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Effects of Cognitive Nursing Combined with Continuous Nursing on Postpartum Mental State and Rehabilitation. BIOMED RESEARCH INTERNATIONAL 2021; 2021:4131917. [PMID: 34901271 PMCID: PMC8660180 DOI: 10.1155/2021/4131917] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Revised: 09/15/2021] [Accepted: 09/22/2021] [Indexed: 11/17/2022]
Abstract
Purpose This study is aimed at exploring the effects of cognitive nursing combined with continuous nursing on postpartum mental state and rehabilitation. Methods Totally, 124 puerperas admitted to our hospital from January 2019 to January 2020 were selected and divided into a research group and a control group according to different nursing methods, with 62 cases in each group. The control group received routine care, while the research group received cognitive nursing combined with continuous nursing on this basis. The mental state, rehabilitation indicators, quality of life, incidence of complications, and nursing satisfaction were compared between the two groups after intervention. Results Before nursing, there was no statistically significant difference in the SAS and SDS scores between the two groups (P > 0.05); after intervention, the SAS and SDS scores of the two groups were significantly reduced, and those of the research group were lower than those of the control group (P < 0.05). After intervention, the time of the first breastfeeding, duration of lochia rubra, length of hospital stay, and score of uterine contraction pain of the research group were lower than those of the control group (P < 0.05); the psychological function, physical function, material life, and social function scores of the research group were higher than those of the control group (P < 0.05); the incidence of complications in the research group was 4.84%, lower than 20.97% in the control group (P < 0.05); the nursing satisfaction of the research group was 96.77%, which was significantly higher than 83.87% in the control group (P < 0.05). Conclusions Cognitive nursing combined with continuous nursing can effectively improve the mental state, shorten the length of hospital stay, increase the perceived well-being, and promote the physical rehabilitation in puerperas, which is worth promoting in clinical practice.
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Morris D, Thomas P, Ridley J, Webber M. Community-Enhanced Social Prescribing: Integrating Community in Policy and Practice. ACTA ACUST UNITED AC 2020; 5:179-195. [PMID: 34723113 PMCID: PMC7709807 DOI: 10.1007/s42413-020-00080-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2020] [Accepted: 09/30/2020] [Indexed: 10/24/2022]
Abstract
The NHS Plan is introducing social prescribing link workers into GP surgeries in England. The link workers connect people to non-health resources in the community and voluntary sector, with the aim of meeting individual needs beyond the capacity of the NHS. Social prescribing models focus on enhancing individual wellbeing, guided by the policy of universal personalised care. However, they largely neglect the capacity of communities to meet individual need, particularly in the wake of a decade of austerity. We propose a model of community enhanced social prescribing (CESP) which has the potential to improve both individual and community wellbeing. CESP combines two evidence-informed models - Connected Communities and Connecting People - to address both community capacity and individual need. CESP requires a literacy of community which recognises the importance of communities to individuals and the importance of engaging with, and investing in, communities. When fully implemented the theory of change for CESP is hypothesised to improve both individual and community wellbeing.
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Affiliation(s)
- David Morris
- Centre for Citizenship and Community, University of Central Lancashire, Preston, UK
| | | | - Julie Ridley
- Centre for Citizenship and Community, University of Central Lancashire, Preston, UK
| | - Martin Webber
- International Centre for Mental Health Social Research, Department of Social Policy and Social Work, University of York, York, UK
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Lakhani M, Morris D. A transformational moment for London Journal of Primary Care. LONDON JOURNAL OF PRIMARY CARE 2018; 10:71-72. [PMID: 30083237 PMCID: PMC6074690 DOI: 10.1080/17571472.2018.1486501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Mayur Lakhani
- Royal College of General Practitioners. 30 Euston Square, London, UK
| | - David Morris
- Centre for Citizenship and Community, School of Social Work, Care and Community, University of Central Lancashire, Preston, UK
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Thomas P, Sachar A, Papanikitas A, While A, Brophy C, Manning C, Mills C, Ruprah-Shah B, Millington-Sanders C, Morris D, Kelley Patterson D, Hill D, McKenzie-Edwards E, Wright F, Carelli F, Shaw F, Vedel I, Spicer J, Wewiora L, Gul M, Kirkbride BA M, Sadlowski M, Breton M, Banarsee R, Gupta S, Burch T, Kempe T, Tzortziou Brown V, Sanfey J. Evaluating case studies of community-oriented integrated care. LONDON JOURNAL OF PRIMARY CARE 2018; 10:73-81. [PMID: 30083238 PMCID: PMC6074689 DOI: 10.1080/17571472.2018.1477455] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
This paper summarises a ten-year conversation within London Journal of Primary Care about the nature of community-oriented integrated care (COIC) and how to develop and evaluate it. COIC means integration of efforts for combined disease-treatment and health-enhancement at local, community level. COIC is similar to the World Health Organisation concept of a Community-Based Coordinating Hub - both require a local geographic area where different organisations align their activities for whole system integration and develop local communities for health. COIC is a necessary part of an integrated system for health and care because it enables multiple insights into 'wicked problems', and multiple services to integrate their activities for people with complex conditions, at the same time helping everyone to collaborate for the health of the local population. The conversation concludes seven aspects of COIC that warrant further attention.
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Affiliation(s)
- Paul Thomas
- London Journal of Primary Care, RCGP, London, UK
| | - Amrit Sachar
- Clinical and Implementation Lead for Mental Health in North West London Diabetes Transformation Programme, North West London Collaboration of CCGS, London, UK
| | - Andrew Papanikitas
- Ethics and Philosophy, London Journal of Primary Care, NIHR Academic Clinical Lecturer in General Practice, Oxford University, Oxford, UK
| | - Alison While
- Community Nursing, King’s College London, London, UK
| | | | - Chris Manning
- UPstream Healthcare Action for NHS Workforce Wellbeing, RCGP, London, UK
| | - Cliff Mills
- Principal Associate Mutuo, Consultant with Anthony Collins Solicitors, London, UK
| | - Baljeet Ruprah-Shah
- Accomplish Consultancy, Programme Lead for Transformation, Kensington and Chelsea Social Council, RCGP, London, UK
| | | | - David Morris
- Mental Health, Inclusion and Community, Centre for Citizenship and Community School of Social Work, Care and Community, University of Central Lancashire, Preston, UK
| | - Deirdre Kelley Patterson
- Centre for the Study of Policy and Practice in Health and Social Care, University of West London, London, UK
| | | | | | - Fiona Wright
- Public Health, London Borough of Barking and Dagenham and Greater London Authority, London, UK
| | - Francesco Carelli
- London Journal of Primary Care, Professor Family Medicine, EURACT Council Executive Board, University of Milan, Milan, Italy
| | | | - Isabelle Vedel
- Department of Family Medicine, McGill University, Montreal, Canada
| | - John Spicer
- Head of Primary Care Education and Development, Health Education England [South London Team], London, UK
| | | | - Malik Gul
- Wandsworth Community Empowerment Network, London, UK
| | | | | | - Mylaine Breton
- Department of Community Health, Universite de Sherbrooke, Sherbrooke, Canada
| | | | | | - Tony Burch
- Health Education England North London, London, UK
| | - Tulloch Kempe
- Service Development, Staywell, Kingston Coordinated Care Programme – Design Team and Delivery Group member, London, UK
| | - Victoria Tzortziou Brown
- Lead On Integrated Care and Research NHS Tower Hamlets CCG and RCGP Joint Hon Sec, RCGP, London, UK
| | - John Sanfey
- Hammersmith and Fulham GP Federation, London, UK
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Banarsee R, Kelly C, El-Osta A, Thomas P, Brophy C. Towards a strategic alignment of public health and primary care practices at local levels - the case of severe and enduring mental illness. LONDON JOURNAL OF PRIMARY CARE 2018; 10:19-23. [PMID: 29686733 PMCID: PMC5901418 DOI: 10.1080/17571472.2018.1437070] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
The rapidly increasing number of people who have long-term conditions requires a system of coordinated support for self-care throughout the NHS. A system to support self-care needs to be aligned to systems that support shared-care and community development, making it easier for the multidisciplinary teams who provide care to also help patients and populations to help themselves. Public health practitioners need to work closely with clinicians to achieve this. The best place to coordinate this partnership is a community-based coordinating hub, or local health community - a geographic area of about 50,000 population where different contributions to self-care can be aligned. A shared vision for both health and disease management is needed to ensure consistent messaging by all. A three tier system of shared care can help to combine vertical and horizontal integration. This paper uses severe and enduring mental illness as an exemplar to anticipate the design of such a system.
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Affiliation(s)
| | - Cornelius Kelly
- Central and North West London Foundation NHS Trust, London, UK
| | - Austen El-Osta
- Self Care Academic Research Unit (SCARU), Imperial College, London, UK
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