In-hospital stress and patient outcomes: A systematic review and meta-analysis

Ford, Daniel M; Budworth, Luke; Lawton, Rebecca; Teale, Elizabeth; O’Connor, Daryl B.

doi:10.1371/journal.pone.0282789

Cited by 6 publications

(4 citation statements)

References 91 publications

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“…The practice of PMR and similar techniques can lead to improved concentration, decision-making, and emotional resilience for medical professionals. This, in turn, has the potential to enhance patient interactions and outcomes, as healthcare providers who are mentally stable and less stressed are more likely to be attentive and empathetic in their patient care (Ford et al, 2023 ).…”

Section: Discussionmentioning

confidence: 99%

Progressive muscle relaxation in pandemic times: bolstering medical student resilience through IPRMP and Gagne's model

Nair,

Khan,

Naidoo

et al. 2024

Front. Psychol.

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BackgroundMedical education, already demanding, has been further strained by the COVID-19 pandemic's challenges and the shift to distance learning. This context underscores the need for effective stress reduction techniques in competency-based medical curricula (CBMC).ObjectiveWe assessed the feasibility and benefits of integrating a Progressive Muscle Relaxation (PMR) module—a known effective stress-reducing technique—into a time-restricted CBMC, particularly given such modules often find placement as elective rather than mandatory.MethodsAdapting Gagne's nine events of instruction, a 2-h PMR program was designed and implemented during the pandemic. Twenty participants were engaged on a first-come, first-served basis, ensuring adherence to social distancing measures. Feedback was continuously gathered, leading to two post-program focus group sessions. Qualitative data underwent thematic analysis following Braun and Clarke's approach, with study quality maintained by the Standards for Reporting Qualitative Research (SRQR). To gauge adaptability, we aligned the program with various learning outcomes frameworks and explored its fit within CBMC using Bourdieu's Theory of Practice.ResultsThe pilot PMR program was well-received and effectively incorporated into our CBMC. Our analysis revealed five central themes tied to PMR's impact: Self-control, Self-realization, Liberation, Awareness, and Interpersonal relationships. Feedback indicated the program's capacity to mitigate stress during the pandemic. The SRQR confirmed the study's alignment with qualitative research standards. Further, the PMR program's contents resonated with principal domains of learning outcomes, and its integration into CBMC was supported by Bourdieu's Theory. These observations led us to propose the Integrative Psychological Resilience Model in Medical Practice (IPRMP), a model that captures the intricate interplay between the identified psychological constructs.ConclusionThis research showcases an innovative, theory-guided approach to embed a wellbeing program within CBMC, accentuating PMR's role in fostering resilience among medical students. Our PMR model offers a feasible, cost-effective strategy suitable for global adoption in medical institutions. By instilling resilience and advanced stress-management techniques, PMR ensures that upcoming healthcare professionals are better equipped to manage crises like pandemics efficiently.

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Section: Discussionmentioning

confidence: 99%

Progressive muscle relaxation in pandemic times: bolstering medical student resilience through IPRMP and Gagne's model

Nair,

Khan,

Naidoo

et al. 2024

Front. Psychol.

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“…On this basis, multivariable MR Models were constructed to analyze the direct or independent effects of Hba1c, T1DM, and other characteristics on outcomes. The model was developed to determine the major factors affecting the prognosis of vitiligo, At present, some studies(9–11) have suggested that glycosylated hemoglobin has statistical significance in peripheral blood of vitiligo patients, and glycosylated hemoglobin is one of the indicators of type 1 diabetes.…”

Section: Methodsmentioning

confidence: 99%

Diabetes, glycaemic profile and risk of vitiligo: a Mendelian randomisation study

Hu,

Che,

Cai

et al. 2023

Preprint

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ObjectivesPrevious observational studies have shown that vitiligo usually co-manifests with a variety of dysglycemic diseases, such as Type 1 diabetes mellitus(T1DM) and Type 2 diabetes mellitus(T2DM). Mendelian randomization analysis was performed to further evaluate the causal association between fasting plasma glucose, glycosylated hemoglobin(HbA1c),T1DM,T2DM and vitiligo.MethodsWe used aggregated genome-wide association data from the (Integrative Epidemiology Unit) IEU online database of European adults vitiligo; Glycated hemoglobin (HbA1c) data were from (IEU). Fasting blood glucose data were obtained from the European Bioinformatics Institute(EBI). T1DM and T2DM data were from FinnGen(FINN).We used bidirectional two-sample and multivariate Mendelian randomization analyses to test whether dysglycemic measures (fasting blood glucose, HbA1c), diabetes-related measures (T1DM, T2DM) are causatively associated with vitiligo. IVW method was used as the main test method, MR-Egger, Weighted mode and Weighted median were used as supplementary methods.ResultsWe found no statistically significant evidence to support a causal association between dysglycemic traits and vitiligo, but in the correlation analysis of diabetic traits, our data supported a positive causal association between T1DM and vitiligo (p=0.018; 95%OR:1.000(1.000-1.000)); In the follow-up multivariate MR Analysis, our results still supported this conclusion (p=0.016, 95% OR= 1.000(1.000-1.000)), and suggested that Hba1c was not a mediator of T1DM affecting the pathogenesis of vitiligo. No reverse causality was found in any of the reverse MR Analyses of dysglycemic traits and diabetic traits.ConclusionsOur findings support that T1DM is a risk factor for the development of vitiligo, and this conclusion may explain why the co-presentation of T1DM and vitiligo is often seen in observational studies. Clinical use of measures related to T1DM may be a new idea for the prevention or treatment of vitiligo.

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“…Pagyvenę žmonės, patekę į gydymo institucijas, taip pat patiria didelį stresą, dėl kurio gali padidėti polinkis į nepageidaujamus sveikatos reiškinius po hospitalizacijos (vadinamasis posthospitalinis sindromas). Daroma prielaida, kad psichologinis stresas, kurį patiria stacionare gydomi pagyvenę žmonės, yra susijęs su prastesniais jų gydymo rezultatais [5].…”

Section: Tyrimo Rezultataiunclassified

Pagyvenusių žmonių patiriamas stresas ir jo pasekmės psichinei sveikatai

Valiulienė,

Stalnionienė,

Petravičienė

et al. 2023

SMP

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If not managed properly, stress can interfere with the ability of elderly people to maintain their well-being. Mental health is an important part of health care that needs to be talked about not only in mental health settings but also in society. Typically, people prepare for retirement only in the financial sphere and not in other social aspects. Many older people feel unappreciated and lonely. Such situations are usually stressful for older people. As for stress in general, if an elderly person is unable to cope with it, it can lead to the physical decline of the elderly person. Older people are stressed by changes in their lifestyle. A lot of routine with excellent physical conditions is a dream for elderly people. Some elderly people without financial stability still must perform routine activities without good physical conditions [11,12]. The study was based on scientific articles and other scientific literature found in the medical databases UpToDate and PubMed. The search was carried out using the following keywords and combinations: stress, mental health, elderly person. The aim was to review the scientific literature on the stress experienced by elderly people and its consequences for mental health. Conclusions. A review of the scientific literature suggests that with the rapid increase in the number of elderly people in the world, it is important to maintain a good physical and emotional state of health. Poorly managed stress can have a negative impact not only on a person's daily activities, but also on physical health and emotional well-being. Constant stress reduces quality of life and communication with the outside world. Anxiety leads to excessive feelings of fear or frustration, which ultimately have a negative impact on a person's health. Participation in leisure activities has been shown to significantly improve social support and mental health for elderly people.

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In-hospital stress and patient outcomes: A systematic review and meta-analysis

Cited by 6 publications

References 91 publications

Progressive muscle relaxation in pandemic times: bolstering medical student resilience through IPRMP and Gagne's model

Progressive muscle relaxation in pandemic times: bolstering medical student resilience through IPRMP and Gagne's model

Diabetes, glycaemic profile and risk of vitiligo: a Mendelian randomisation study

Pagyvenusių žmonių patiriamas stresas ir jo pasekmės psichinei sveikatai

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