Clinical effectiveness in nursing最新文献

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Are there gender differences in affective disturbance in schizophrenia? 精神分裂症的情感障碍是否存在性别差异?
Clinical effectiveness in nursing Pub Date : 2004-09-01 DOI: 10.1016/j.cein.2004.12.005
Richard Allan , Colin R. Martin
{"title":"Are there gender differences in affective disturbance in schizophrenia?","authors":"Richard Allan ,&nbsp;Colin R. Martin","doi":"10.1016/j.cein.2004.12.005","DOIUrl":"https://doi.org/10.1016/j.cein.2004.12.005","url":null,"abstract":"<div><p>There have been few investigations conducted into the relationship of gender to affective disturbance in clients with a primary diagnosis of schizophrenia. The current study sought to determine if there was a significant difference between male and female clients in this clinical group (<em>N</em> <!-->=<!--> <span>100) on self-report measures of anxiety and depression. No significant gender differences were observed on Hospital Anxiety and Depression Scale (HADS) scores; effect sizes were, however, small. Gender differences were observed in the proportion of clients classified as possible cases on HADS anxiety (HADS-A) and depression (HADS-D) sub-scale scores. Further research is recommended to investigate the role of gender in the presentation of affective disturbance in this often neglected and socially marginalised clinical group.</span></p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"8 3","pages":"Pages 140-142"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2004.12.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138347308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Handling emerging health needs among a migrant population–factors associated with suicide attempts and suicide ideation among female street sex workers in Hong Kong 处理流动人口中出现的健康需要-与香港女性街头性工作者自杀企图及自杀意念有关的因素
Clinical effectiveness in nursing Pub Date : 2004-09-01 DOI: 10.1016/j.cein.2005.06.001
Dr. Davina C. Ling PhD (Econ) (Assistant Professor and Director of Center for Study of Economics of Aging and Health) , Dr. Eleanor A. Holroyd RM PhD (Med Anthro) (Associate Professor) , Dr. William C.W. Wong MB ChB (Edin) MRCGP (UK) (Assistant Professor) , Sister Ann Gray (Coordinator)
{"title":"Handling emerging health needs among a migrant population–factors associated with suicide attempts and suicide ideation among female street sex workers in Hong Kong","authors":"Dr. Davina C. Ling PhD (Econ) (Assistant Professor and Director of Center for Study of Economics of Aging and Health) ,&nbsp;Dr. Eleanor A. Holroyd RM PhD (Med Anthro) (Associate Professor) ,&nbsp;Dr. William C.W. Wong MB ChB (Edin) MRCGP (UK) (Assistant Professor) ,&nbsp;Sister Ann Gray (Coordinator)","doi":"10.1016/j.cein.2005.06.001","DOIUrl":"https://doi.org/10.1016/j.cein.2005.06.001","url":null,"abstract":"<div><h3>Objective</h3><p>To examine factors in the work environment that are linked to the suicidal process among female street sex workers (FSSWs) in order to suggest interventions that would be appropriate among this marginalized group.</p></div><div><h3>Design</h3><p>Cross-sectional survey of female street sex workers in Hong Kong. The questionnaire contained questions regarding quality of life, health status, working environment, suicide ideation, mental health, as well as other personal and family characteristics. A number of statistical models were used to analyze this rich set of cross-sectional data.</p></div><div><h3>Results</h3><p>More than a quarter of the women surveyed reported to have considered or attempted suicide, nevertheless the specific timing of their suicide attempts was unclear. Accounting for background characteristics, factors that were inherent to the sex industry were significantly associated with poor psychological health and suicidality. Experience of stigma and previous employment experience prior to involvement in sex work were also highly correlated with increased incidence of suicide attempts. On the other hand, the presence of dependents and experience of social support were associated with lower probability of suicidality.</p></div><div><h3>Conclusion</h3><p>Our study suggests that a number of areas (e.g., increased emphasis on health education and promotion, self-esteem building, assertiveness training and client advocacy) warrant attention among health professionals practicing in the Asian region, particularly among mental health nurses.</p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"8 3","pages":"Pages 205-214"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2005.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138200795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Gender differences in schizophrenia: The need for a psychosocial and formulation based analysis? 精神分裂症的性别差异:需要基于社会心理和公式的分析吗?
Clinical effectiveness in nursing Pub Date : 2004-09-01 DOI: 10.1016/j.cein.2005.03.001
M. Fleming
{"title":"Gender differences in schizophrenia: The need for a psychosocial and formulation based analysis?","authors":"M. Fleming","doi":"10.1016/j.cein.2005.03.001","DOIUrl":"https://doi.org/10.1016/j.cein.2005.03.001","url":null,"abstract":"<div><p>A review of the literature on gender differences in people who experience schizophrenia identifies some interesting differences between women and men in terms of age of onset, premorbid functioning, level of symptomology and outcomes all are favourable towards women. If those differences are analysed using a psychosocial model of schizophrenia this provides a much richer analysis and a deeper understanding and potential explanation of these differences. Which in turn provides a clearer idea of the implications for Mental Health Nurses and other practitioners.</p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"8 3","pages":"Pages 156-160"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2005.03.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138200791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
What do women think about treatments for postnatal depression? 女性对产后抑郁症的治疗有什么看法?
Clinical effectiveness in nursing Pub Date : 2004-09-01 DOI: 10.1016/j.cein.2005.03.003
Carol A. Henshaw MD, MRCPsych
{"title":"What do women think about treatments for postnatal depression?","authors":"Carol A. Henshaw MD, MRCPsych","doi":"10.1016/j.cein.2005.03.003","DOIUrl":"https://doi.org/10.1016/j.cein.2005.03.003","url":null,"abstract":"<div><p><span>Postnatal depression (PND) follows 13% of deliveries and has an adverse impact on child development and well being. It is therefore a major public health problem but the evidence base for its treatment remains limited. There is a substantial literature on the views of adults about the </span>treatment of depression but relatively little is known about what women with PND think about treatments. In addition there has been a rise in the use of complementary therapies. This paper reviews the literature in this area and discusses the implications for health professionals.</p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"8 3","pages":"Pages 170-175"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2005.03.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138200789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 14
Everyday memory and related processes in patients with eating disorders 饮食失调患者的日常记忆及其相关过程
Clinical effectiveness in nursing Pub Date : 2004-09-01 DOI: 10.1016/j.cein.2005.03.004
Julie A. Seed , Sylvia Dahabra , Tom Heffernan , Bernadette Robertson , Katy Foster , Helen Venn , Katy Froom , Tom Williams
{"title":"Everyday memory and related processes in patients with eating disorders","authors":"Julie A. Seed ,&nbsp;Sylvia Dahabra ,&nbsp;Tom Heffernan ,&nbsp;Bernadette Robertson ,&nbsp;Katy Foster ,&nbsp;Helen Venn ,&nbsp;Katy Froom ,&nbsp;Tom Williams","doi":"10.1016/j.cein.2005.03.004","DOIUrl":"https://doi.org/10.1016/j.cein.2005.03.004","url":null,"abstract":"<div><h3>Objectives</h3><p>To investigate everyday memory and related processes in patients with eating disorders and to consider how problems with these processes may impact upon their psychosocial functioning and ability to engage in cognitively demanding aspects of treatment programmes.</p></div><div><h3>Design</h3><p>Two case-control studies.</p></div><div><h3>Setting</h3><p>Regional Eating Disorders Service in the North East of England.</p></div><div><h3>Participants</h3><p><span><span>Patients with Anorexia Nervosa (AN), </span>Bulimia Nervosa (BN) and Eating Disorder Not Otherwise Specified (EDNOS) [</span><span>DSM-IV, 1994</span>] attending an Eating Disorder Unit, and healthy volunteers.</p></div><div><h3>Main Outcome Measures</h3><p>Self-report and objective measures of everyday memory and related processes; self-report and objective measures relating to state of illness; self-report measures of attendant anxiety and depression.</p></div><div><h3>Results</h3><p>Patients were found to be impaired on all measures of memory and related processes. Degree of impairment correlated variously with state of illness measures and depression/anxiety measures.</p></div><div><h3>Conclusions</h3><p>These data suggest that patients with eating disorders are impaired in their ability to engage in day-to-day and more directed activities that depend upon memory and related processes. Helping patients develop strategies to overcome these difficulties may be a useful nursing addition to existing treatment packages and may improve treatment efficacy.</p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"8 3","pages":"Pages 176-188"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2005.03.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138200790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
CFS/ME and mental health diagnoses: A qualitative approach to assessing the experiences of women who have now recovered 慢性疲劳综合症/慢性疲劳综合症和精神健康诊断:一种评估现已康复妇女经历的定性方法
Clinical effectiveness in nursing Pub Date : 2004-09-01 DOI: 10.1016/j.cein.2005.04.001
P. McCue
{"title":"CFS/ME and mental health diagnoses: A qualitative approach to assessing the experiences of women who have now recovered","authors":"P. McCue","doi":"10.1016/j.cein.2005.04.001","DOIUrl":"https://doi.org/10.1016/j.cein.2005.04.001","url":null,"abstract":"<div><p>Despite much research in recent years there still remains much doubt as to what causes CFS, and the role that mental health disorders play in its aetiology and perpetuation. The purpose of this study was to assess the illness experiences of a cohort of women who had recovered from Chronic Fatigue Syndrome (CFS) or Myalgic Encephalomyelitis (ME) in order to examine the extent to which the diagnoses they were given took a mental health perspective, and whether or not it was accepted that they were suffering a genuine illness. This was a qualitative study using Grounded Theory, with a sample of 14 female participants who had previously had CFS but considered themselves to be substantially or totally recovered from this illness. It was found that the participants experienced substantial problems with regard to diagnosis, with health care professionals often ignoring their physical symptoms. Similarly they encountered problems of acceptance and belief in terms of having a genuine illness. The findings are further discussed in terms of concomitant stigma and bias towards mental health diagnoses for women generally.</p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"8 3","pages":"Pages 194-201"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2005.04.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138200793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Volume contents, keyword and author indices 卷的内容,关键字和作者索引
Clinical effectiveness in nursing Pub Date : 2004-09-01 DOI: 10.1016/S1361-9004(05)00038-5
{"title":"Volume contents, keyword and author indices","authors":"","doi":"10.1016/S1361-9004(05)00038-5","DOIUrl":"https://doi.org/10.1016/S1361-9004(05)00038-5","url":null,"abstract":"","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"8 3","pages":"Pages I-IX"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1361-9004(05)00038-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138200796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The importance of assessing psychological status during pregnancy, childbirth and the postnatal period as a multidimensional construct: A literature review 评估心理状态在怀孕,分娩和产后期间作为一个多维结构的重要性:文献综述
Clinical effectiveness in nursing Pub Date : 2004-09-01 DOI: 10.1016/j.cein.2005.02.001
Julie Jomeen RGN, RM, MA
{"title":"The importance of assessing psychological status during pregnancy, childbirth and the postnatal period as a multidimensional construct: A literature review","authors":"Julie Jomeen RGN, RM, MA","doi":"10.1016/j.cein.2005.02.001","DOIUrl":"https://doi.org/10.1016/j.cein.2005.02.001","url":null,"abstract":"<div><p>This paper presents a comprehensive review of the literature surrounding women’s psychological health in pregnancy, childbirth and the postnatal periods<span><span>. The content will provide clinically useful information to midwives and health care professionals involved in caring for women during the antenatal, intranatal and postnatal periods. The impact of psychological health status in pregnancy on clinical outcomes such as </span>preterm labour<span><span><span>, pre-eclampsia, epidural use, caesarean section, </span>instrumental deliveries and increased rates of admission to </span>neonatal intensive care, alongside the cognitive and social development of the infant and child are well documented. Less research to date has considered the impact of psychological well-being on the mother throughout pregnancy, the peripartum, postpartum and beyond. Psychological status for these women has traditionally been characterised by anxiety and depression, largely ignoring the complex psychological interrelations that characterise pregnancy. Psychological status in pregnancy cannot be defined within a unidimensional framework but must include a comprehensive assessment of all the dimensions that attribute to mood and emotional status for women during pregnancy, childbirth and the postnatal period. This paper intends to address the constructs of anxiety and depression, worry, control, quality of life, sleep and self-esteem. Screening for, and identification of, maternal psychological distress from a multidimensional perspective enables healthcare professionals to recognise and acknowledge normal and abnormal adjustment and offer interventions, strategies and support to facilitate a woman’s transition to motherhood.</span></span></p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"8 3","pages":"Pages 143-155"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2005.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138200785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 107
Challenges to diversity and quality in health research 对卫生研究多样性和质量的挑战
Clinical effectiveness in nursing Pub Date : 2004-09-01 DOI: 10.1016/j.cein.2005.07.001
C.R. Martin
{"title":"Challenges to diversity and quality in health research","authors":"C.R. Martin","doi":"10.1016/j.cein.2005.07.001","DOIUrl":"https://doi.org/10.1016/j.cein.2005.07.001","url":null,"abstract":"","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"8 3","pages":"Pages 131-132"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2005.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138200786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A short report on the prevalence of mental health disturbance in children and young people: Interpretations and implications for the mental health care of adolescent women 关于儿童和青少年心理健康障碍的流行情况的简短报告:对少女心理保健的解释和影响
Clinical effectiveness in nursing Pub Date : 2004-09-01 DOI: 10.1016/j.cein.2005.04.002
Peter Turner MA, RMN, BA(Hons), BSc(Hons), Cert Ed. (Child & Adolescent Mental Health Programme Leader)
{"title":"A short report on the prevalence of mental health disturbance in children and young people: Interpretations and implications for the mental health care of adolescent women","authors":"Peter Turner MA, RMN, BA(Hons), BSc(Hons), Cert Ed. (Child & Adolescent Mental Health Programme Leader)","doi":"10.1016/j.cein.2005.04.002","DOIUrl":"https://doi.org/10.1016/j.cein.2005.04.002","url":null,"abstract":"<div><p>In this short report, some recent statistics of mental disorder prevalence in young people are presented and discussed from a gender perspective. It is suggested that girls with mental health problems might experience difficulty in having their needs met within services which may still embody significant elements of paternalism and where psychodynamic<span> phenomena may impact on care delivery. Findings may have implications for practitioners involved in child and adolescent mental health care.</span></p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"8 3","pages":"Pages 189-193"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2005.04.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138200794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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