Quiet time: a nursing intervention to promote sleep in neurocritical care units

2001 ◽  
Vol 10 (2) ◽  
pp. 74-78 ◽  
Author(s):  
DM Olson ◽  
CO Borel ◽  
DT Laskowitz ◽  
DT Moore ◽  
ES McConnell
Keyword(s):  
Neurocritical Care ◽  
Control Period ◽  
Intervention Group ◽  
Nursing Intervention ◽  
Control Group ◽  
Quiet Time ◽  
Sleep Behavior ◽  
Environmental Stimuli ◽  
Before And After ◽  
The Impact

BACKGROUND: Patients in intensive care units are often sleep deprived, yet little research exists on the impact of nursing care on promoting sleep. OBJECTIVES: To determine if implementing a "quiet time" protocol to reduce external environmental stimuli is associated with increased frequency of sleep among patients in a neurocritical care unit. METHODS: Patients were observed 8 times each day before and after implementation of a protocol in which environmental sounds and lights were decreased from 2 AM to 4 AM and from 2 PM to 4 PM. Data collected at 2:45 AM, 3:30 AM, 2:45 PM, and 3:30 PM on patients with scores of 10 or greater on the Glasgow Coma Scale were analyzed. A total of 2975 observations were made on a total of 239 patients: 1446 observations on 118 patients in the control group and 1529 observations on 121 patients in the intervention group. RESULTS: The percentage of patients observed asleep was significantly higher during the months the quite-time period was implemented than during the control period before the intervention was started. The increase in sleep behavior was associated with decreased sound and light levels achieved during the quiet time. Patients observed during the intervention period were 1.6 times more likely to be asleep during the quiet time than were patients observed during the control period (P < .001). CONCLUSIONS: A concentrated effort by staff to reduce environmental stimuli at discrete preset intervals increases the likelihood of sleep during scheduled quiet time in the neurocritical care unit.

scholarly journals Controlled Study of the Impact of a Virtual Program to Reduce Stigma Among University Students Toward People With Mental Disorders

2021 ◽  
Vol 12 ◽  
Author(s):  
Matías E. Rodríguez-Rivas ◽  
Adolfo J. Cangas ◽  
Daniela Fuentes-Olavarría
Keyword(s):  
Mental Disorders ◽  
University Students ◽  
Intervention Group ◽  
Project Based Learning ◽  
Controlled Study ◽  
Control Group ◽  
Global Score ◽  
Stigma Reduction ◽  
Before And After ◽  
The Impact

Stigma toward mental disorders is one of today's most pressing global issues. The Covid-19 pandemic has exacerbated the barriers to social inclusion faced by individuals with mental disorders. Concurrently, stigma reduction interventions, especially those aimed at university students, have been more difficult to implement given social distancing and campus closures. As a result, alternative delivery for programs contributing to stigma reduction is required, such as online implementation. This paper reports the results of a controlled study focused on an online multi-component program on reducing stigma toward mental illness that included project-based learning, clinical simulations with standardized patients and E-Contact with real patients. A total of 40 undergraduate students from the Universidad del Desarrollo in Santiago, Chile, participated in the study. They were randomly divided between an intervention and control group. The intervention group participated in the online multi-component program, while the control group participated in an online educational program on cardiovascular health. We assessed the impact of the program by using the validated Spanish-language versions of the Attribution Questionnaire AQ-27 and the Questionnaire on Student Attitudes toward Schizophrenia with both groups, before and after the intervention. In addition, an ad hoc Likert scale ranging from 0 to 5 was used with the intervention group in order to assess the learning strategies implemented. Following the intervention, the participants belonging to the intervention group displayed significantly lower levels of stereotypes, perception of dangerousness, and global score toward people with schizophrenia (p < 0.001). In addition, participants presented lower levels of dangerousness-fear, avoidance, coercion, lack of solidarity, and global score (p < 0.001). The control group displayed no statistically significant differences in the level of stigma before and after the evaluation, for all of the items assessed. Finally, the overall assessment of each of the components of the program was highly positive. In conclusion, the study shows that online programs can contribute to reducing stigma toward mental disorders. The program assessed in this study had a positive impact on all the dimensions of stigma and all of the components of the program itself were positively evaluated by the participants.

scholarly journals The intervention of maternal nutrition literacy has the potential to prevent childhood stunting: Randomized control trials

2021 ◽  
Vol 10 (2) ◽  
Author(s):  
Sirajuddin Sirajuddin ◽  
Saifuddin Sirajuddin ◽  
Amran Razak ◽  
Ansariadi Ansariadi ◽  
Ridwan M Thaha ◽  
...  
Keyword(s):  
Maternal Nutrition ◽  
Stress Test ◽  
Intervention Group ◽  
Control Group ◽  
Normal Children ◽  
Before And After ◽  
The Status ◽  
Randomized Control ◽  
Families With Children ◽  
The Impact

Background: Stunting is the impaired growth and development of children due to poor nutrition, repeated infection, and inadequate psychological stimulation. This research aims to examine the impact of maternal nutrition literacy (MNL) in increasing the height or score of a stunted child.Design and Methods: This study is a randomized control trial, which uses a sample size of 85 participants, 43 interventions and 42 controls, an 80% stress test and a 95% confidence level. The intervention group of the MNL consists of families with children under the age of five, focused on the mother's ability to perform breastfeeding, hygiene activities, care, and intervention for 3 months.Result: The status of stunting was determined by the different distribution of stunting before and after the intervention in both the intervention and control groups. There was a decrease of about 9.3% of MNL in the intervention group, while in the control group it decreased by just 2.4% (p<0.05).Conclusions: It can be concluded that MNL has an effect in preventing stunting, and it is recommended that preventive measures should focus more on normal children, while stunted children should be provided with breastfeeding as the core of MNL.

scholarly journals Perubahan tingkat fatigue melalui latihan Progressive Muscle Relaxation (PMR) pada pasien Gagal Ginjal Kronis yang menjalani hemodialisa

2019 ◽  
Author(s):  
Santi Herlina
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Muscle Relaxation ◽  
Intervention Group ◽  
Nursing Intervention ◽  
Progressive Muscle Relaxation ◽  
Control Group ◽  
Before And After

Fatigue is a major complaint of patients undergoing long-term hemodialysis, which has a high value, so it will affect the quality of life of patients. The purpose of this study was to determine the influence of PMR on the level of fatigue in patients with chronic kidney disease undergoing hemodialysis. This study used a quasi experiment design approach pretest-posttest control group. The number of respondents in the study were 32 patients divided into 2 groups: the 16 intervention group and 16 control group. The research concludes that there are significant differences on the level of fatigue in the intervention group between before and after PMR with p = 0.000. Suggested training PMR can be used as an independent nursing intervention in reducing fatigue in patients with chronic kidney disease undergoing hemodialysis.

scholarly journals PROMOSI MEDIA FILM BERBAHASA BENGKULU BERPENGARUH TERHADAP PENGETAHUAN DAN MOTIVASI WANITA DALAM DETEKSI DINI KANKER SERVIKS MELALUI IVA TES

2019 ◽  
Vol 6 (2) ◽  
pp. 123-132
Author(s):  
Lusi Andriani ◽  
Sri Yanniarti ◽  
Desi Widiyanti ◽  
Elvi Destariyani
Keyword(s):  
Cervical Cancer ◽  
Comparison Group ◽  
Intervention Group ◽  
Control Group ◽  
P Value ◽  
Design Data ◽  
Control Group Design ◽  
Before And After ◽  
Quasi Experimental ◽  
The Impact

The incidence of Cervical cancer about 16/ 100,000 women, 70% of deaths occur in poor and developing countries. It is estimated that approximately 528,000 new cases of cervical cancer and caused 266,000 people to die. The purpose of this study to determine the impact of local language movies on knowledge and motivation Women in the implementation of early detection of cervical cancer by the IVA test. This study uses a quantitative method with a design quasi-experimental pre and post-test with control group design, data were collected using a questionnaire. Samples were 60 women in the Kampung Melayu district area consists of 30 people as the intervention group and 30 in the comparison group. The data analysis used univariate, the bivariate test of T-dependent and T-test Independent, multivariate use MANCOVA. Results showed knowledge before and after intervention increased from 10.73 into 12.80 with p-value(0.000) and Motivation scores increase of 56.57 into 60.40 with p-value (0.002). There are significant differences between the intervention group and the comparison group with p-value(0.002) for the knowledge and p (0.000) for motivation. There was a significant effect of the variable Independent Movie towards Knowledge and Motivation women with pValue 0.00, covariate variable does not affect the knowledge and motivation with p-Value greater than α =0.05. Need to campaign on an ongoing basis to be able to motivate women in carrying out the examination IVA and the media that is used needs to be varied so that women interested and more easily understand the message.

scholarly journals The Impact of Maryam Exercise Towards the Stress Level and Cortisol Serum Level among Primiparous Pregnant Women

2020 ◽  
Vol 3 (5) ◽  
pp. 598-607
Author(s):  
Maya Erisna ◽  
Runjati Runjati ◽  
Apoina Kartini ◽  
Mahalul Azam ◽  
Donny Kristanto Mulyantoro
Keyword(s):  
Pregnant Women ◽  
Positive Impact ◽  
Intervention Group ◽  
Serum Levels ◽  
Control Group ◽  
Significant Difference ◽  
Stress Levels ◽  
Before And After ◽  
The Impact ◽  
Experimental Group

Women are more at risk to stress in pregnancy than during the puerperium. One method of coping with stress is through physical exercise. Maryam Exercise can be used as an alternative to the development of pregnancy exercises in Indonesia because it covers the holistic aspects and easy to do. It is a combination of basic pregnancy exercises, Islamic prayer (Salat) movements and dhikr.  The purpose of this study was to examine the impact of Maryam exercise on the stress levels and cortisol serum levels among primiparous pregnant women. This study used a quasi-experimental study design, pre-test and post-test with non-equivalent control group. In the third trimester of 40 primiparous women  were randomly assigned into two groups such the experimental group (n=20) and the control group (n=20). The experimental group received the Maryam exercise while the control group received the standard antenatal exercise. There was a significant difference in stress levels between the intervention group and the control group before and after receiving the intervention (p <0.05). The cortisol levels also showed the significance difference between the intervention group and the control group before and after receiving the intervention (p <0.05). The findings of this study suggest that Maryam Exercise has a positive impact on stress levels and cortisol serum levels of primiparous pregnant women.

Lifestyle interventions reduce exercise ventilatory variability in healthy individuals: a randomized intervention study

2020 ◽  
Vol 16 (5) ◽  
pp. 439-446
Author(s):  
Renata RT Castro ◽  
Allan Robson Kluser Sales ◽  
Antonio CL Nóbrega
Keyword(s):  
Exercise Intervention ◽  
Intervention Group ◽  
Control Group ◽  
Study Materials ◽  
Diet And Exercise ◽  
Before And After ◽  
Randomized Intervention ◽  
Diet And Exercise Intervention ◽  
Randomized Intervention Study ◽  
The Impact

Aim: Variation of exercise ventilation confers poor prognosis in heart failure. Sedentary men have higher exercise ventilatory variability than athletes. However, the impact of lifestyle intervention on exercise ventilatory variability in sedentary people is unknown and this is the aim of this study. Materials & methods: Prospective controlled single-blinded interventional study that randomly assigned healthy sedentary individuals to diet and exercise (intervention group, n = 12) or no intervention (control group, n = 12) for 12 weeks. Exercise ventilatory variability was accessed before and after intervention. Results: Despite similar values at baseline, there was a 15% reduction in respiratory rate variability (root mean square of the successive differences/n) in intervention group. Conclusion: Diet and exercise training reduced exercise ventilatory variability.

scholarly journals The Impact of Epigallocatechin Gallate and Coconut Oil Treatment on Cortisol Activity and Depression in Multiple Sclerosis Patients

Life ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 353
Author(s):  
Jose Luis Platero ◽  
María Cuerda-Ballester ◽  
David Sancho-Cantus ◽  
María Benlloch ◽  
Jose Joaquin Ceron ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Body Fat ◽  
Intervention Group ◽  
Epigallocatechin Gallate ◽  
Coconut Oil ◽  
Control Group ◽  
Mass Percentage ◽  
Fat Loss ◽  
Before And After ◽  
The Impact

(1) Background: Multiple sclerosis (MS) is pathogenically characterized by high oxidative stress and symptomatically by progressive muscle loss and increased body fat associated with the presence of depression. Epigallocatechin gallate (EGCG) (particularly present in green tea) and ketone bodies (in particular beta-hydroxybutyrate (BHB)), whose main source is coconut oil, have shown emotional benefits and body fat loss. The aim of this study was to assess the impact of EGCG and coconut oil on cortisol activity related to fat loss and depression in MS patients. (2) Methods: The study involved 51 MS patients who were randomly divided into an intervention group or a control group. The intervention group received 800 mg of EGCG and 60 mL of coconut oil, which were included in their daily diet for four months. The control group received placebo and all patients followed an isocaloric diet. A blood sample was collected before and after the four-month period, and levels of cortisol, albumin and BHB were measured in serum. In addition, immediately before and after the intervention, anthropometric variables were measured: waist-to-hip ratio (WHR), body fat mass percentage, fat weight, total weight, and muscle mass percentage. Depression was assessed with the Beck Depression Inventory II (BDI-II). (3) Results: No significant changes were obtained in cortisol levels in any of the groups, and there was a significant increase in albumin in the blood of the intervention group only that could lead to a decrease in serum free cortisol. In addition, it was observed a significant decrease in levels of depression and abdominal fat. (4) Conclusions: EGCG combined with coconut oil increase the concentration of albumin in blood and produce less depression in MS patients.

scholarly journals Interleukin-31 Serum And Pruritus Dimension After Acupuncture Treatment In Hemodialysis Patients: A Randomized Clinical Trial

2021 ◽  
Vol 9 (B) ◽  
pp. 196-201
Author(s):  
Dedi Ardinata ◽  
Rozaimah Zain-Hamid ◽  
Irma. D. Roesyanto-Mahadi ◽  
Hasan Mihardja
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Intervention Group ◽  
Serum Levels ◽  
Hemodialysis Patients ◽  
Control Group ◽  
Placebo Control ◽  
Limited Information ◽  
Before And After ◽  
The Impact

BACKGROUND: Interleukin (IL)-31 serum levels were significantly higher in hemodialysis patients with pruritus, whereas acupuncture in LI11 was shown to improve symptoms of pruritus. However, there is limited information that IL-31 serum levels that correlate with decreased dimensions of the pruritus after acupuncture in LI11 in a hemodialysis patient. AIM: The aim of the study was to demonstrate the impact of acupuncture in LI11 and IL-31 serum level and its correlation with dimensions of the pruritus in hemodialysis patients. METHODS: A randomized clinical trial has been carried out from August 2019 to December 2019 at H. Adam Malik General Hospital, Medan, Indonesia. Sixty patients underwent hemodialysis who were randomly allocated to two groups, one group got acupuncture in Quchi LI11 (intervention group), and the other group got a placebo (control group). IL-31 serum levels and pruritus were measured before and after 6 weeks of acupuncture in both groups. RESULTS: Acupuncture did not significantly reduce IL-31 (p = 0.931) and decreased dimensions: Degree, duration, disability, and distribution of the pruritus between the intervention group and the control group after 6 weeks of acupuncture in LI11. It can be shown that there is no significant correlation between IL-31 serum levels and dimensions of the pruritus. CONCLUSION: This study demonstrates the effect of acupuncture on reducing dimensions of the pruritus not related to IL-31 serum levels. Identifying the action mechanism of acupuncture to minimize pruritus considerably enhances knowledge of the impacts of acupuncture on reducing pruritus in hemodialysis patients.

scholarly journals The Effect of Brain Game on Cognitive Function in Stroke Patients

2021 ◽  
Vol 9 (1) ◽  
pp. 61
Author(s):  
Novi Malisa ◽  
Yuke Kirana
Keyword(s):  
Cognitive Function ◽  
Intervention Group ◽  
Nursing Intervention ◽  
Potential Effect ◽  
Control Group ◽  
Stroke Patients ◽  
Before And After ◽  
Placebo Intervention ◽  
And Control ◽  
Cognitive Problems

The decline in cognitive function has been a disorder frequently experienced by stroke patients. The present studyaimed to determine the effect of android-based brain games on cognitive function in stroke patients. Brain games inthis study are designed using an exploratory approach to various cognitive function domains that are damaged. Thequasi experiment using two groups pretest and posttest design involved 15 individuals for each group recruited froma hospital in West Java through purposive sampling with a sample calculation formula using a paired numericalanalytical research formula. The intervention group received an android-based brain games three times a week forone month, the control group received placebo intervention (mentioning colors of different words) three times aweek for one month. The FACT-Cog Version 3 questionnaire utilized as the measuring instrument. Measurementswere taken every week after the intervention for one month. The results indicated that there was a signifcant changein cognitive function scores before and after the intervention in the intervention group (p = 0.000). Meanwhile,in the control group there is no signifcant change (p = 0.164). Moreover, the results of cognitive function scoreanalysis after intervention between the intervention and control group exhibit a signifcant difference (p = 0.000).The brain game intervention has a signifcant effect on cognitive function after the third treatment in the frst week(p <0.05). Also, the results exhibit the potential effect of brain games on the cognitive function level of strokepatients. Some of the things that make the intervention in this study effective in improving cognitive functionare that the respondents included in this study are only those who have a score greater than or equal to 46, whichmay be different when applied to patients with lower scores. In addition, the intervention was carried out onrespondents who had experienced a stroke for the frst time and may be different if applied to people who have hadseveral strokes. Therefore, it is important to expand the criteria for respondents in further research. Furthermore,this can be used as an option of the nursing intervention to manage cognitive problems among stroke patients.

scholarly journals PENDIDIKAN KESEHATAN DALAM PENGELOLAAN HIPERTENSI PADA LANSIA DI POSBINDU BOKESAN NGEMPLAK SLEMAN DIY

2019 ◽  
Vol 6 (3) ◽  
pp. 199-204
Author(s):  
Ignasius Gongo Prihatmono ◽  
Scholastica Fina Aryu Puspasari
Keyword(s):  
Cardiovascular Disease ◽  
Healthy Lifestyle ◽  
Smoking Habit ◽  
Intervention Group ◽  
Control Group ◽  
Hypertension Management ◽  
Before And After ◽  
Quasi Experimental ◽  
Psychomotor Ability ◽  
The Impact

Background: Cardiovascular disease is the leading cause of mortality. The highest prevalence of cardiovascular disease is hypertension. Hypertension prevalence increases in 10 years and WHO predicts that it will always increase until 2030. Hypertension management is needed to prevent any complication and improve patient’s ability in their daily activity. Knowledge about hypertension management is based of healthy lifestyle that affected their quality of life. Objective: this study focused on determining the impact of education on respondent’s cognitive, affective, and psychomotor ability. Methods: this study occupied quasi-experimental design, which involve 40 respondents, divided into 2 groups i,e intervention group and control group (20 respondents each). Results: the majority of respondents were male (62.5%), aged 55-64 (50%), middle education (47.5%), non- smoker (55%), had no diet (62.5%). after 4 weeks, significant differences were found in cognitive, affective and psychomotor level before and after intervention in intervention group (p=0.002; p=0.012; p=0.001). compared to control group, there are significant differences in cognitive and psychomotor level (p=0.028; p=0.013). respondents’ characteristics that impacted on the dependent variable were education level, smoking habit, exercise, coping mechanism. Conclusion: education is an effective intervention to improve cognitive and psychomotor level of people with hypertension. Keywords: Education, hypertension, cognitive, psychomotor  

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