Background: Implantable cardioverter defibrillators (ICD), as a gold and standard treatment for fatal cardiac arrhythmia, may lead to some physical and psychological problems for the patients. Therefore, performing some interventions to reduce or eliminate these issues is crucial. This study aimed to determine the effect of virtual interactive nurse-led support group intervention on fatigue, shock anxiety, and acceptance of ICD patients.
Methods: This is a clinical trial study on 72 patients with ICD. They were randomly allocated to the intervention (n = 36) and control (n = 36) groups. A virtual interactive nurse-led support group intervention through WhasApp was performed for one month. Multidimensional fatigue inventory, Florida Shock Anxiety Scale, and Florida Patient Acceptance Scale were used. Data were analyzed to perform the analysis of data through SPSS, using independent and paired-t test, Mann-Whitney U test, Wilcoxon test, and ANCOVA.
Results: Before the intervention, no significant difference was observed between the two groups with regard to fatigue, shock anxiety, and ICD acceptance. However, after the intervention, a significant difference was found between the two groups with regard to fatigue, shock anxiety, and ICD acceptance (P < 0.05).
Conclusion: This study showed that virtual interactive nurse-led support group intervention reduced fatigue and shock anxiety and improved the ICD acceptance.
Practice Implications: This flexible, accessible, and interactive nurse-led support group intervention is suggested to be used for ICD patients.
Trial Registration: This trial was registered and approved by Iranian Registry of Clinical Trials (Trial Id: 60,738, date: (24/02/2022). ( https://www.irct.ir/trial/60738 ).
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http://dx.doi.org/10.1186/s12872-024-03713-5 | DOI Listing |
Soc Sci Med
December 2024
NYU Grossman School of Medicine, 550 First Avenue, New York, NY, 10016, USA.
The COVID-19 pandemic increased maternal depression and anxiety, imperiling both mothers' own wellbeing and that of their children. To date, however, little is known about the extent to which these increases are attributable to economic hardships commonly experienced during the pandemic: income loss, job loss, and loss of health insurance. Few studies have examined the individual impacts of these hardships, and none have lasted beyond the first year of the pandemic.
View Article and Find Full Text PDFFront Glob Womens Health
December 2024
Optentia Research Unit, North-West University, Vanderbijlpark, South Africa.
Objective: This article aims to examine the influence of individual and community-contextual factors on the well-being of older women in Zambia during the COVID-19 pandemic, drawing on Bronfenbrenner's process-person-context-time model.
Methods: Secondary data from the nationally representative 2021 SEIA were used, and bivariate and logistic regression analyses were performed to determine factors associated with the well-being of older women during the COVID-19 pandemic.
Results: Overall, 29% (613) of older women reported a decline in their well-being due to COVID-19.
PLoS One
December 2024
Translational Biology, Medicine and Health Graduate Program, Virginia Polytechnic Institute and State University, Blacksburg, Virginia, United States of America.
Post-traumatic stress disorder (PTSD) is a severe anxiety disorder that affects women more than men. About 30% of patients suffering from PTSD develop the disorder by witnessing a traumatic event happen to someone else. However, as the focus has remained on those directly experiencing the traumatic event, whether indirectly acquired fear memories that underlie PTSD have the same molecular signature as those that are directly acquired remains unknown.
View Article and Find Full Text PDFJ Nurs Adm
January 2025
Author Affiliation: Associate Dean, Strategic Partnerships and Global Affairs, Vanderbilt University School of Nursing, Nashville, Tennessee.
The transition from graduate education to clinical practice is a pivotal phase in the career of advanced practice RNs (APRNs). This transition is often marked by a phenomenon known as transition shock, characterized by feelings of anxiety, self-doubt, and inadequacy as new APRNs adjust to the demands of clinical practice.
View Article and Find Full Text PDFBrain Behav Immun
December 2024
School of Basic Medicine, Gannan Medical University, Ganzhou, PR China.
Psychological stress can lead to emotional disorders, such as anxiety and depression; however, the underlying mechanisms are complicated and remain unclear. In this study, we established a mouse psychological stress model using an improved communication box, in which the psychologically stressed mice received visual, auditory, and olfactory emotional stimuli from the mice receiving electric foot shock, thus avoiding physical stress interference. After the 14-day psychological stress paradigm, our mice exhibited a significant increase in depressive and anxious behaviors.
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