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Acute Neonatal Upper Limb Ischemia: Topical Vasodilation, Anticoagulation and Physical Therapy-A new option for complete reversal of ischemia 急性新生儿上肢缺血:局部血管舒张,抗凝和物理治疗-缺血完全逆转的新选择
Pub Date : 2021-06-02 DOI: 10.15520/IJMHS.V11I06.3314
P. Harnarayan, S. Islam, C. Ramsingh, Naraynsingh
Acute upper limb ischemia in neonates is extremely rare and oftenassociated with disastrous outcomes including digital gangrene, chroniclimb ischemia, sepsis and limb loss. It is usually seen in the contextof intra-arterial catheters in the preterm neonates but it can be alsoseen in cases of difficult or traumatic deliveries as well as in infantswith coagulation deficits but can also be spontaneous with no obviousaetiology. Treatment options include topical vasodilators, systemicanticoagulation and in some instances, surgical intervention. We reportthree cases of acute limb ischemia in preterm neonates in which anew treatment option was introduced. The neonates responded to acombination of topical nitro-glycerine cream, systemic anticoagulationwith heparin and physical light massaging of the area just proximalto the site of reduced flow in the vessel assuming some degree ofvasospasm of the vessel occurs with or without thrombosis.Keywords: neonatal ischemia, management of neonatal ischemia, topicalvasodilators, systemic anticoagulation, massage therapy, surgicalintervention
新生儿急性上肢缺血极为罕见,且常伴有严重后果,包括手指坏疽、慢性肢体缺血、败血症和肢体丧失。它通常见于早产儿的动脉内导管,但也见于难产或创伤性分娩以及凝血功能缺陷的婴儿,但也可以是自发的,没有明显的病因。治疗方案包括局部血管扩张剂,全身抗凝,在某些情况下,手术干预。我们报告三例急性肢体缺血的早产儿,其中新的治疗方案被介绍。新生儿对局部硝酸甘油乳膏、全身肝素抗凝和血管血流减少部位近端物理轻按摩有反应,假设血管发生一定程度的血管痉挛,伴或不伴血栓形成。关键词:新生儿缺血,新生儿缺血处理,局部血管扩张剂,全身抗凝,按摩治疗,手术干预
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引用次数: 0
Linezolid Induced Thrombocytopenia: A Case Report 利奈唑胺致血小板减少1例报告
Pub Date : 2021-05-28 DOI: 10.15520/IJMHS.V11I05.3307
H. Patel, Harsha D Makwana, S. Malhotra
Linezolid (LZD) is an antimicrobial agent with a broad spectrum of activity against virtually all clinically important Gram-positive bacteria, including methicillin-resistant Staphylococcus aureus (MRSA), methicillin-resistant coagulase-negative staphylococci (MRCoNS) and vancomycin-resistant enterococci (VRE). Thrombocytopenia (TP) is a common adverse effect of Linezolid (LZD). Prolonged treatment duration, renal insufficiency, chronic liver disease, malignancy, previous vancomycin use, baseline platelet count, and lower body weight have been reported as possible risk factors for LZD-associated TP. Here, we illustrate a case of a 51-year-old male patient diagnosed with pancreatitis and urinary tract infection and was prescribed several antibiotics including Linezolid. In this case, platelets count which were initially normal started declining from day 7 of initiating Linezolid. Linezolid was withdrawn from treatment from day 9. Platelet count gradually came back to normal on day 16. This suggests reversible type of thrombocytopenia by Linezolid. This case illustrates need for careful observation of platelet count during the treatment with Linezolid. Keywords: Linezolid, Thrombocytopenia, Dechallenge
利奈唑胺(LZD)是一种抗菌剂,对几乎所有临床重要的革兰氏阳性细菌具有广谱活性,包括耐甲氧西林金黄色葡萄球菌(MRSA)、耐甲氧西林凝固酶阴性葡萄球菌(MRCoNS)和耐万古霉素肠球菌(VRE)。血小板减少症(TP)是利奈唑胺(LZD)常见的不良反应。据报道,延长治疗时间、肾功能不全、慢性肝病、恶性肿瘤、既往使用万古霉素、基线血小板计数和体重过低是lzd相关TP的可能危险因素。在此,我们报告一例51岁男性患者,诊断为胰腺炎和尿路感染,并开了几种抗生素,包括利奈唑胺。在这种情况下,血小板计数从开始使用利奈唑胺的第7天开始下降。从第9天起停用利奈唑胺。第16天血小板计数逐渐恢复正常。这提示利奈唑胺可引起可逆型血小板减少症。本病例说明在利奈唑胺治疗期间需要仔细观察血小板计数。关键词:利奈唑胺;血小板减少症
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引用次数: 0
The Accuracy of Documented Nursing Care Plan among Registered Nurses 注册护士编制护理计划的准确性
Pub Date : 2021-05-24 DOI: 10.15520/IJMHS.V11I05.3301
Muneerah Mahmood Alhawsawi
Background: Nursing documentation is a record of care planned and provided by qualified nurses under the guidance of a competent nurse for each patient as well as the clients. Objective: to provide published studies about accuracy of nursing documentation. Methods: Searches were conducted using the following electronic databases: PUBMED, MEDLIN, CINAHAL, SAUDI DIGETAL LIBRALY and GOOGLE SCOLAR as gray data base. Search was limited to English-Language publication. And include study over 10year period. Result: nursing documentations is inaccurate, lacking precision, and low in quality.  Factors that influence nursing documentation differ but are also interrelated with each other. Shortage of employees, insufficient knowledge about the significance of documentation, patient load, lack of hospital education, and lack of support from nurse leaders are the reported challenges to documentation. Conclusion: Most of the lecture revel the necessary need of nursing documentation practice. Affected factor and with several recommendations for improvement noted. Keywords:  ''nursing care plan," "nursing documentation,'' "accuracy of documentation" and ''nursing report.''  
背景:护理文件是由合格护士在称职护士的指导下为每位患者和客户计划和提供的护理记录。目的:提供有关护理文献准确性的已发表研究。方法:利用PUBMED、MEDLIN、CINAHAL、SAUDI digital library和谷歌SCOLAR等电子数据库作为灰色数据库进行检索。搜索仅限于英文出版物。包括超过10年的研究。结果:护理文献不准确,缺乏准确性,质量不高。影响护理文献的因素不同,但也相互关联。员工短缺、对文件的重要性认识不足、患者负荷、缺乏医院教育以及缺乏护士领导的支持是报告中对文件的挑战。结论:大部分讲座都揭示了护理文献实践的必要性。影响因素,并提出若干改进建议。关键词:“护理计划”、“护理文件”、“文件准确性”、“护理报告”。
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引用次数: 0
CONTRADICTION TO CLINICAL IMMUNOLOGY. SUPPRESSION AND STIMULATION OF IMMUNE REACTIVITY IN PATHOLOGICAL PROCESSES 与临床免疫学的矛盾。病理过程中免疫反应性的抑制和刺激
Pub Date : 2021-05-06 DOI: 10.15520/IJMHS.V11I05.3286
V. Zemskov, A. Zemskov, V. Neymann, Pronko Kn, Aliexander A Barsukov, V. Zemskova, M. Kozlova, N. S. Shishkina, V. Demidova, A. A. Andrey
The analysis of literature data and our published results of examination of patients with a wide range of pathological processes was carried out. It has been established that polar changes in reactivity provoke the development of immune-dependent ones, which include primary and secondary immunodeficiencies, auto-aggressive and immunocomplex diseases, or immunoassociated purulent-inflammatory, nonspecific inflammatory lung diseases, cerebrovascular diseases,  in which suppression and stimulation of reactivity is a pathogenetic mechanism for normalizing homeostasis, depending on the links of the immune system, doses of antigens, the initial state of protective functions, phases of the immune response, etc. Keywords: Stimulation. Suppression. Immunodeficiency
对文献资料和我们发表的具有广泛病理过程的患者的检查结果进行分析。已经确定,反应性的极性变化引起免疫依赖性的发展,包括原发性和继发性免疫缺陷,自身侵袭性和免疫复合物疾病,或免疫相关的脓性炎症,非特异性炎症性肺病,脑血管疾病,其中抑制和刺激反应性是调节稳态的发病机制,取决于免疫系统的联系,抗原的剂量,保护功能的初始状态、免疫反应的阶段等。关键词:刺激。抑制。免疫缺陷
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引用次数: 2
Child and Adolescent Obesity in Saudi Arabia 沙特阿拉伯儿童和青少年肥胖问题
Pub Date : 2021-03-06 DOI: 10.15520/IJMHS.V11I02.3246
Abdullah Almalki, Fatimah Hobani
Obesity is a critical universal well-being challenge. Obesity is influencing various chronic conditions like high blood pressure, diabetic illnesses, strokes, cardiovascular ailments, and different kinds of cancer. Treatment of obesity becomes subject to high healthcare costs and lifestyle modifications. However, the most worrying aspect in Saudi Arabia is the intensifying obese-related cases among kids and teenagers. Progression of the condition becomes complex to manage. Again, the vital or severity of health consequences of childhood obesity underscores the disorder as a community health issue in the country. Kids’ and teenagers’ obesity cases have adverse effects on life quality and expectancy and lead to substantial healthcare expenses. Evaluation of various research underscores a relation between obesity, socio-economic status, and lifestyle changes. According to Al-Hussaini et al. (2019), economic success and subsequent lifestyle shifts incorporating sedentary lifestyles and dietary mannerisms continue to influence child and adolescent obesity in Saudi. The evaluation of literature on obesity-related cases in the country offers a better comprehension of the link between child or adolescent obesity and lifestyle factors, which enables one to understand how to prevent and manage the condition effectively.
肥胖是一个重要的普遍福祉挑战。肥胖正在影响各种慢性疾病,如高血压、糖尿病、中风、心血管疾病和不同类型的癌症。肥胖的治疗需要高昂的医疗费用和改变生活方式。然而,沙特阿拉伯最令人担忧的方面是儿童和青少年中日益加剧的肥胖相关病例。病情的进展变得复杂,难以管理。儿童肥胖对健康造成的重大或严重后果再次强调了这一疾病是该国的一个社区卫生问题。儿童和青少年肥胖对生活质量和预期寿命产生不利影响,并导致大量医疗保健费用。对各种研究的评估强调了肥胖、社会经济地位和生活方式改变之间的关系。根据al - hussaini等人(2019)的研究,经济成功和随后的生活方式转变(包括久坐不动的生活方式和饮食习惯)继续影响着沙特的儿童和青少年肥胖。对国内与肥胖相关的文献进行评估,可以更好地理解儿童或青少年肥胖与生活方式因素之间的联系,从而使人们能够了解如何有效地预防和管理这种情况。
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引用次数: 0
A PROSPECTIVE STUDY TO COMPARE CONVENTIONAL CHEMORADIOTHERAPY WITH CONCOMITANT BOOST CHEMORADIOTHERAPY IN CARCINOMA OF ORAL CAVITY 一项比较常规放化疗与联合强化放化疗治疗口腔癌的前瞻性研究
Pub Date : 2020-12-31 DOI: 10.15520/IJMHS.V10I12.3189
S. Dharmaraj
Background : India accounts for the highest incidence of lip and oral  cancer in the world. In early stages,surgery and radiation therapy are curative treatments,while locally a locally advanced carcinoma requires a multidisciplinary  management. A major cause of failure in advanced rapidly growing tumors is accelerated repopulation.To overcome this problem ,various accelerated fractionation radiotherapy techniques are used. Aim : To compare the outcome,feasibility,tolerability of concomitant boost chemoradiotherapy over conventional chemoradiotherapy Materials and methods: From November 2018 to June 2020,64 patients from J.K.Cancer institute,Kanpur were enrolled in this study.prospective comparative study was done to find out the difference in all groups Results : out of 59 eligible patients,31 were assigned to arm A(conventional chemoradiation) and 28 were assigned to arm B (concomitant boost chemoradiation). Out of 31 patients in arm A, 15(48.4%) had complete response(CR),8 (25.8%) had partial response (PR),4(12.9%) had stable disease (SD) and 4(12.9%) had progressive disease (PD).In arm B ,out of 28 patients,14(50%) had complete response,6(21.4%) had partial response,6(21.4%) had stable disease and 2 (7.1%) had progressive disease. Conclusion : Concomitant boost chemoradiotherapy had a response comparable to conventional chemoradiotherapy with  moderate efficacy and acceptable toxicity.It can be used as alternative to conventional chemoradiotherapy in limited resource setting where the total duration can be minimized and workload can be reduced. Keywords : oral cavity,concomitant boost technique,conventional chemoradiotherapy.
背景:印度是世界上口腔癌发病率最高的国家。在早期阶段,手术和放射治疗是治愈性治疗,而局部晚期癌症需要多学科治疗。晚期快速生长的肿瘤失败的一个主要原因是加速再生。为了克服这个问题,使用了各种加速分割放疗技术。目的:比较联合强化放化疗与常规放化疗的疗效、可行性、耐受性。2018年11月至2020年6月,来自坎普尔j.k.癌症研究所的64例患者参加了本研究。结果:在59例符合条件的患者中,31例被分配到A组(常规放化疗),28例被分配到B组(同时增强放化疗)。在A组的31例患者中,15例(48.4%)完全缓解(CR),8例(25.8%)部分缓解(PR),4例(12.9%)病情稳定(SD),4例(12.9%)病情进展(PD)。在B组,28例患者中,14例(50%)完全缓解,6例(21.4%)部分缓解,6例(21.4%)病情稳定,2例(7.1%)病情进展。结论:联合强化放化疗疗效与常规放化疗相当,疗效适中,毒性可接受。在资源有限的情况下,它可以作为传统放化疗的替代方案,可以最大限度地减少总时间和工作量。关键词:口腔,伴随增强技术,常规放化疗。
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引用次数: 0
THE IMPACT OF BANANA CONSUMPTION ON THE LOWER EXTREMITY MUSCLE RESISTANCE (A Case Study from Male Student of Medicine Faculty, Universitas Jenderal Achmad Yani) 香蕉消费对下肢肌肉阻力的影响(以Jenderal大学医学院男学生Achmad Yani为例)
Pub Date : 2020-12-31 DOI: 10.15520/IJMHS.V10I12.3181
Daswara, Tezza Adriansyah Anwar, Frizam Dwindamuldan Sutisna
Increasing the endurance performance of the lower limb muscles can not only be helped by the type and method of exercise, but consumption of the right nutrition. Bananas are one of the nutrients with a source of carbohydrates, sugar and the mineral potassium which can help the process of muscles to contract during exercise. The purpose of this study was to determine the effect of giving bananas on lower limb muscle endurance. And also, what is the proper mechanism for banana consumption to increase muscle endurance in the lower extremities. This research method is a quasi experimental method, with a pre-test and post-test design. Subjects were taken through probability sampling techniques with simple random sampling method. Subjects filled out a list of questions and agreement sheets, then in the pre-test, the subject pedalled an ergometer until the research subject was unable to continue the test or reached a maximum heart rate. The post-test was continued two days later by being given a banana one hour before the test and then pedalling an ergometer bicycle until it reached the same limit as the pre-test. The research results were analysed using the t test. There is a significant effect by bananas consumption on the endurance of lower extremity muscles. This shows that giving bananas is very beneficial for individuals who will do sports so that they can increase their endurance. Consuming 2 bananas before doing activities, especially before exercising, can increase the endurance of lower limb muscles and physical fitness, except for people with kidney disease. The right time to consume bananas is 60 minutes before exercising. This consumption can be done again if you want to continue sports or other activities after experiencing fatigue. Further research is needed by measuring potassium levels in the body which affect the results of giving bananas on muscle endurance so that the results obtained are more objective. In addition, for further research, there is a need for a uniform cycling technique, especially the pedaling position with the bicycle ergometer test when measuring the endurance of the muscles of the lower extremities so as not to affect the results of the study. Keywords : Lower limb muscle endurance, Banana Consumption.
提高下肢肌肉的耐力表现不仅可以通过运动的类型和方法来帮助,还可以通过正确的营养摄入来帮助。香蕉是碳水化合物、糖和矿物质钾的营养来源之一,可以帮助肌肉在运动过程中收缩。这项研究的目的是确定吃香蕉对下肢肌肉耐力的影响。还有,吃香蕉增加下肢肌肉耐力的正确机制是什么?本研究方法为准实验方法,采用前测和后测设计。研究对象采用概率抽样技术,采用简单随机抽样方法。受试者填写一份问题清单和协议表,然后在预测试中,受试者蹬动计力器,直到研究受试者无法继续测试或达到最大心率。两天后继续进行后测试,在测试前一小时给他们一根香蕉,然后蹬一辆测力自行车,直到达到与前测试相同的极限。研究结果采用t检验进行分析。吃香蕉对下肢肌肉的耐力有显著的影响。这表明,给香蕉是非常有益的个人谁将做运动,使他们可以提高他们的耐力。活动前,特别是运动前,吃2根香蕉,可以增加下肢肌肉的耐力和体能,但患有肾脏疾病的人除外。吃香蕉的最佳时间是运动前60分钟。如果你想在疲劳后继续运动或其他活动,可以再次进行这种消耗。进一步的研究需要通过测量体内钾的水平来影响吃香蕉对肌肉耐力的影响,这样得到的结果才更加客观。此外,为了进一步的研究,需要一个统一的骑行技术,特别是在测量下肢肌肉耐力时,用自行车测力仪测试蹬车位置,以免影响研究结果。关键词:下肢肌肉耐力;香蕉消费;
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引用次数: 0
Dietary pattern amongst Medical college students, Delhi 德里医学院学生的饮食模式
Pub Date : 2020-12-31 DOI: 10.15520/IJMHS.V10I12.3187
Anika Sulania, V. Surwade, Sunita Singh
Background: India is experiencing a transitional shift with more of new cases of Non Communicable Disease observed specially in young adults. One of the major reasons of this upsurge is faulty dietary habits, resulting in overweight and obesity and further rise in NCDs. The purpose of this study is to assess eating habits and nutritional risk factors for NCDs in a medical student of Medical college of Delhi. Methods: After explaining the purpose of the study in individual classroom explained questionnaire was mailed to all 300 medical college undergraduate students currently studying in this medical college. The form consists of questions on sociodemographic details including information about weights, height and eating habits including, drinking and smoking habits. Results: Filled forms were returned by 220 students out of which 204 were found to be complete and were considered for further analysis. Of total 204 students, 72 (35.3%) were females and 132 (64.7%) were males in our study. Regarding meals only 154 (75.5%) were found to be taking meals regularly i.e. more than 3 times a day and 82.4% (168) were having breakfast on regularly basis. Daily consumption of vegetable and legumes against recommended two times were found only in 41.2 (84) students, similarly daily fruit consumption against recommended two times was found only in 30.4% (62) students only. However fast-food consumption on daily basis was as high as 23.5% (48).Smoking was absent in students and alcohol intake was present in 3% of males (06) and reportedly absent in females. About 22.5% (46) was reported of doing some sort of exercise in a week but only 20 (9.8 %) were found to be doing exercise on daily basis. 156 (76.5%) sought some sort of information  regarding balanced diet and 120 (58.8%) had reported to have adequate information about balance diet. Conclusion: Eating habits were found to be irregular among undergraduate medical students with regard to meals and daily intake of fruits and vegetables was found to be less than recommended norms. More efforts are required for improving eating practices of the students and also for adequate nutrition and its implication on health. Keywords: Eating Practices, MBBS students, Balanced diet, Junk food, Regular meals, Non comunicable diseases.
背景:印度正在经历一个过渡性转变,特别是在年轻人中观察到更多的非传染性疾病新病例。这种激增的主要原因之一是不良的饮食习惯,导致超重和肥胖,并进一步增加非传染性疾病。本研究的目的是评估德里医学院一名医学生的饮食习惯和非传染性疾病的营养风险因素。方法:在个别课堂中对研究目的进行解释后,将解释性问卷邮寄给我校300名在校生。该表格包括有关社会人口统计细节的问题,包括体重、身高和饮食习惯,包括饮酒和吸烟习惯。结果:220名学生返回填写的表格,其中204名学生填写完整,并考虑进一步分析。204名学生中,女生72人(35.3%),男生132人(64.7%)。在膳食方面,只有154人(75.5%)经常进食,即每日超过3次;82.4%(168)经常吃早餐。只有41.2(84)名学生每天食用蔬菜和豆类超过推荐量两次,同样,只有30.4%(62)名学生每天食用水果超过推荐量两次。然而,每日快餐消费高达23.5%(48)。学生中没有吸烟,3%的男性(06)有酒精摄入,据报道女性中也没有。约22.5%(46%)的受访者表示每周进行某种形式的锻炼,但只有20%(9.8%)的受访者每天都进行锻炼。156人(76.5%)寻求某种关于均衡饮食的信息,120人(58.8%)报告有关于均衡饮食的充分信息。结论:医大学生饮食习惯不规律,每日水果蔬菜摄入量低于推荐标准。需要更多的努力来改善学生的饮食习惯,也需要足够的营养及其对健康的影响。关键词:饮食习惯,MBBS学生,均衡饮食,垃圾食品,规律膳食,非传染性疾病。
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引用次数: 0
Pandemic anxiety stress scale for pregnant women(PASSP): Development and validation 孕妇大流行焦虑压力量表(PASSP):开发与验证
Pub Date : 2020-12-31 DOI: 10.15520/IJMHS.V10I12.3186
L. Manju, S. AnilBindu, R. Jose, Benny
Introduction Coronavirus disease (COVID-19) is a new pandemic caused by a newly discovered coronavirus.  This pandemic has caused increase in anxiety among people globally and more the pregnant women. Elevated levels of anxiety and stress may adversely affect the outcome. Aim & Objective: This study aimed at developing and validating a tool to assess the stress and anxiety due to pandemic which helps the health care professionals to identify the probable cases of anxiety associated with the coronavirus and can take adequate measures to improve the emotional well-being of the antenatal women. Methods & Material: A cross-sectional survey was carried out among the pregnant women in Kerala using a 29-itemtool through google forms during the month of June. Statistical Analysis:   Item analysis, Exploratory factor analysis and confirmatory factor analysis were done to evaluate scale dimensionality, factor loadings, and factor structure using the R Software version 4.0.2. Results: Factor analysis resulted in a 15-item short tool, Pandemic anxiety stress scale for pregnant women (PASSP) with the reliably index of Cronbach’s alpha of 0.93. Exploratory factor analysis extracted two factors. Confirmatory factor analysis confirmed the factor structure of the PASSP with Goodness of fit indices. Two factor model structure has good fit indices with GFI>0.90, DFI and TLI>0.95 and SRMR =0.04. Discussion: This study developed a new validated instrument PASSP for assessing the anxiety and stress due to a pandemic among pregnant women in Kerala. Keywords: COVID19, anxiety, pandemic, pregnancy, tool validation, factor analysis.
冠状病毒病(COVID-19)是由一种新发现的冠状病毒引起的新型大流行疾病。这次大流行导致全球人民和更多孕妇的焦虑加剧。焦虑和压力水平的升高可能会对结果产生不利影响。目的与目的:本研究旨在开发和验证一种评估大流行导致的压力和焦虑的工具,帮助卫生保健专业人员识别与冠状病毒相关的可能焦虑病例,并采取适当措施改善产前妇女的情绪健康。方法与材料:于6月对喀拉拉邦孕妇进行横断面调查,采用谷歌表格进行29项问卷调查。统计分析:采用R软件4.0.2版,采用项目分析、探索性因子分析和验证性因子分析对量表维度、因子负荷和因子结构进行评价。结果:因子分析产生了一个包含15个条目的简短工具——孕妇大流行焦虑压力量表(PASSP),其可靠度指数Cronbach’s alpha为0.93。探索性因子分析提取了两个因子。验证性因子分析以拟合优度指标确定了pasp的因子结构。双因子模型结构具有较好的拟合指标,GFI>为0.90,DFI和TLI>为0.95,SRMR =0.04。讨论:本研究开发了一种新的经过验证的pasp仪器,用于评估喀拉拉邦孕妇因流感大流行而产生的焦虑和压力。关键词:covid - 19,焦虑,大流行,妊娠,工具验证,因子分析
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引用次数: 0
Challenges faced by acute stroke survival patients, attending neurology OPD of a selected hospital in Kolkata 急性中风存活患者所面临的挑战,在加尔各答一家选定的医院参加神经内科门诊
Pub Date : 2020-12-30 DOI: 10.15520/IJMHS.V10I12.3183
U. Adhikari, C. Ghosh
Background:Stroke is a leading cause of mortality & disability worldwide.  Despite the remarkable progression in the treatment of stroke, the life quality, psychological & social events caused by stroke received limited attentions. Objective:This study was conducted to identify challenges faced by acute stroke survival patients at neurology OPD of a selected hospital in Kolkata.Methods:A descriptive survey design was applied and total 104 acute (within 3 months following stroke) stroke survival patients were selected by non-probability purposive sampling technique. Socio-demographic characteristics were collected using a structured questionnaire and semi-structured interview schedule was used to identify the challenges faced by acute stroke survival patients.Challenges were assessed in five domains that is physical, psychological, interpersonal, social & financial domain.Results: It was identified from the study findings that 17% of acute stroke survival patients faced mild challenges, 66% patients faced moderate challenges and 16% faced severe challenges following stroke.The study findings also reflects that 100% of acute stroke survival patients face challenges in physical domain and in in physical domain score ranges from 13-40 with a mean of 28.2 and mean percentage of 70.5 which ranked as 1stand the interpersonal domain which range from 4-18 with a mean of 8.4 and mean percentage of 42 ranked as 5th challenge.There is no association between challenges with socio-demographic characteristics. Conclusion:Ultimately identifying the challenges of those patients will provide some information which will help the nurses to counsel the patient so that they can overcome the challenges. Keywords: - Challenges, acute stroke survival patients, neurology OPD.
背景:中风是世界范围内导致死亡和残疾的主要原因。尽管脑卒中的治疗取得了显著进展,但对脑卒中引起的生活质量、心理和社会事件的关注却很有限。目的:本研究旨在确定加尔各答某医院神经内科门诊急性脑卒中存活患者所面临的挑战。方法:采用描述性调查设计,采用非概率目的抽样方法,对104例急性(脑卒中后3个月内)脑卒中患者进行抽样调查。采用结构化问卷收集社会人口学特征,采用半结构化访谈时间表确定急性脑卒中生存患者面临的挑战。挑战被评估在五个领域,即身体,心理,人际,社会和金融领域。结果:从研究结果中确定,17%的急性脑卒中生存患者卒中后面临轻度挑战,66%面临中度挑战,16%面临重度挑战。研究结果还表明,100%的急性脑卒中生存患者在身体领域面临挑战,身体领域得分为13-40分,平均28.2分,平均百分比为70.5分,排名第1;人际领域得分为4-18分,平均8.4分,平均百分比为42分,排名第5。挑战与社会人口特征之间没有关联。结论:最终确定这些患者的挑战将提供一些信息,有助于护士咨询患者,使他们能够克服挑战。关键词:挑战;急性脑卒中生存患者;神经内科门诊
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引用次数: 0
期刊
Innovative Journal of Medical and Health Science
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