Effects of intensive psychological intervention on treatment compliance,psychological status,and quality of life of patients with epilepsy

BACKGROUND Epilepsy is a nervous system disease characterized by recurrent attacks,a long disease course,and an unfavorable prognosis.It is associated with an enduring therapeutic process,and finding a cure has been difficult.Patients with epilepsy are predisposed to adverse moods,such as resistance,anxiety,nervousness,and anxiety,which compromise treatment compliance and overall efficacy.AIM To explored the influence of intensive psychological intervention on treatment compliance,psychological status,and quality of life(QOL)of patients with epilepsy.METHODS The clinical data of 105 patients with epilepsy admitted between December 2019 and July 2023 were retrospectively analyzed,including those of 50 patients who underwent routine intervention(control group)and 55 who underwent intensive psychological intervention(research group).Treatment compliance,psychological status based on the Self-Rating Anxiety Scale(SAS)and Depression Scale Self-Rating Depression Scale(SDS)scores,hope level assessed using the Herth Hope Scale(HHS),psychological resilience evaluated using the Psychological Resilience Scale,and QOL determined using the QOL in Epilepsy-31 Inventory(QOLIE-31)were comparatively analyzed.RESULTS Treatment compliance in the research group was 85.5%,which is significantly better than the 68.0%of the control group.No notable intergroup differences in preinterventional SAS and SDS scores were identified(P>0.05);however,after the intervention,the SAS and SDS scores decreased significantly in the two groups,especially in the research group(P<0.05).The two groups also exhibited no significant differences in preinterventional HHS,Connor-Davidson Resilience Scale(CD-RISC),and QOLIE-31 scores(P>0.05).After 6 months of intervention,the research group showed evidently higher HHS,CD-RISC,tenacity,optimism,strength,and QOLIE-31 scores(P<0.05).CONCLUSION Intensive psychological intervention enhances treatment compliance,psychological status,and QOL of patients with epilepsy.

Analysis of public psychological status and related factors in Yichang during the closing of initial Covid-19

Objective:To investigate the psychological health status and influencing factors of the public during the epidemic of Covid-19 in Yichang,Hubei,and provide evidence for future psychological intervention.Methods:This study used snowball sampling,SCL-90 scale,and SSRS to conduct a questionnaire survey of 563 residents.Results:The state of public mental health during the closure of Covid-19 was worse than the national norm.Gender,age,and culture have an impact on mental health.There was a significant correlation between social support and the level of mental health.The effects of various variables on the public mental state from big to small:objective support,gender,occupation.Conclusion:The psychological problems of the public during the closure of the city of Covid-19 deserve attention.According to different influencing factors,corresponding measures should be implemented to improve the public’s psychological endurance and respond to public health emergencies with a healthy mentality.

Application of psychological intervention in intensive care unit nursing for patients with severe acute pancreatitis

BACKGROUND Severe acute pancreatitis(SAP)is a familiar critical disease in the intensive care unit(ICU)patients.Nursing staff are important spiritual pillars during the treatment of patients,and in addition to routine nursing,more attention needs be paid to the patient’s psychological changes.AIM To investigate the effects of psychological intervention in ICU patients with SAP.METHODS One hundred ICU patients with SAP were hospitalized in the authors’hospital between 2020 and 2023 were selected,and divided into observation and control groups per the hospitalization order.The control and observation groups received routine nursing and psychological interventions,respectively.Two groups are being compared,using the Self-rating Anxiety Scale(SAS),Self-Determination Scale(SDS),Acute Physiology and Chronic Health Evaluation(APACHE)Ⅱ,and 36-item Short Form Health Survey(SF-36)scores;nursing satisfaction of patients;ICU care duration;length of stay;hospitalization expenses;and the incidence of complications.RESULTS After nursing,the SDS,SAS,and APACHEⅡ scores in the experimental group were significantly lower than in the control group(P<0.05).The SF-36 scores in the observation group were significantly higher than those in the control group(P<0.05).The nursing satisfaction of patients in the experimental group was 94.5%,considerably higher than that of 75.6% in the control group(P<0.05).The ICU care duration,length of stay,and hospitalization expenses in the observation group were significantly lower than those in the control group,and the incidence of complications was lower(P<0.05).CONCLUSION For patients with SAP,the implementation of standardized psychological intervention measures can effectively alleviate adverse psychological conditions.

The psychological status investigation on the nursing staff in a 3A‑level hospital during the prevalence of COVID‑19 and the analysis of its influencing factors

Objective:The objective of the study is to investigate the psychological status of nursing staff both working on nonfront line and on the front line during the epidemic period of COVID‑19 and to analyze the influencing factors related to mental health state,as well as to provide targeted psychological intervening measures for nursing staff in the face of this major public health event.Methods:We used data from January 28,2019,to February 08,2020,on the number of cases who worked in the 3A‑level hospital as nonfront‑line nurses(n=29,54%)and those who worked in Wuhan infectious hospital as the front‑line supporters(n=25,46%)came from the 3A‑level hospital.The participants completed the symptom checklist 90,and the researchers recorded data on demographics,psychological status,and the influencing factors.Results:In our baseline scenario,we estimated that the total symptom index was 1.676±0.654 for nurses who worked on the front line,1.260±0.304 for those who worked as the front‑line reserve nurses,and was 1.486±0.647 for those who worked as the nonfront‑line nurses.The results of correlation analysis show that the factors related to the psychological status of nurses include age,professional title,marital status,and family support;different factors have different effects on psychological status.Conclusion:In the face of major public health emergencies,both front‑line nursing staff and nonfront‑line staff are confronted with different degrees of psychological stress,so effective psychological support should be given to improve the working efficiency and enthusiasm of nurses.

A Study on the Psychological Status of the Caregivers to Patients Out of ICU after Craniocerebral Tumor Surgery and Their Factors

Objective: So as to provide a theoretical basis for the future development of intervention measures to reduce the negative psychological mood of caregivers. To investigate the psychological status of the main caregivers for patients who were transferred out of ICU after craniocerebral tumor surgery and analyze their factors. Methods: 112 patients with cerebral tumor surgery were reviewed from sun yat-sen university cancer hospital. The research object is caregivers. The general data questionnaire, hospital anxiety depression scale and migration of ICU patients’ family members stress questionnaire scale investigation are collected. Multiple linear regression analysis in cerebral tumor patients with postoperative ICU transition out main factors influencing the psychological condition of the caregivers. Results: The anxiety and depression scores were (15.60 ± 5.83) and (38.73 ± 3.23) respectively. The results of multiple regression analysis showed that the gender, education level, relationship with the patient and family monthly income of the primary caregivers of the patients were the influencing factors of anxiety, depression and migration stress psychological state (P < 0.05). Conclusion: The main caregivers of patients who were transferred out of ICU after craniocerebral tumor surgery had relatively severe anxiety, depression and migration stress. Medical staff should pay attention to the psychological status of caregivers and take effective measures to promote their physical and mental health.

Impact of specialized nursing outpatient case management on postcoronary artery bypass grafting patients

BACKGROUND Some patients with coronary atherosclerotic heart disease experience major adverse cardiac events(MACE)and require readmission after Coronary Artery Bypass Grafting(CABG)surgery.This is often attributed to patients'unhealthy lifestyles and dietary habits,inadequate understanding of the disease,and poor disease management compliance.Thus,searching for more targeted nursing intervention models that can enhance patients'self-management abilities and reduce the risk of readmission after CABG surgery is significant.AIM To observe the impact of specialized nursing outpatient case management on patients after CABG surgery.METHODS A total of 103 patients who underwent CABG surgery in our hospital between April 2021 and April 2022 comprised the study sample.The patients were divided into two groups using an odd-even number grouping method.The control group received routine nursing care,while the case management group received specialized nursing outpatient case management.The differences in psychological status,adherence to medical treatment,self-care ability,knowledge mastery,quality of life scores,and the occurrence rate of MACE were compared between the two groups.RESULTS After the intervention,the case management group had lower scores on the selfrating depression scale and self-rating anxiety scale and lower MACE rate,as well as higher scores for adherence to a healthy diet,medication adherence,good lifestyle habits,regular exercise,and timely follow-up,higher scores on the Coronary Heart Disease Self-Management Scale,higher scores for managing adverse habits,symptoms,emotional cognition,emergency response,disease knowledge,general lifestyle,and treatment adherence,higher scores for understanding coronary heart disease,recognizing the importance of medication adherence,understanding selfcare points after CABG surgery,and being aware of post-CABG precautions,higher scores for physical well-being,disease condition,general health,social-psychological well-being,and work-related aspects(P<0.05).CONCLUSION Specialized nursing outpatient case management can enhance patient adherence to medical treatment,knowledge mastery,psychological well-being,and overall quality of life in patients after CABG surgery.

Psychological status and behavior changes of the public during the COVID-19 epidemic in China

Background:A cluster of pneumonia cases were reported by Wuhan Municipal Health Commission,China in December 2019.A novel coronavirus was eventually identified,and became the COVID-19 epidemic that affected public health and life.We investigated the psychological status and behavior changes of the general public in China from January 30 to February 3,2020.Methods:Respondents were recruited via social media(WeChat)and completed an online questionnaire.We used the State-Trait Anxiety Inventory,Self-rating Depression Scale,and Symptom Checklist-90 to evaluate psychological status.We also investigated respondents’behavior changes.Quantitative data were analyzed by t-tests or analysis of variance,and classified data were analyzed with chi-square tests.Results:In total,608 valid questionnaires were obtained.More respondents had state anxiety than trait anxiety(15.8%vs 4.0%).Depression was found among 27.1%of respondents and 7.7%had psychological abnormalities.About 10.1%of respondents suffered from phobia.Our analysis of the relationship between subgroup characteristics and psychological status showed that age,gender,knowledge about COVID-19,degree of worry about epidemiological infection,and confidence about overcoming the outbreak significantly influenced psychological status.Around 93.3%of respondents avoided going to public places and almost all respondents reduced Spring Festival-related activities.At least 70.9%of respondents chose to take three or more preventive measures to avoid infection.The three most commonly used prevention measures were making fewer trips outside and avoiding contact(98.0%),wearing a mask(83.7%),and hand hygiene(82.4%).Conclusions:We need to pay more attention to public psychological stress,especially among young people,as they are likely to experience anxiety,depression,and psychological abnormalities.Different psychological interventions could be formulated according to the psychological characteristics of different gender and age groups.The majority of respondents followed specific behaviors required by the authorities,but it will take time to observe the effects of these behaviors on the epidemic.

Ability of Therapists Trained in Mechanical Diagnosis and Therapy to Guess Pain Catastrophizing and Kinesiophobia Scores for Patients with Low Back Pain

Objective: To investigate whether a physical therapist trained through the Mechanical Diagnosis and Therapy (MDT) diploma program could guess psychological Patient Reported Outcome Measure (PROM) scores of individuals with low back pain (LBP) by taking patient history and completing a physical evaluation. Methods: Ten participants with LBP completed PROMs immediately before history taking and again after a physical evaluation. PROMs included the Pain Catastrophizing Scale (PCS), Tampa Scale for Kinesiophobia (TSK), Hospital Anxiety and Depression Scale, and Pain Coping Strategy Questionnaire. A physical therapist who completed the MDT diploma program took the patients’ history and completed their physical evaluation. The therapist completed the same PROMs immediately after both history taking and physical evaluation. Correlations between patient and therapist scores were calculated using Spearman’s ρ. Results: Statistically significant positive correlations were detected in the PCS (ρ = 0.65) and TSK (ρ = 0.78) before history taking, and in the PCS (ρ = 0.81) and TSK (ρ = 0.74) after physical evaluation. Discussion: The results are based on one MDT therapist and generalizability of the findings is limited. However, the current preliminary findings justify the need for further studies to explore effective post-graduate training to promote a patient centered approach.

Quality of life among elderly in developing countries: issues and challenges

Unlike developed countries,the process of ageing in the developing country is a major and serious concern where the health infrastructure,geriatric system and social security remain underdeveloped.This paper aims to assess the gaps in quality of life among the elderly by socio-economic and demographic characteristics and to know the issues and challenges in the selected developing countries where Study on Global Ageing and Adult Health(SAGE)namely China,India,Ghana,South Africa,Mexico,and Russia has been conducted.The overall score indicates that there is a little variation in the quality of life across the countries,ranging from 52.1(China)to 45.5(Ghana).However,there is considerable variation in the quality-of-life score by socio-economic characteristics.From the existing policy perspectives,different aspects of old age policies are varied across the selected countries.The rapid expan-sion of the private sector into these areas is unlikely to benefit the bulk of the elders.The countries like India,South Africa and Mexico,where the private sector plays a major role,lack health care support for the elderly.However,financial support sig-nificantly contributes to the quality of life in terms of policy intervention in those countries.Thus,the respective governments need to address urgently the areas like health care,financial and social security to achieve the healthy lives and wellbeing for all of the sustainable development goals by 2030.