Community Mental Health Nursing
Permanent URI for this collection
Browse
Recent Submissions
Now showing 1 - 5 of 36
- ItemCONTINUOUS TRAUMATIC STRESS RESPONSE AND COPING STRATEGIES AMONG ADULTS EXPOSED TO POLITICAL VIOLENCE IN THE NORTH OF THE PALESTINIAN TERRITORIES: A MIXED METHOD STUDY(An-Najah National University, 2024-10-02) Ghannam, MaramBackground: Prolonged exposure to political violence, such that which occurred during the Israeli-Palestinian occupation, has caused serious physical and mental distress for Palestinian civilians. It is crucial to examine that people experience anxiety, dread, and sense of perceived threat during continuous traumatic stress are directly affect coping strategies. The aim of the study : To assess the level of Continuous Traumatic Stress Response and coping strategies among Palestinian adults exposed to political violence. Method: A mixed method of quantitative and qualitative research study design was adopted in this study. A purposive sampling method of adults who are from Jenin and Nablus camps and Nablus Old City. Out of 407 participants were included in this study. The Politically Violent Events Scale, continues traumatic stress response scale and the Jalowiec Coping Scale were used.Ten participants were included in this study in qualitative study for in depth interviews. Results: The findings indicated that the participants' greatest exposure (76.7%) was to their home being searched by the military. In terms of the event's severe impact, curfews or being prohibited from leaving one's home or city was ranked as the most severe influences. Participants feels fear and helplessness (63.6%), followed by feeling of exhausted and detachment (62.61%), and finally feeling of rage and betrayed(59.35%). the focus on concentrating their efforts on doing something about the situation was the highest among the approach coping method and their trying to find comfort in religion was the highest among the avoidant coping method among the study participants. In the qualitative findings, Six themes were emerged: Military occupation as a source of danger, terror, sabotage, deprivation of freedom and rights. a source of psychological and physical diseases, loss of loved ones. And the “Challenging the occupation as a source of hope” theme . Conclusion: Enhanced comprehension of the psychological ramifications of possibly traumatic incidents can eventually result in better CTSR prevention and treatment strategies. The promotion of mental health and well-being among people impacted by stress and trauma connected to conflict requires standardized instruments, family support, and cultural sensitivity.
- ItemPATIENTS’ SATISFACTION WITH ELECTRONIC HEALTH RECORD SYSTEM AND ITS EFFECT ON THE WAY OF THEIR COMMUNICATION WITH THE NURSES(An-Najah National University, 2024-09-12) Qaissi, AseelBackground: Health Information Technology, particularly Electronic Medical Records, is crucial for improving patient care quality and safety. In today's complex hospital environment, Electronic Medical Records help institutions meet government objectives and improve operational efficiency by reducing errors and increasing accuracy. This leads to a safer environment for patients and fewer medical mistakes. Aim: The aim of the study is comparing between hospitals that use EMRs and hospitals that use paper medical record in terms of patients’ satisfaction with the provided healthcare and patients’ communication with nurses. Methods: A comparative and descriptive study was conducted in hospitals in the West Bank of Palestine, comparing electronic medical records with paper medical records medical records. A random sample of 370 patients was selected from both types of hospitals. Data were collected using a questionnaire adapted from previous research, including the Patient Satisfaction Questionnaire (PSQ-18) for overall care satisfaction and the Consultation and Relational Empathy measure for evaluating patient-nurse communication. Results: The study's patient population had a median age of 41, with a nearly equal distribution across hospitals. Data were analyzed using non-parametric tests due to non-normal distribution. The cohort consisted of 53.2% males and 46.8% females, with 71.6% being married and 54.6% having higher education. Income was reported as less than USD 500 per month by 52.4% of patients, with 47.6% living in cities and 45.9% in rural areas. Satisfaction levels showed variability but were generally higher in hospitals using Electronic Medical Records (EMRs), though not significantly different. Lower education levels were associated with higher communication scores (p = 0.008), and EMR usage also correlated with better communication scores (p = 0.038). Enhanced nurse communication was positively correlated with higher patient satisfaction (r = 0.261, p = 0.018). Conclusion: Patient satisfaction was generally high, with strong agreement on the Patient Satisfaction Questionnaire items and effective communication with nurses. Satisfaction did not vary significantly with sociodemographic factors or documentation type, though better communication was notably linked to lower educational levels and hospitals using EMRs. Improved communication positively correlated with higher satisfaction. Enhancing patient-nurse communication is essential, and policymakers should focus on improving both verbal and non-verbal communication methods. Further research in this area within Palestine is recommended.
- ItemTHE EFFECT OF COGNITIVE BEHAVIOURAL THERAPY IN TREATING HALLUCINATION AND DELUSION AMONG PATIENTS WITH SCHIZOPHRANIA: A RANDOMIZED CONTROL TRIAL(An-Najah National University, 2024-06-26) Zamareh, SalsabeelBackground: Schizophrenia is a leading cause of disability across the globe, affecting nearly 1% of the worldwide population. Cognitive Behavioral Therapy for Psychosis (CBTp) is recognized as an established therapeutic approach, proving effective in mitigating symptoms and improving the quality of life for those with psychotic disorders. CBTp is aimed at enhancing functionality while navigating through challenging symptoms such as hallucinations, negative symptoms, cognitive disturbances, and delusions. Method: This study employed a quasi-experimental methodology and was conducted at the Hebron mental health clinic from January to March 2023. It utilized two assessment tools: The Psychotic Symptom Rating Scales (PSYRATS) and the Positive and Negative Syndrome Scale (PANSS), with the SPSS version 28 for statistical analysis. Results: The intervention group showed a statistically significant improvement in post-test scores for auditory hallucinations, delusions, and overall severity of schizophrenia compared to the control group (p < 0.05). Furthermore, a significant reduction in distress and anxiety levels was noted in the intervention group's post-test scores compared to the control group (p < 0.05). Additionally, no significant differences were found in the outcomes related to auditory hallucinations, delusions, and schizophrenia severity across various demographic groups of participants (p > 0.05). Conclusion: The outcomes of this study highlight the pivotal contribution of CBT to the considerable decrease in overall psychotic symptoms, especially in positive symptoms, auditory hallucinations, and delusions within the case group. This work contributes to the growing evidence supporting the adaptation of validated interventions and the efficacy and acceptance of CBT in the treatment of psychosis. Keywords: Delusions, Hallucinations, Psychosis, Cognitive Behavioral Therapy (CBT).
- ItemPOSTPARTUM DEPRESSIONAND ANXIETY AMONG WOMEN UNDERGO CESAREAN SECTION COMPARED WITH VAGINAL DELIVERY IN NABLUS(2023-05-31) Sojoud Abu-BakerBackground: Depression and anxiety are considered to be significant mood changes among pregnant women. Numerous studies have reported fluctuations in levels of depression and anxiety over time among women who planned for caesarean section (CS) more than a normal vaginal delivery. Based on data from the World Health Organization, around ten percent of pregnant women around the world and 13 percent of the women who have given birth experience a mental disorder, and primarily depression. Aim: The study aims to investigate the prevalence of depression and anxiety among women who have undergone a caesarean section versus woman who delivered normal, and to identify the related predictors of depression and anxiety. Methodology: A quantitative prospective cross-sectional approach was used in this study. The researcher used the Edinburgh Postnatal Depression Scale (EPDS). The Postpartum Specific Anxiety Scale (PSAS) for anxiety was used after two weeks and six weeks of postpartum and applied on 361women who underwent caesarean section and normal delivery at large hospitals in Palestine. Results: The study showed that the majority of the participants were aged 28-37 (38.8%) and 47.1% holding a bachelor's degree. About 30.5% of women experienced psychological stress after childbirth. Family support was available to 73.1% of participants. The study revealed significant differences in anxiety and depression scores after 2 weeks post-delivery, associated with various obstetric factors such as allergies, surgical procedures, medical diseases, and family psychological history (p < 0.05). Additionally, factors like gravity, parity, abortion, gestational age, number of foetuses, number of male and female babies, type of delivery, planned caesarean delivery, type of anaesthesia during delivery, health problems after delivery, and type of feeding also showed similar associations (p < 0.05). These findings underscore the importance of considering these obstetric factors as potential risk factors impacting maternal mental health during the postpartum period. Conclusions: The researcher found the total percentage of post-partum women who suffer from severe PPD and anxiety were high especially for CS group, according to the findings of the study, midwives should focus on providing healthcare for woman after six weeks of childbirth especial CS group, because through our study, the incidence of PPD and anxiety increase with time, especially in this period and focus on decreased factors that increased occurrence of PPD and anxiety. Keywords: Cesarean section, Postpartum depression, Anxiety, Risk factor, Women, Normal Delivery.
- ItemPREVALENCE AND ASSOCIATED FACTORS OF POST-PARTUM ANXIETY SYMPTOMS AMONG PALESTINIAN WOMEN(جامعة النجاح الوطنية, 2022-03-17) SaadAdeen, SanaBackground Over 20% of women are estimated to develop a mental disorder during pregnancy and/or for up to a year postpartum, with anxiety and depression being the most common co-morbidities. Postpartum anxiety is less well studied than postpartum depression in terms of prevalence and risk factors. Suffering from severe postpartum anxiety can put a strain on maternal neglect and disrupt the mother-infant relationship. Objective: The aim of the study is to determine the prevalence and associated factors of postpartum anxiety symptoms among Palestinian women. Setting: This study was conducted in Salfit and Nablus at governmental primary health care clinics affiliated with the Palestinian Ministry of Health. Methods A descriptive, cross-sectional design was utilized on a nonprobability convenience sample. A total of 510 mothers with one healthy baby (0 to 6 months) completed socio-demographic and obstetrics characteristic questionnaire along with Postpartum Specific Anxiety Scale (PSAS). Results: The majority of women reached postsecondary education (bachelor's degree 58%). The highest percentage of participants (42 %) were between the ages of 26 and 32 years. The majority of participants (81.4%) were unemployed. Although 63% of the participants planned their pregnancy, 36.9% did not. Despite 92% did not report any complications after childbirth and 60% had a normal delivery, but unfortunately, 36.3% of them did not follow up postpartum care at local clinic. Only (44.3%) of the participants reported that the feeding type was natural breastfeeding. Most of mothers (89.2%) had no feeding difficulties. The findings revealed that (91.6%) received support from their husbands. And, (85.7%) received support from other source. The total number of post-partum women who suffer from postpartum anxiety was 59 out of 510 (11.6%) according to the total score of PSAS. Conclusion: The results showed a slight variation in the proportions of anxiety according to the demographic variables and characteristics of the women in postpartum period, but these differences had no statistically significance. Only three factors were significant predictors of postpartum anxiety including feeding difficulties, presence of emotional support from husband and presence of emotional support from other source.