Hasil untuk "Mental healing"

Lora Oravecz, Attila László Szűcs, Júlia Patakiné Bősze

Tanulmányunkban a WHOOP okoseszközt mutattuk be és vizsgáltuk, fókuszunk központjába helyezve annak alvás-, terhelés- (strain) és regenerációs mutatóit. Ezek a területek jelentős mértékben járulhatnak hozzá a fizikai és mentális teljesítmény optimalizálásához. Az eszköz laboratóriumi szintű alvásanalízise személyre szabott ajánlásokat nyújt az optimális pihenéshez, figyelembe véve az egyéni életvitelt és körülményeket. A strain mutató objektív módon méri a fizikai és mentális terhelést, segítve a felhasználót abban, hogy hatékonyan szabályozza edzésterhelését. A regenerációs érték pedig komplex fiziológiai paraméterek alapján mutatja meg a szervezet aktuális alkalmazkodóképességét. A szerzők saját tapasztalatai alapján a WHOOP használata jelentős támogatást nyújtott a tudatosabb életmód kialakításában, a pihentetőbb alvás elérésében és a terhelés-tervezés finomhangolásában. A készülék különösen hasznos lehet rekreációs sportolók és egészségtudatos felhasználók számára, bár fontos, hogy az eszköz adatait mindig egyéni szempontok és szakmai háttértudás alapján értelmezzük.

Karishma Pauriyal, Annusuiya Gohil, Nidhi Sharma et al.

Background: Ayurveda has long recognized the harmful effects of excessive alcohol consumption, known as Madatyaya. P5 model provides a holistic approach to alcohol abuse treatment. Ayurvedic management of alcohol use disorders (AUD) involves detoxification (Shodhana), modifications in diet and lifestyle (Ahara and Vihara), and psychological interventions such as Sattvavajaya Chikitsa, which focuses on cognitive restructuring and mindfulness techniques. Objective: The objective is to assess the applicability and effectiveness of the P5 Model (Predictive, Personalized, Preventive, Participatory, and Psycho-cognitive) in the management and treatment of AUD from an Ayurvedic perspective. Data Source: The references relevant to the above concepts were searched from PubMed, SCOPUS, and Web of Science databases. The relevant portion of Ayurveda is collated from the classical texts. Review Methods: Summarizing and critically analyzing existing literature on an AUD and P5 model without strict inclusion/exclusion criteria. Results: The principles of the P5 model are mentioned extensively in Ayurveda and can be applied in the management of AUD. By analyzing an individual’s physical and mental status through the lens of Ayurveda, early intervention and personalized treatment can be provided. Treatment is tailored to each person’s unique Prakriti, Dosha imbalances, and lifestyle factors. Ayurveda also addresses the psychological and emotional aspects of AUD through therapies such as Sattvavajaya Chikitsa, cognitive restructuring, and mindfulness practices. Encouraging patients to engage in the treatment actively enhances their ability to adopt healthier habits and actively participate in their recovery. Conclusion: By combining the P5 model with Ayurvedic principles, a comprehensive approach to treating AUD is created, tackling not only the physical symptoms but also the psychological, emotional, and social aspects. Ayurveda’s personalized care, tailored to an individual’s constitution and lifestyle, fosters long-term emotional and cognitive healing. With additional research, this model could enhance traditional addiction treatments, offering a more balanced and long-lasting approach to recovery.

Nondumiso Mthiyane, Mthobisi Zikhali, Sibongiseni Xulu et al.

Most mental health problems in adulthood begin during adolescence. Factors such as poverty, violence, and unemployment contribute to the high burden of mental health problems. In Africa, the lack of resources for diagnosis, treatment, and management exacerbates the situation. Research on adolescent mental health has mostly focused on negative psychological effects, while positive attributes like coping, resilience, and emotional growth have been overlooked. This study explored factors affecting the mental health of adolescents and young adults and to collaboratively identify potential interventions using a participatory research approach. After reviewing the literature, we developed scenarios on issues such as unemployment, violence, poverty and HIV, which were adapted by peer supervisors into role-plays that reflect their local realities. We conducted workshops with ten peer navigators and eight young people, who listed problems affecting their mental health and identified possible interventions. Data from the workshops were synthesized to create a preliminary conceptual framework, which was then refined with input from three professional nurses who work in adolescent-friendly clinics. Young people and peer navigators identified romantic relationships and alcohol use as both contributors to mental health problems and coping strategies for stressors like poverty and violence. These behaviours were also linked to sexual and reproductive health (SRH) risks including unprotected sex. Cultural and spiritual experiences, such as the ancestral calling to become a traditional healer were also described as common in the community and were linked to emotional distress. Participants recommended family-strengthening and community-based interventions to build resilience and promote positive parenting, while respecting existing traditional practices. This study enhances our understanding of mental health challenges among young people and emphasizes the importance of strengthening protective factors such as resilience. It offers guidance for developing culturally appropriate mental health interventions. Further research is needed to examine causal pathways and explore how SRH services and traditional healing practices can be integrated into mental health strategies.

, Najma Siddiqi, Josefien van Olmen et al.

Introduction The burden of multimorbidity is recognised increasingly in low- and middle-income countries (LMICs), creating a strong emphasis on the need for effective evidence-based interventions. Core outcome sets (COS) appropriate for the study of multimorbidity in LMICs do not presently exist. These are required to standardise reporting and contribute to a consistent and cohesive evidence-base to inform policy and practice. We describe the development of two COS for intervention trials aimed at preventing and treating multimorbidity in adults in LMICs.Methods To generate a comprehensive list of relevant prevention and treatment outcomes, we conducted a systematic review and qualitative interviews with people with multimorbidity and their caregivers living in LMICs. We then used a modified two-round Delphi process to identify outcomes most important to four stakeholder groups (people with multimorbidity/caregivers, multimorbidity researchers, healthcare professionals and policymakers) with representation from 33 countries. Consensus meetings were used to reach agreement on the two final COS. Registration: https://www.comet-initiative.org/Studies/Details/1580.Results The systematic review and qualitative interviews identified 24 outcomes for prevention and 49 for treatment of multimorbidity. An additional 12 prevention and 6 treatment outcomes were added from Delphi round 1. Delphi round 2 surveys were completed by 95 of 132 round 1 participants (72.0%) for prevention and 95 of 133 (71.4%) participants for treatment outcomes. Consensus meetings agreed four outcomes for the prevention COS: (1) adverse events, (2) development of new comorbidity, (3) health risk behaviour and (4) quality of life; and four for the treatment COS: (1) adherence to treatment, (2) adverse events, (3) out-of-pocket expenditure and (4) quality of life.Conclusion Following established guidelines, we developed two COS for trials of interventions for multimorbidity prevention and treatment, specific to adults in LMIC contexts. We recommend their inclusion in future trials to meaningfully advance the field of multimorbidity research in LMICs.PROSPERO registration number CRD42020197293.

Anuj Singh, Ashish Kumar Sharma, Amit Kumar et al.

Background: Malnutrition remains the ever challenging, public health concern irrespective of age and economic status. Although nutrition is essential irrespective of age but it has peerless role in the school days. The present study was conducted to assess the socio-economic predisposing factors of malnutrition among school children in the Bareilly district of North India. Methods: This cross-sectional study was carried out in Bareilly district of North India. A total of 465 school children were examined for nutritional status and socio-economic factors responsible for malnutrition. Applying multi-stage random sampling technique and pretested, pre-validated schedule was used for data collection which was compiled and analysed with Epi-Info software version 7. Results: The study revealed 40% prevalence of malnutrition among school children. Socio- demographic factors such as gender, caste, type of family and residence were found statistically significant different with nutritional status of child (p<0.05).  However, socio economic factors such as parental education, employment and socio economic conditions were discovered inversely related with malnutrition (p<0.05). Conclusion: The study indicates the necessity to accelerate the government’s coping strategies to win over malnutrition in especially in underserved population of country.

Shofi Tri Amalia, Ika Yuniar Cahyanti

Penelitian terdahulu menunjukkan adanya perbedaan proses adaptasi yang dialami oleh individu dewasa awal yang orangtuanya bercerai dan yang orangtuanya tidak bercerai. Kasus menunjukkan hasil adaptasi yang negatif dan positif oleh perceraian orangtua tersebut. Penelitian ini mendeskripsikan bagaimana resiliensi pada individu dewasa awal terhadap situasi akibat perceraian orangtua dengan metode kualitatif. Ketiga partisipan memiliki kesulitan yang berbeda-beda namun terdapat persamaan yaitu tumbuhnya ketakutan yang membuat subjek untuk antisipasi dalam berhubungan dan menyiapkan diri dalam berumah tangga. Sumber resiliensi "I am”, "I have”, dan "I can” juga memenuhi adaptasi individu. Perubahan beradaptasinya menjadi lebih berpikir jauh dalam bertindak, lebih dewasa, dan lebih bersyukur dari sebelum adanya peristiwa perceraian. Penelitian dilakukan karena pada masa dewasa awal seseorang mulai dihadapkan tanggungjawab yang lebih serius dalam kehidupan yang berdampak besar dan dewasa awal adalah masa pembentukan hubungan dekat menuju pernikahan sehingga individu dewasa awal dituntut untuk memahami diri dan melakukan adaptasi yang sesuai.

Ana Beatriz Campeiz, Diene Monique Carlos, Ana Flávia Campeiz et al.

Abstract Objective: To analyze adolescents’ perceptions about intimate violence from the perspective of the Complexity Paradigm. Method: A qualitative approach configured as strategic social study. The study participants were adolescents between 15 and 18 years old, attending high school in two public schools in a city in the interior of São Paulo State, Brazil. Data collection was performed through a focus group and a semi-structured interview as a complement. Data analysis was based on the dialogical, organizational and holographic principles of the Complex Paradigm. Results: The study included 39 adolescents (14 males and 25 females). Through the emerging categories, it was noticed that intimate violence occurs through dialogical affection-jealousy/control by a naturalization of violent acts which permeates gender, cultural and social issues, and by technology as preponderant for intimate violence among adolescents, denoting new forms of control and coercion. Conclusion: The study introduces aspects present in intimate violence among adolescents, presenting them in an articulate and interdependent way. These aspects constitute a relevant contribution to the actions of health professionals.

Cristina Castro-Yuste, María Jesús Rodríguez-Cornejo, María José García-Cabanillas et al.

ABSTRACT Objective: The aim of the present study was to design a content-valid nursing objective structured clinical examination attending a first-year clinical nursing practice program. Method: The examination was designed following a procedure based on the consensus of experts which was comprised of three phases: selection of the activities in which students should be competent according to the learning outcomes of the course, clinical case design, and integration of the clinical cases designed into the stations of the test. Results: Of the 44 surveys submitted for the design of the stations, 37 were answered, of which 31 respondents met the inclusion criteria of the panel of experts. The activities on which the experts reached the highest degrees of consensus were: basic physical assessment and monitoring of vital signs, assessment of hygiene and skin status, ability to develop care plans, management of safety principles in administration of medication and administration of oral medication. Based on the selected activities, the experts developed 20 clinical cases, from which a four-station nursing objective structured clinical examination was designed. Conclusion: The structured methodology based on the design of experts enabled the design of a content-valid objective structured clinical examination appropriate for the evaluation of the learning outcomes achieved by the students attending a clinical practice program.

Bruna Dedavid da Rocha, Cláudia Zamberlan, Hedioneia Maria Foletto Pivetta et al.

RESUMO Objetivo Investigar se a adoção de posições verticalizadas pela mulher, no parto, comparada à posição litotômica, previne lacerações perineais. Método Revisão sistemática com metanálise. As buscas foram realizada nas bases de dados: LILACS, Medline/PubMed, CINAHL, Cochrane Library, Web of Science, Science Direct e Scopus. As buscas na literatura cinzenta foram conduzidas nas bases Google Scholar e OpenGrey. Também foram consideradas as listas de referências dos artigos incluídos. Para análise da qualidade metodológica dos artigos, utilizou-se a ferramenta da colaboração Cochrane e a ACROBAT-NRSI. Resultados Foram elencados 26 estudos e 8 foram selecionados para a metanálise. O nível de evidência científica foi classificado pelo Sistema GRADE e considerado alto. Não houve diferença estatística significativa entre posições verticalizadas em relação as posições horizontais. Apesar dessa constatação, as posições verticalizadas apresentaram índices reduzidos de lacerações perineais graves. Conclusão A adoção de posições verticalizadas, no parto normal, pode ser encorajada pelos profissionais, pois pode evitar lacerações perineais graves, porém, não é possível afirmar com precisão a eficácia destas em detrimento das posições horizontais para o desfecho períneo íntegro.

Angelica Martins de Souza Gonçalves, Manoel Antônio dos Santos, Rosa Maria Jacinto Volpato et al.

ABSTRACT Objective: To evaluate the impact of an educational intervention on the attitudes of Nursing students towards users of psychoactive substances (excluding alcohol and tobacco) and their perceptions about the religious and spiritual care offered within the health services. Method: Quasi-experimental study. We applied a questionnaire before and one month after an intervention about the comprehensive care of substance users, containing: sociodemographic information, knowledge, the Treatment Spirituality/Religiosity Scale, and the Drug and Drug Problems Perceptions Questionnaire. For the analyses, we employed the paired Student’s t-test and Pearson’s Coefficient. Results: 62 students participated in this study. After the intervention, there was improvement in the students’ attitudes towards the substance users, but not regarding the perception they already had about the importance of offering religious and spiritual care within the services. Conclusion: We verified the effectiveness of the educational intervention on the improvement of attitudes concerning the care of substance users, yet we point out that the students did not show changes in their perception about the inclusion of the religious and spiritual aspects in the care dedicated to this population.

Larissa Bertacchini de Oliveira, Leidy Johanna Rueda Díaz, Fábio da Costa Carbogim et al.

Abstract OBJECTIVE To evaluate the effectiveness of teaching strategies used for development of critical thinking (CT) in undergraduate nursing students. METHOD Systematic review with meta-analysis based on the recommendations of the Joanna Briggs Institute . Searches were conducted in the following databases: PubMed, CINAHL, EMBASE, Web of Science, SCOPUS, LILACS, Cochrane CENTRAL, PsycINFO, ERIC, and a database of theses from four continents. The initial selection and evaluation of studies and assessment of methodological quality was performed by two reviewers independently. RESULTS Twelve randomized clinical trials were included in the study. In the meta-analysis of the four studies included that evaluated the strategy of problem-based learning (PBL), compared to lectures, the effectiveness of PBL was demonstrated with statistical significance (SMD = 0.21 and 95% CI = 0.01 to 0.42; p = 0.0434) for the development of CT in undergraduate nursing students, and the studies were homogeneous (chi-square = 6.10, p = 0.106). CONCLUSION The effectiveness of PBL was demonstrated in the increase of overall CT scores. Further studies need to be conducted in order to develop, implement and evaluate teaching strategies that are guided in high methodological rigor, and supported in theoretical models of teaching and learning.

Ana Rita Marinho Machado, Walterlânia Silva Santos, Flavia Aparecida Dias et al.

OBJECTIVE To describe the stages of the empowerment process of a group of seniors in a rural community. METHOD Convergent care research whose foundation is to use the scope of practice. Conducted with the proposal to change the practice of 21 seniors and nine health professionals, with the aim of health promotion empowerment. Data were collected during 22 meetings, and group interviews at the end of the intervention. RESULTS Showed that despite the initial impact of the change, the group was able to welcome the new change, taking advantage of the space to express anxieties, share joys, and build new knowledge, which led to the incorporation of changes that reflected in the development of healthy habits and improvements in interpersonal relationships. CONCLUSION The convergent care research consisted of strategy that changed the group's lives, empowering them with health promoting actions.

Roberta Amorim Pereira, Emanuella Barros dos Santos, Jack Roberto Silva Fhon et al.

O objetivo deste estudo foi avaliar a sobrecarga dos cuidadores de idosos com acidente vascular cerebral (AVC), assim como correlacioná-la com as horas de cuidado, a idade e a independência funcional dos idosos. Trata-se de estudo transversal feito com 62 idosos com AVC e seus cuidadores. O instrumento continha variáveis sociodemográficas e econômicas, Mini-Exame do Estado Mental, Medida da Independência Funcional (MIF) e a Escala de Zarit. A possível correlação entre os escores da escala de Zarit e as outras variáveis foi avaliada por meio do Coeficiente de Correlação de Pearson. A maioria dos cuidadores era adultos, filhos, casados e do sexo feminino. A média do escore de Zarit foi 34,92 (15,8). A MIF apresentou correlação negativa com a sobrecarga do cuidador, porém, não houve correlação com a idade e as horas de cuidado. A sobrecarga da maioria dos cuidadores variou de moderada a severa e parece estar relacionada ao nível de independência funcional dos idosos.<br>Se objetivó evaluar la sobrecarga de cuidadores de ancianos con accidente cerebrovascular (ACV), y correlacionarla con horas de cuidado, edad e independencia funcional de los ancianos. Estudio transversal con 62 ancianos con ACV y sus cuidadores. El instrumento contenía variables sociodemográficas y económicas, Mini-Examen del Estado Mental, Medida de la Independencia Funcional (MIF) y la Escala de Zarit. La posible correlación entre los puntajes de la escala de Zarit y las otras variables fue evaluada por Coeficiente de Correlación de Pearson. La mayoría de los cuidadores eran adultos, hijos, casados y de sexo femenino. El promedio de puntaje de Zarit fue 34,92 (15,8). La MIF presentó correlación negativa con la sobrecarga del cuidador, sin embargo no hubo correlación con edad y horas de cuidado. La sobrecarga de la mayoría de los cuidadores varió entre moderada y severa, y parece relacionarse con el nivel de independencia funcional del anciano.<br>The aim was to assess the burden on caregivers of elderly victims of cerebrovascular accident (CVA) and to correlate it with care hours, the elderly people's age and functional independence. This cross-sectional study counted the participation of 62 elderly individuals with CVA and their caregivers. The instrument used contained socio-demographic and economic variables, the Mini-Mental Status Examination, the Functional Independence Measure (FIM) and the Zarit Scale. The possible correlations between the Zarit scale scores and the other variables were assessed using Pearson's Correlation Coefficient. Most caregivers were adults, children of the victims, married, and female. The mean Zarit score was 34.92(15.8). The FIM showed a negative correlation with caregiver burden, but no correlation with age and number of care hours. The burden on most of the caregivers ranged from moderate to severe and seems to be related to the level of functional independency of the elderly.

Samai Sirithongthaworn, Atsawin Narkpongphun, Nonglak Pongtaweeboon et al.

This study aims to determine the development norms of Thai children age from birth to 5 years and to compare the assessment items of a child development assessment tool for children age from birth to 5 years, developed by the Department of Mental Health, Ministry of Public Health, Thailand, and Denver development screening test (DDST) assessment form. Participants were 2,079 Thai children age from birth to 5 years sampling by multi-staged stratified random sampling method. The tool used was the child development assessment form for children age from birth to 5 years developed by the Mental Health Department, Ministry of Public Health, Thailand. There were 654 question items in the assessment form which were classified into 5 skills area include 1) gross motor skills 2) fine motor skills 3) Receptive language skills 4) Expressive language skills and 5) Personal and social care skills. The analysis was based on multiple logistic regressions to determine the development norms of Thai children and a single group mean test was used to compare child development norms by the assessment form for children age from birth to 5 years developed by the Mental Health Department, Ministry of Public Health, Thailand, and Denver development screening test (DDST) assessment form. The results showed that 651 of 654 items (99.54%) of child development assessment form for children age from birth to 5 years developed by the Mental Health Department, Ministry of Public Health, Thailand, were able to identify development norms of Thai children. The items for which the development norms could not be assessed were 1) the child physical reaction when hearing sound 2) the child stop crying when held by parents and 3) the child can look at other face for 1-2 seconds. However, it was found that all Thai children who were assessed could pass the behavioral assessment. To compare between child development assessment form for children age from birth to 5 years developed by the Mental Health Department, Ministry of Public Health, Thailand, and Denver development screening test (DDST) assessment form, it was found that there was no different in gross motor movement skills and expressive language skills. In fine motor movement skills, there was no different found at 75 percentile. In receptive language, there was no different found at 25 and 50 percentile. And in personal and social skill there was no different found at 90 percentile.

Miriam Aparecida Barbosa Merighi, Deíse Moura de Oliveira, Maria Cristina Pinto de Jesus et al.

Estudo qualitativo com abordagem da fenomenologia social que objetivou a compreensão da vivência da mulher idosa, suas necessidades de cuidado e expectativas nesse período da vida. Participaram nove mulheres, cujos depoimentos foram obtidos de fevereiro a maio de 2011, por meio de entrevista semiestruturada. A mulher idosa refere limitações de ordem física, mental e social, e valoriza a preservação de sua autonomia nas atividades diárias e no cuidado consigo mesma. Refere a família como suporte fundamental e tem expectativas e necessidades de se manter saudável, da busca pelo lazer e de ter melhor acesso aos serviços de saúde para receber informações e atendimento qualificado. Nessa fase, a ausência de perspectivas relaciona-se à perda de pessoas significativas e da saúde. Este estudo revelou facetas da vivência da mulher idosa, suscitando novas investigações e a adequação do ensino, prática e gestão às reais necessidades dessa mulher.

Bianca Fresche de Souza, Flavia Helena Pires, Nathalie de Lourdes Souza Dewulf et al.

Este trabalho trata-se de estudo analítico, transversal, com abordagem quantitativa, que verificou a presença de depressão e a adesão ao tratamento com quimioterápicos em pacientes oncológicos atendidos na Farmácia Central de Quimioterapia de um hospital universitário. A amostra constou de 102 pacientes e a coleta dos dados foi realizada no período de outubro de 2010 a maio de 2011. Utilizou-se a entrevista estruturada, norteada por roteiro contendo dados sociodemográficos, clínicos e terapêuticos; o Teste de Morisky e o Inventário de Depressão de Beck. Os resultados revelaram que 10,8% e 1,9% dos participantes apresentaram depressão moderada e grave, respectivamente. Houve associação estatisticamente significativa entre a presença de depressão e as variáveis renda per capita, número de cirurgias e tempo de doença. Identificou-se falta de adesão ao tratamento em 48% dos participantes. Tais resultados indicam a necessidade de treinamento da equipe de saúde para detectar transtornos depressivos e falta de adesão ao tratamento com quimioterápicos entre pacientes oncológicos.

Frank Podmore

For most of his life a clerk in the post office, Frank Podmore (1856–1910) was a prolific author on psychical research. As an undergraduate Podmore became interested in spiritualism, and he joined the British National Association of Spiritualists. Eventually disillusioned by that society, Podmore co-founded several organisations: the Progressive Association (in 1882); the Fellowship of the New Life (1883); and, spurred by his desire to see political change, the Fabian Society (1884). Podmore's membership in the Society for Psychical Research influenced his activities and interests, and he spent the next twenty years investigating and writing on psychical phenomena. Podmore's two-volume Modern Spiritualism (also reissued in this series) is a source for this 1909 work, which 'constituted the most scholarly history of mesmerism and its offshoots to that date', according to one reviewer. This work will interest historians of science and medicine, and scholars of Victorian religious movements.

Natália de Cássia Horta, Roseni Rosângela de Sena

Este estudo teve como objeto a saúde no cotidiano dos jovens considerando que esses não têm suas vivências cotidianas contempladas nas ações de saúde. O objetivo é analisar os modos de vida juvenis apreendendo os significados e sentidos da saúde em seu cotidiano. Trata-se de uma investigação qualitativa, fundamentada na dialética, com base na sociologia da vida cotidiana. Desenvolvida num bairro popular do município de Belo Horizonte, foi estruturada em fase exploratória e interpretativa, tendo como sujeitos dezenove jovens. Por meio da análise hermenêutica e dialética, a tese foi confirmada. As ações de cuidado presentes no cotidiano dos jovens levam em conta os recursos e os aspectos constitutivos da condição juvenil, ainda pouco contemplada nas proposições da área da saúde. No cotidiano dos jovens, tem-se a expressividade dos modos de vida e da condição juvenil na qual a saúde se revela pelo bem-estar e pelas condições básicas para o trilhar da vida. A concepção de saúde prevalente centra-se nos comportamentos e na corporeidade. Para a promoção da saúde juvenil é necessário partir dos modos de vida juvenis e interagir com eles no cotidiano. As ações de cuidado com a saúde têm um espaço de (in)visibilidade na vida dos jovens e interagem com suas prioridades na vivência da condição juvenil. Revelou-se a importância da proposição de ações cuidadoras nos microespaços e no território em que se expressa essa condição.