International journal of Nursing Didactics

Social Determinants of Health and Adult Respiratory Distress Syndrome

Sergio Vital da Silva Junior — 2024-03-06

Objective: to determine whether socio-environmental factors produce outcomes for human viral respiratory illness. Method: Systematic Review carried out from July to November 2020. The search for studies took place in the Virtual Health Library, SCOPUS, Web of Science, PubMed, CINAHL, SAGE Journals. The software R 4.0.1 was used for statistical analysis and IRaMuTeQ for lexical analysis of the abstracts. 2721 articles were found. After reading the titles and abstracts, 208 studies were selected and after reading in full, 43 publications were chosen. After reverse search, 14 articles were included, making the sample 57 studies. Results: there were more publications in 2020, predominantly in the United States of America. Quantitative, cross-sectional studies with Regression Models lead the publications. Influenza and Covid were the most prevalent diseases. Regarding lexical analysis, three classes emerged: human behavior and transmission of viral etiological agents; social impacts of viral respiratory illness and environmental impacts of viral respiratory illness. There was a significant outcome between environmental factors and respiratory illness of viral etiology (91.67%) and between social factors and human viral respiratory illness (97.44%). Conclusion: Socio-environmental factors produce significant outcomes for human viral respiratory illness.

Correlation between Ruminative Thoughts and Anxiety among Depressed Patients

Nahed Maher Ali — 2024-03-16

Background: Globally, depression is the most common mental health disorder and one of the main contributors to disabilities and impairment. It is regarded as a serious public health issue because of its steadily rising prevalence. Aim: The study aimed to assess correlation between ruminative thoughts and anxiety among depressed patients. Subjects and Method: The current study use descriptive correlation research design with sample of65 patients diagnosed with depression were admitted to the inpatient psychiatric departments of Mansoura University Hospital. Three tools were used; socio demo graphic characteristics and clinical sheet, Ruminative Response Scale (RRS), and Generalized Anxiety Scale (GAS). Results: The current study's findings showed that(55.4%) of the total age group is between 30-45 years, about two thirds of participants (61.5%) were female,(78.5%) of participants had low income, the residence of (67.7%) are in rural area and (66.4%) are single. While (40%) of the studied participant had moderate rumination and (50.8%)of them showed severe rumination. The prevalence of severe anxiety was (52.3%). Anxiety and ruminative thoughts are significantly correlated (P=.000). Additionally, a significant negative correlation was found between anxiety and reflection (p=.023). There was statistically significant positive correlation between anxiety and brooding rumination (p=.002). Anxiety and reflection rumination showed a negative, significant correlation (p=.023). Conclusion: Patients with depression were more likely to had ruminative thought. Anxiety and ruminative thought were positively associated. Recommendation: It is recommended that establish mindfulness program for patients with depression to control ruminative thinking and anxiety level.

Effect of Mindfulness Training Techniques on Anxiety among Patients with Major Depressive Disorder

Asmaa Maher Zein-Elabdeen — 2024-03-20

Background: Major Depressive Disorder (MDD) is a major contributor to the global disease burden and one of the top causes of disability globally. Depression negatively impacts patients, their families, and the entire community with serious economic, social, and health consequences. The aim of the study is to evaluate the effects of mindfulness training techniques on anxiety among patients with major depressive disorder. Subjects and method: The current study used a quasi-experimental research design [one group pretest - posttest] with a sample of 60 patients diagnosed with major depressive disorder admitted to Psychiatry Inpatient Department at Mansoura University Hospital. Three tools were used to gather the data: socio-demographic characteristics and clinical data sheet, Beck Depression Inventory (BDI-II) scale, and Beck Anxiety Inventory (BAI) scale. Results: This study's findings showed that, prior to using the mindfulness training technique, over half (51.7%) of the patients experienced severe depression. Additionally, over half (53.3%) of the patients in the study exhibited a moderate level of anxiety. At the end of eight weeks of intervention, the mindfulness training techniques were associated with significant decreases in the severity of symptoms associated with depression (p ≤0.001). Also, results showed significantly alleviating anxiety symptoms from pre- to post-intervention (p ≤0.001). In conclusion, using a mindfulness training program with patients who are depressed help them feel less anxious and depressed. It is recommended that mindfulness training practices be used as a therapeutic intervention to lower anxiety and depression levels for all patients with depression. Moreover, further studies will be recommended to measure the effect of mindfulness interventions in the long run.