RESUMO
PURPOSE: To evaluate the feasibility of 2-week interpersonal and social rhythm therapy group (IPSRT-G) for bipolar depression. DESIGN AND METHODS: Participants with bipolar depression received two individual sessions, six IPSRT-G sessions, and a 12-week telephone call. The Inventory of Depressive Symptomatology-Clinician Rated (IDS-C), Young Mania Rating Scale (YMRS), Sheehan Disability Scale (SDS), and Clinical Global Impressions-Bipolar Version (CGI-BP) were used. FINDINGS: IDS-C and SDS scores improved significantly at 12 weeks. YMRS and CGI-BP scores improved but did not reach statistical significance. PRACTICE IMPLICATIONS: The promising antidepressive response supports further study of IPSRT-G for bipolar depression.
Assuntos
Transtorno Bipolar/terapia , Psicoterapia de Grupo/métodos , Terapia Socioambiental/métodos , Adolescente , Antidepressivos/administração & dosagem , Antidepressivos/uso terapêutico , Transtorno Bipolar/tratamento farmacológico , Transtorno Bipolar/psicologia , Terapia Combinada , Feminino , Humanos , Relações Interpessoais , Masculino , Satisfação do Paciente , Resultado do Tratamento , Adulto JovemRESUMO
Clinical nurse specialists (CNSs) have a unique view and understanding of patients in their environment and are a valuable resource that has not been adequately engaged in research, even when CNSs assist researchers in the conduct of research. The purpose of this article is to outline activities for supporting the conduct of research that capitalize on the clinical strengths of the CNS from an ecological framework. To illustrate the contributions of CNSs in the conduct of research, 3 clinical research studies are described. Discussion of these studies within the context of an ecological framework offers a systematic approach to describing the potential involvement of the CNS in the implementation of nursing research.
Assuntos
Ensaios Clínicos como Assunto/enfermagem , Enfermeiros Clínicos/organização & administração , Papel do Profissional de Enfermagem , Atitude do Pessoal de Saúde , Criança , Cuidado da Criança , Competência Clínica/normas , Ensaios Clínicos como Assunto/ética , Ensaios Clínicos como Assunto/métodos , Ensaios Clínicos como Assunto/psicologia , Comportamento Cooperativo , Fibromialgia/enfermagem , Fibromialgia/psicologia , Necessidades e Demandas de Serviços de Saúde , Insuficiência Cardíaca/enfermagem , Insuficiência Cardíaca/psicologia , Saúde Holística , Humanos , Relações Interprofissionais , Liderança , Modelos de Enfermagem , Enfermeiros Clínicos/educação , Enfermeiros Clínicos/ética , Enfermeiros Clínicos/psicologia , Papel do Profissional de Enfermagem/psicologia , Relações Enfermeiro-Paciente , Pais/educação , Pais/psicologia , Projetos de Pesquisa/normas , Relações Pesquisador-Sujeito , Apoio SocialRESUMO
PURPOSE: The purpose of this pilot study was to develop and evaluate a brief psychoeducational intervention to decrease pain catastrophizing, a focus on pain and its negative consequences in patients with fibromyalgia. DESIGN: A case-study design was used to design the targeted intervention. The intervention was piloted with 2 small groups of patients and family members. SAMPLE: Thirty-nine patients with fibromyalgia completed the surveys; patients/family members (N = 9) and ten interdisciplinary staff members participated in separate focus groups or e-mail surveys to provide data to develop the intervention. Two additional groups of patients and family members (N = 7) participated in the pilot intervention sessions. FINDINGS: Catastrophic thinking and associated declines in function were confirmed by survey results and focus group themes. A 2-hour session using self-efficacy theory was developed from these findings and other data sources. The patients/family members in pilot groups reported an increased knowledge of pain catastrophizing and satisfaction with the intervention. IMPLICATIONS FOR NURSING PRACTICE: A brief, psychoeducational offering that targets the reduction of catastrophizing is a feasible addition to the usual treatment protocol in a fibromyalgia treatment program and warrants further study.
