, marital quality, and paternal coping strategies.