Dear Nader, 

Stressed staff may enhance the stress in patients, but treatment that stresses patients can also be changed. Long-term disorders with stressing home-care can reduce patient's stress by simply listen to and do that a patient wants to be done. Here are though some papers from researchers on RG with whom you can establish contact and discussions:

Article The Stressed Patient With Diabetes Mellitus

Article Suppression of Thyrotropin by Morphine in a Severely Stressed Patient

Conference Paper Patient Empowerment and Stress reduction

Conference Paper Study of needs and difficulties for breaking bad news for el...

Article Identification and Referral of Patients at Risk for Post-tra...

Dear Nader, 

Some suggestions:

Article The role of social support on occupational stress among hosp...

Article Analysis of the Influence of Human Nature Factors, Mental He...

Article Stress among nurses working in emergency, anesthesiology and...

Dear Nader, 

Stressed staff may enhance the stress in patients, but treatment that stresses patients can also be changed. Long-term disorders with stressing home-care can reduce patient's stress by simply listen to and do that a patient wants to be done. Here are though some papers from researchers on RG with whom you can establish contact and discussions:

Article The Stressed Patient With Diabetes Mellitus

Article Suppression of Thyrotropin by Morphine in a Severely Stressed Patient

Conference Paper Patient Empowerment and Stress reduction

Conference Paper Study of needs and difficulties for breaking bad news for el...

Article Identification and Referral of Patients at Risk for Post-tra...

Thank you  Béatrice .

Are the methods for reducing stress different from each other. Are they depended on the kind of diseases?

It can help reduce hospital  stress with all relational strategies known today: narrative (storytelling), counseling skills, autobiography (espressive writing) and with the strategies of unconventional medicine.

Ciao

Giovanna

Dear Nader,

I agree with what Beatrice, Renzo, and Giovanna have said.

A systemic approach targeted at different levels of the healthcare system (e.g., the individual patient, the staff members, the community, and the relationships among them, etc.) would be effective.

The following resources may interest you:

http://www.nextstepincare.org/uploads/File/Guides/Provider/Provider_Dementia.pdf

http://www.rwjf.org/en/library/research/2009/12/evidence-based-hospital-design-can-reduce-stress-and-improve-out.html

http://www.rwjf.org/en/library/articles-and-news/2012/09/new-study-finds-combination-of-strategies-and-practices-can-dram.html

http://archinte.jamanetwork.com/article.aspx?articleid=215223&resultclick=1

nader chetori? soalatet ham jahani shode mesle khodet.

Dear  Masoud,

You are welcome!

I think occupational / art / recreational therapies has positive impact over stress

 Dear Kamlesh,

I want to know about methods of stress reduction.

I have seen that visitors (family and friends, especially children) reduce stress on patients. With a good conversation patients feel they are at home and not in a hospital.

I came across this article: 

Yang CY, Chen CH, Chu H, Chen WC, Lee TY, Chen SG, & Chou KR (2011). The Effect of Music Therapy on Hospitalized Psychiatric Patients’ Anxiety, Finger Temperature and Electroencephalography: A Randomized Clinical Trial. Biological research for nursing PMID: 21586498

http://www.ncbi.nlm.nih.gov/pubmed/21586498

Las estrategias cognitivas son excelentes, en este caso puedes realizar sesiones de respiración profunda con imaginación guiada...Esta técnica resulta muy sencilla de aplicar y la puedes realizar en cualquier ambiente, el único elemento a tener en cuenta, es que no tropieces durante el ejercicio con una clave sensorial bajo un condicionamiento que genere emociones de tristeza.

Dear Libia,

Write in English please!

Translation goes something like this from Libia's text: 

Cognitive strategies are excellent, in this case can deep breathing sessions with guided imagery  be done... This technique is very simple and can be applied in any environment, the only element to consider is that not to strike during the exercise with a sense key  that generates emotions of sadness.

Thanks for your translation, Beatrice.

Cognitive strategies are excellent in this case can deep breathing sessions with guided imagery ... This technique is very simple and can be applied in any environment, the only element to consider is that not strike during the exercise with a sense key under a condition that generates emotions of sadness.

In my experience one of the best tools to help hospitalized patients deal with stress is the NADA 5-point ear acupuncture protocol. This is a non-verbal, low cost, safe with minimal side effects intervention that can be utilized in almost any environment. Also, depending on local/state laws, it can be utilized by many different people in the hospital. In Colorado we were able to get a law change expanding the scope of practice for this procedure to include licensed social workers, psychologists, marriage and family therapists, CACIIIs, LACs, and LPCs in addition to acupuncturists, physicians and nurses. At the state hospital we utilize this in several different areas for patients but also for staff to help with stress.

to reduce stress for a hospitalized patient is to see to it that the physical environment is pleasant and i believe this is one reason why some hospitals take effort in making the rooms less sterile-looking and providing music. Having natural support systems visit them (it can be significant others, support groups who are into pain counseling, counseling psychologist and pastors and priests) and listen to them can be great supports. 

Renzo,

What is your mean about a multi-scale approach to stress?

Dear Nader and others,

if I got it right, this thread / question is not primarily of scientific nature, but more about practical aspects of stress reduction in the hospital. I work in a huge hospital with sometimes severely distressed patients, and I'd like to share my modest experience and procedures that I use with you.

Distress and anxiety often come up when someone is overwhelmed by situation that appears to be impossible to overcome or cope with. This makes us loose our inner connection to our own strengths and positive emotionality. Often there is a strong cognitive activity related to the problem, namely sorrows, and it provides relief to stop it by focussing on the moment, inner landscapes, and memories of former positive experiences. Therefore I use brief techniques helping to reconnect to resources, that is hypnosis interventions, imaginations, or mindfulness interventions.

Some derive from trauma therapy (for instance imaginations as "the safe" or "the inner garden" by M.Huber), hypnotherapy (e.g. "3D resources"), or from buddhist teachings (brief mindfulness techniques as described  by Thich Nhat Hanh).

Before starting the guided imagination, it is helpful to define the actual problem (the central cognition belonging to it, and a bodily representation, "where the problem sits"), to determine the present level of disturbance (on a scale 0-10, SUD= subjective units of disturbance). The patient is then encouraged to develop an alternative, how he/she would like to feel.

Then comes the intervention; after the intervention (imagination, mindfulness practice) itself which can be  5-20 minutes brief, I let the patient reestimate his or her level of disturbance. The result is very often a immediate reduction of distress; however in some cases even stronger emotions come up. Then it is good to give them space, share them empatically with the patient, and to communicate that these emotions are adequate responses to the situation, and to just to accept them.

I think if we prepare an environment that the hospitalized patient doesn't suffer from loneliness and disappointment, his/ her stress will be decreased.

I believe that the physical environment counts a lot including minimizing the antiseptic smell ofcthe hospital. The hotel like atmosphere can be more relaxing. More caring dispositions of health care and helpful providers can be one best feature too

We should change wards in hospitals as a room in sweet home for the patients to reduce stress and not leave them alone and disappointed.