10 research outputs found
Participants’ perspectives on mindfulnessbased cognitive therapy for inflammatory bowel disease: a qualitative study nested within a pilot randomised controlled trial
Background: Mindfulness-based interventions have shown to improve depression and anxiety symptoms as well as
quality of life in patients with inflammatory bowel disease (IBD). However, little is known about the experiences of
this group of patients participating in mindfulness interventions. This paper sets out to explore the perspectives of
patients with IBD recruited to a pilot randomised controlled trial (RCT) of mindfulness-based cognitive therapy
(MBCT) about the intervention.
Methods: In a qualitative study nested within a parallel two-arm pilot RCT of mindfulness-based cognitive therapy
for patients with IBD, two focus group interviews (using the same schedule) and a free text postal survey were
conducted. Data from both were analysed using thematic analysis. Data and investigator triangulation was
performed to enhance confidence in the ensuing findings.
Forty-four patients with IBD were recruited to the pilot RCT from gastroenterology outpatient clinics from two
Scottish NHS boards. Eighteen of these patients (ten from mindfulness intervention and eight from control group)
also completed a postal survey and participated in two focus groups after completing post intervention
assessments.
Results: The major themes that emerged from the data were the following: perceived benefits of MBCT for IBD,
barriers to attending MBCT and expectations about MBCT. Participants identified MBCT as a therapeutic, educational
and an inclusive process as key benefits of the intervention. Key barriers included time and travel constraints.
Conclusions: This qualitative study has demonstrated the acceptability of MBCT in a group of patients with IBD.
Participants saw MBCT as a therapeutic and educational initiative that transformed their relationship with the illness.
The inclusive process and shared experience of MBCT alleviated the sense of social isolation commonly associated
with IBD. However, time commitment and travel were recognised as a barrier to MBCT which could potentially
influence the degree of therapeutic gain from MBCT for some participants.
Keywords: Inflammatory bowel disease, Mindfulness, MBCT, Focus groups, Qualitative stud
A qualitative study of patients’ experience of living with inflammatory bowel disease: A preliminary focus on the notion of adaptation
Otolaryngology in Critical Care
Diseases affecting the ear, nose, and throat are prevalent in intensive care settings and often require combined medical and surgical management. Upper airway occlusion can occur as a result of malignant tumor growth, allergic reactions, and bleeding events and may require close monitoring and interventions by intensivists, sometimes necessitating surgical management. With the increased prevalence of immunocompromised patients, aggressive infections of the head and neck likewise require prompt recognition and treatment. In addition, procedure-specific complications of major otolaryngologic procedures can be highly morbid, necessitating vigilant postoperative monitoring. For optimal outcomes, intensivists need a broad understanding of the pathophysiology and management of life-threatening otolaryngologic disease
Xenin-25 Amplifies GIP-Mediated Insulin Secretion in Humans With Normal and Impaired Glucose Tolerance but Not Type 2 Diabetes
Reconstructing population exposures to environmental chemicals from biomarkers: Challenges and opportunities
Understanding Factors Associated With Psychomotor Subtypes of Delirium in Older Inpatients With Dementia
Objectives: Few studies have analyzed factors associated with delirium subtypes. In this study, we investigate factors associated with subtypes of delirium only in patients with dementia to provide insights on the possible prevention and treatments. Design: This is a cross-sectional study nested in the “Delirium Day” study, a nationwide Italian point-prevalence study. Setting and Participants: Older patients admitted to 205 acute and 92 rehabilitation hospital wards. Measures: Delirium was evaluated with the 4-AT and the motor subtypes with the Delirium Motor Subtype Scale. Dementia was defined by the presence of a documented diagnosis in the medical records and/or prescription of acetylcholinesterase inhibitors or memantine prior to admission. Results: Of the 1057 patients with dementia, 35% had delirium, with 25.6% hyperactive, 33.1% hypoactive, 34.5% mixed, and 6.7% nonmotor subtype. There were higher odds of having venous catheters in the hypoactive (OR 1.82, 95% CI 1.18-2.81) and mixed type of delirium (OR 2.23, CI 1.43-3.46), whereas higher odds of urinary catheters in the hypoactive (OR 2.91, CI 1.92-4.39), hyperactive (OR 1.99, CI 1.23-3.21), and mixed types of delirium (OR 2.05, CI 1.36-3.07). We found higher odds of antipsychotics both in the hyperactive (OR 2.87, CI 1.81-4.54) and mixed subtype (OR 1.84, CI 1.24-2.75), whereas higher odds of antibiotics was present only in the mixed subtype (OR 1.91, CI 1.26-2.87). Conclusions and Implications: In patients with dementia, the mixed delirium subtype is the most prevalent followed by the hypoactive, hyperactive, and nonmotor subtype. Motor subtypes of delirium may be triggered by clinical factors, including the use of venous and urinary catheters, and the use of antipsychotics. Future studies are necessary to provide further insights on the possible pathophysiology of delirium in patients with dementia and to address the optimization of the management of potential risk factors