Cultura

The Effectiveness Of Mindfulness-Based Interventions In Reducing Burnout And Increasing Job Satisfaction Among Nurses

VOLUME 21, 2024

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Rehab Ahmed Alasmari,Sharifa Zafir Al Harthi,Manal Hassan Barnwi, Tahani Yahya Ali Ghalfani, Hanan Abdulrahim M Aladmawi,Turkiah Jilani Almuwallad,Muneera Sulaiman A Almuzaini
Salma Khader Alansari, ‏Taghreed Hamza Hawsawi,Haifaa Zain Shamei,Norah Shauib Ibrahim Abdullah,Nawal Abdul Khaliq Shakir,Fatimah Zain Shami,Layla Tahseen Naseeb Almowald,Turki Talal Ejaimi
Ebtisam Abdullah Albusaysi,Eman Saeed Allehaibi, ‏Khadijah Omar Zubeir Hwsawi, Ashwaq Mustafa Fatani,Maram Mobark Bawazir

Abstract

Background: Working as nurses, the professional staff sometimes has to cope with very high levels of stress, which might result in the well-known burnout, anxiety, and depression. COVID-19 pandemic represents an additional constraint in nurses´ lives that emphasizes the role of mindfulness - oriented interventions in support of nurses´ well-being. On the other hand, the evidence obtained from previous studies on the impact of this kind of approaches have been much disagreement.

Methods: This deficit is overcome when researchers employ systematic reviews of RCTs that investigate the influence of mindfulness practices on nursing professionals. They run many databases and filter all the needed works, published until December 2022, with inclusion criteria in mind. Studies were selected for eligibity and data collected by a team of two independent researchers who assessed them for bias. The data which were collected were processed using designated soft wares.

Results and Discussion: In all, there were 44 records of 2171 studies to be analyzed. 15 of which were selected, recruiting a total of 1165 participants. The analysis indicates that mindfulness practice is a moderate stress reliever among nurses considering that the SMD is at -0.81, with a 95% CI of -1.11 to -0.52.

Conclusions: Mindfulness-based interventions are shown to be empirically valuable in the reduction of stress for nurses during the Covid-19 pandemic, which should be implemented extensively. But still, more studies should be done to reveal their connection to anxiety and other effects, and better be able to establish the level of security in the evidence.

Keywords : .
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty