Biomedical subjects

Lili Tian

Publications and source records attributed to Lili Tian.

21 records · Page 2Linked to original sources

PubMedDate not supplied

TIPS: telephone intervention--problem solving for persons with schizophrenia.

A prospective experimental design was used to examine whether face-to-face meetings designed to establish rapport had an effect on the verbal responses of persons with schizophrenia in subsequent Telephone Intervention--Problem Solving (TIPS). Verbal responsiveness was operationalized as length of telephone conversation, number of feeling statements expressed, and number of one-word responses. Experimental participants met with the TIPS provider twice during hospitalization, while controls did not meet with the TIPS provider. All subjects received TIPS weekly from a psychiatric nurse for six weeks after hospital discharge. Compared to controls, experimental participants conversed longer at every measurement point, and significantly longer during weeks one through three. Experimental participants were approximately twice as likely to make a feeling statement as those in the control group. These data suggest that psychiatric nurses who would like to employ TIPS to support clients in the community should plan for at least two face-to-face interventions to establish rapport prior to initiating TIPS.

Adult↗

PubMedDate not supplied

Biofeedback-assisted relaxation training for essential hypertension: who is most likely to benefit?

The main purpose of this study was to develop a way to predict which persons with essential hypertension would benefit most from biofeedback-assisted relaxation (BFAR) training. Second, the authors evaluated the effect of BFAR on blood pressure (BP) reduction, which was measured in the clinic and outside the clinic using an ambulatory BP monitor. Fifty-four adults with stage 1 or 2 hypertension (78% taking BP medications) received 8 weeks of relaxation training coupled with thermal, electromyographic, and respiratory sinus arrhythmia biofeedback. Blood pressure was measured in the clinic and over 24 hours using an ambulatory BP monitor pretraining and posttraining. Systolic BP dropped from 135.0 +/- 9.8 mmHg pretraining to 132.2 +/- 10.5 mmHg posttraining (F = 6.139, P = .017). Diastolic BP dropped from 80.4 +/- 8.1 mmHg pretraining to 78.5 +/- 10.0 mmHg posttraining (F = 4.441, P = .041). Data from 37 participants with baseline BP of 130/85 mmHg or greater were used to develop a prediction model. Regression showed that those who were able to lower their SBP 5 mm Hg or more were (1) not taking antihypertensive medication, (2) had lowest starting finger temperature, (3) had the smallest standard deviation in daytime mean arterial pressure, and (4) the lowest score on the Multidimensional Health Locus of Control-internal scale. Since these types of persons are most likely to benefit from BFAR, they should be offered BFAR prior to starting hypertensive medications.

Adult↗

PubMedDate not supplied

Acustimulation wristbands for the relief of chemotherapy-induced nausea.

CONTEXT: Substantial evidence suggests that acupuncture-point stimulation may be effective in controlling side effects of chemotherapy. OBJECTIVE: To examine the efficacy of an acustimulation wristband for the relief of chemotherapy-induced nausea. DESIGN: Randomized clinical trial using a 3-level crossover design. SETTING: Three outpatient oncology clinics in the northeastern United States. PARTICIPANTS: Twenty-five women and 2 men who experienced moderate or more severe nausea following their first chemotherapy treatment. INTERVENTION: We compared active acustimulation of the Pericardium 6 (PC-6) point on the ventral surface of the wrist with sham acustimulation (a corresponding point on the posterior surface of the wrist). A control group received no acustimulation. OUTCOME MEASURES: Severity of nausea and quantity of antiemetic medication used. RESULTS: No statistically significant differences in average severity of nausea were observed between the 3 interventions. However, the data showed a difference close to statistical significance in the severity of delayed nausea reported during active acustimulation compared to no acustimulation (P <.06). In addition, patients took fewer antinausea pills during the active-acustimulation cycle of this experiment compared to the no-acustimulation phase (P < .05). CONCLUSION: Findings on the efficacy of an acustimulation band for the control of chemotherapy-induced nausea are positive but not conclusive. These findings provide ample justification for further study of acustimulation in clinical oncology.

Acupuncture Therapy↗