Effects of comprehensive nursing intervention based on self-disclosure on improving alexithymia in elder patients with coronary heart disease

Abstract

Objectives Patients with coronary heart disease (CHD) experience stress and suffer from the risk of recurrence and death. Comprehensive nursing intervention based on self-disclosure (CNISD) is an interdisciplinary service and an effective approach to care that improves quality of life and alleviates suffering for patients with CHD. The purpose of this study was to analyze the effects of CNISD on alexithymia in patients with CHD. Methods A total of 1088 patients with CHD were recruited and received CNISD (n = 540) and usual care (n = 548). The quality of life, alexithymia, four statutory health insurance funds, recurrence, mortality, and satisfaction was compared in patients with CHD between CNISD and usual care group. Results Outcomes showed that CNISD improved sleep quality and quality of life, increased physical activity, reduced the hospital anxiety and depression scale in patients with CHD compared to usual care. Recurrence and mortality of patients with CHD were markedly improved by CNISD compared to patients with CHD in usual care group. Conclusions In conclusion, data in this study indicate that CNISD presents benefits in improving quality of life, physical activity, anxiety, depression, recurrence, and mortality for patients with CHD.

Alexithymia and asthma: a systematic review

“…In this context, awareness of emotions and feelings and reflective ability occupy a fundamental role in ensuring wellbeing and equilibrium between these factors. Consistently, data from the current Review suggest that the negative impact of alexithymia on health may be effectively controlled through clinical intervention programs ( Nunes da Silva, 2021 ; Zhang and Zhang, 2022 ). This path would favor the improvement of emotional skills, promotion of patient self-disclosure, and therapeutic alliance, driving toward a multi-integrated approach allowing early diagnosis by clinicians and collaborative treatment.…”

Evaluating the Methodological Approaches of Cross-Cultural Adaptation of the Bedside Handover Attitudes and Behaviours Questionnaire into Portuguese

“… 93 The purpose of using self-disclosure is to support patients’ experience rather than belittle or devalue it, 94 through a therapeutic bond with nurses. 89 Its use in nursing is reported, for example, in obstetrics, 95 cardiology, 96 and oncology units. 97 Regarding humor, the low agreement of the experts may be justified by the fear of negative reactions from patients or even the loss of mutual respect.…”

Efeitos da intervenção terapêutica de enfermagem em pacientes com doença cardíaca coronária

“…(14) Zhang et al relataram que a intervenção de enfermagem baseada no modelo de trajetória da doença crônica melhorou significativamente os sintomas clínicos de idosos com DCC. (15) Neste estudo, a melhora dos sintomas clínicos foi significativamente maior no grupo observação do que no grupo controle. O motivo pode ser a melhor adesão dos pacientes ao tratamento por meio da intervenção de enfermagem com base no modelo de trajetória da doença crônica.…”

“…Zhang et al mostraram que a intervenção de enfermagem baseada no modelo de trajetória da doença crônica aumentou significativamente a pontuação de autoeficácia de pacientes com DCC, e tal pontuação foi significativamente maior em comparação com a intervenção de enfermagem convencional. (15) Neste estudo, a pontuação de autoeficácia no grupo observação aumentou significativamente após a intervenção e foi maior do que a do grupo controle. A razão pode ser o fato de tal intervenção de enfermagem ajudar os pacientes na correção de maus hábitos de vida e alimentação e no desenvolvimento de uma atitude positiva de poder superar a doença, melhorando assim a autoeficácia dos pacientes com DCC, o que é benéfico para o tratamento.…”