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Biomedical subjects

W Hardinghaus

Publications and source records attributed to W Hardinghaus.

7 recordsLinked to original sources
PubMed1999

[Quality and identity of terminal care in the hospital exemplified by the SPES VIVA Palliative Project].

In an attempt to contribute to the improvement of fatally ill and dying patients in hospitals, the palliative care project SPES VIVA represents a model scheme by a care concept of contents, personal and spatial definitions [3]. In order to receive an indirect expert verification of success, doctors and nurses of our hospital and of another one were interrogated during the same period. Although we know of the problems inherent in the method, a total of 158 voluntar participants in the study enabled US to compare the results of a preceding poll by W. George et al. of 1988 [2] to prove at least some effects. The SPES VIVA work enhanced the identification of the employed with their work and gave us hints on how to improve the situation of dying patients in our hospital. In comparison with the group of doctors, nurses more often tend to see "too many life-prolongation measures".

Attitude of Health Personnel↗
PubMed1993

[Concurrent and predictive correlations between emotions and cardiovascular and metabolic parameters in patients with myocardial infarct].

Amongst 86 patients with myocardial infarction, during their stay in a rehabilitation clinic, emotions (Gottschalk-Gleser speech content analysis), assessed at the beginning of the treatment, and cardiovascular (systolic and diastolic blood pressure, heart rate and reactivity during physical stress, performance) and metabolic parameters (triglycerides, HDL- and LDL-cholesterin, cholesterin/HDL, uric acid) assessed at the beginning (concurrent) and end (predictive) of the treatment, are examined. The emotion-factors "dejection" (anger in, shame and death anxiety) and "aggression" (anger out-open, anger out-hidden and ambivalent aggression) show the following association with the biological factors in stepwise regression analysis, taking into account age, body-mass-index, smoking and drugs: dejection is concurrent associated with lower systolic and diastolic blood pressure and lower HDL-cholesterin and predictive with lower uric acid, lower HDL-cholesterin and higher cholesterin/HDL. Aggression corresponds predictive with higher pulse rate and higher reactivity during physical stress, lower HDL-cholesterin and higher cholesterin/HDL.

Arousal↗
PubMed1992

[Meditative stress coping program with psychosomatic patients].

A stress management training for ambulant psychosomatic patients has been developed. Essential parts of the intervention are meditative body relaxation (Kum Nye) and meditative cognitive restructuring. The training has been applied to psychosomatic patients with various kinds of diagnosis in a total of 14 group sessions. The following indicators of therapy success have been assessed: Positive and negative self-communication, positive and negative emotionality, depression, bodily complaints, number of days with bodily complaints and 12 coping scales. Results are reported in agglomerated single case judgements. In the intervention group 55% of the participants showed improvements vs. 14% in the waiting-list-control group. The significant results are appraised as clinically not fully satisfying; possible improvements of the intervention are discussed. Hints to a contraindication with abdominal complaints are given.

Adaptation, Psychological↗