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Psychological Distress and Anxiety among Nursing Professionals with Fear of Infection of COVID-19 Omicron Variant: A Cross Sectional E-survey Study 担心感染新冠病毒组粒变异的护理人员的心理困扰和焦虑:一项横断面电子调查研究
Pub Date : 2023-04-01 DOI: 10.1177/0974150X231164226
Ujjwal Pandey, Abhishek Sharma
Background Contagious diseases are recognized as the most serious risks to population health. Even with the breakthroughs in medicine, there are still substantial causes of mortality and illness. During the early aftermath of the virus outbreak, the mental health of healthcare workers was severely impacted. Stress and anxiety appeared in the early stages of the pandemic, while symptoms of sadness, psychophysiological, and post-traumatic stress appeared later and remained for a long period, resulting in substantial repercussions. Aim To observe the psychological distress and anxiety among nursing professionals with fear of infection from COVID-19 omicron variant. Methods In this online cross-sectional survey study a self-made questionnaire was distributed to 246 nurses across the country using a snowball sampling method. Among 246 participants 210 were males and 36 were females between 18 and 38 years of age. Results The results of the study support the notion that the nursing professionals face psychological distress and anxiety due to the COVID-19 omicron variant. Conclusions The study was conducted on nursing professionals who were working in the COVID-19 ward and suffering from more psychological distress and anxiety.
传染病被认为是对人口健康最严重的威胁。即使在医学上取得了突破,仍然有大量的死亡和疾病的原因。在病毒爆发初期,卫生保健工作者的心理健康受到严重影响。压力和焦虑出现在大流行的早期阶段,而悲伤、心理生理和创伤后应激症状出现较晚,并持续很长一段时间,造成严重影响。目的观察护理人员对新型冠状病毒组粒变异感染恐惧的心理困扰和焦虑情况。方法采用滚雪球抽样法对全国246名护士进行在线横断面调查。在246名参与者中,年龄在18至38岁之间的有210名男性和36名女性。结果本研究结果支持护理专业人员因新冠病毒组粒变异而面临心理困扰和焦虑的观点。结论本研究针对的是在新冠肺炎病房工作、心理困扰和焦虑较多的护理专业人员。
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引用次数: 0
How the Birth of a Girl Child with Congenital Adrenal Hyperplasia Changed the Mother’s Life: A Case Study 一个患有先天性肾上腺增生症的女孩的出生如何改变了母亲的生活:一个案例研究
Pub Date : 2023-01-01 DOI: 10.1177/0974150X221149837
P. Verma, Sunita Sharma, D. Dayal, P. Malhi
Congenital adrenal hyperplasia (CAH) is an autosomal recessive disorder that disturbs the process of adrenal steroidogenesis. A variety of symptoms are produced in the body of children born with this disease. In a girl child, the genitalia is ambiguous with an elongated clitoris and fusion of labia which makes it difficult to declare the gender at birth or mistakenly declared as male. Parents often go through a variable period of uncertainty about the gender of their child. Although most families adjust with time, some blame the mother for giving birth to a child with such abnormality. The present study was undertaken in the form of a case study on the mother of a girl child with CAH enrolled from Pediatric Endocrinology OPD, PGIMER, Chandigarh. The current case study highlights the effect of a female born with CAH on the life of a mother. Although the child was well managed on treatment, due to the stigma attached to the condition, was abandoned by the father.
先天性肾上腺增生症(CAH)是一种常染色体隐性遗传病,扰乱肾上腺甾体生成过程。患有这种疾病的儿童的身体会产生各种症状。女孩的生殖器是模糊的,阴蒂拉长,阴唇融合,这使得在出生时很难宣布性别或被错误地宣布为男性。父母通常会经历一段不确定孩子性别的可变时期。虽然大多数家庭会随着时间的推移而调整,但也有一些人指责母亲生下了这样一个畸形的孩子。本研究是对昌迪加尔PGIMER儿科内分泌科门诊一名患有CAH的女童的母亲进行的个案研究。当前的案例研究强调了出生时患有先天性先天性先天性心脏病的女性对母亲生活的影响。虽然这个孩子在治疗中得到了很好的管理,但由于这种疾病带来的耻辱,他被父亲抛弃了。
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引用次数: 0
Effectiveness of Structured Video-Assisted Learning vs Demonstration on Closed Tracheal Suction Among Undergraduate Student Nurses 结构化视频辅助学习与示范在本科护士闭式气管吸引中的效果
Pub Date : 2023-01-01 DOI: 10.1177/0974150X221141743
R. Jairus, Ritu P Naihar, Sangeetha Samuel
Background During pandemic only a few sick patients were admitted to the hospital. Hence, for most of the clinical teaching of student nurses, nursing faculty has to be dependent on teaching in the laboratory. The teaching was done either on simulators or by video-assisted teaching instead of the traditional demonstration method. It is imperative to assess the impact of these methods of teaching on the skill of nursing students. Aim To assess the effectiveness of structured video-assisted learning (VAL) vs demonstration of closed tracheal suction (CTS) in developing skill of undergraduate student nurses. Methodology A quasi-experimental, posttest control group design was adopted. A total of 60 undergraduate B.Sc. second-year student nurses (30 in the demonstration and 30 in the VAL group) were enrolled in this study. The tools used were knowledge assessment tool (KAT) on CTS, practice assessment tool (PAT) to assess the knowledge and skill of CTS simultaneously. Google forms with a five-point Likert scale were developed to assess the perception of Students and Faculty regarding VAL on CTS. Results The mean scores of CTS were significantly higher in the demonstration group when compared with the VAL group at P < 0.05. Conclusion Students liked the video, but the demonstration was proved to be a better method to develop the skill in CTS.
背景:在大流行期间,只有少数病人入院。因此,对于大多数实习护士的临床教学,护理教师必须依赖于实验室教学。教学采用模拟器或视频辅助教学,取代了传统的示范教学方法。评估这些教学方法对护生技能的影响是十分必要的。目的评价结构化视频辅助学习(VAL)与闭式气管吸引示范(CTS)在培养本科护士技能方面的效果。方法采用准实验、后测对照组设计。本研究共招募60名本科本科二年级护生,其中示范组30名,VAL组30名。使用知识评估工具(KAT)和实践评估工具(PAT)对CTS的知识和技能进行同时评估。开发了带有五点李克特量表的谷歌表格,以评估学生和教师对CTS上VAL的看法。结果示范组CTS平均评分显著高于VAL组,差异有统计学意义(P < 0.05)。结论学生们喜欢视频,但在CTS中,演示被证明是一种更好的培养技能的方法。
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引用次数: 0
Coronary Cameral Fistula: A Rare Entity 冠状动脉摄像瘘管:一种罕见的疾病
Pub Date : 2023-01-01 DOI: 10.1177/0974150X221150566
L. S. Raj, M. Anjusha, R.S. Arathy
The existence of an anomalous connection between any of the cardiac chambers and a major coronary artery is the characteristic feature of coronary cameral fistula. This is a case of an 8-year-old child with a congenital coronary cameral fistula from the left circumflex to the right atrium. The fistula was surgically ligated. The postoperative course was uneventful with a good outcome.
任何心室与主要冠状动脉之间存在异常连接是冠状动脉摄像瘘的特征。这是一个从左旋心房到右心房的先天性冠状动脉摄像瘘管的8岁儿童的病例。手术结扎瘘管。术后过程平稳,预后良好。
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引用次数: 0
Post-discharge Nursing Care Needs and Problems of the Patients with Spontaneous Subarachnoid Hemorrhage who Have Undergone Therapeutic Intervention 自发性蛛网膜下腔出血患者治疗干预后的出院护理需求及问题
Pub Date : 2023-01-01 DOI: 10.1177/0974150X221146080
Manorma Jamwal, Ashish Aggrarwal, Navneet Singla, M. Dhandapani
Background Spontaneous subarachnoid hemorrhage (sSAH) is a neurologic emergency characterized by the extravasation of blood into the subarachnoid space. The patients who had therapeutic intervention may face many problems after their discharge from the hospital, which can be a burden both on the patient and the caregiver. To understand the needs completely, it is necessary to comprehend the problems the patients and caregivers face after discharge related to nursing care. This could lead to improvements in functional status and quality of life. Objectives To identify the nursing care needs and problems of the patients with sSAH who have undergone therapeutic intervention follow-up in tertiary care center Chandigarh. Method A qualitative narrative study was conducted on 21 participants (15 patients paired with caregivers and six health care workers) enrolled through the purposive sampling technique. Using an interview guide, patients’ problems and nursing care needs were identified from patients, caregivers, and health care workers (HCWs). Interviews were documented after having informed written consent from participants. Ethical clearance was taken from the institute committee. Results Various problems were reported by the patients, caregivers, and HCWs. The problems and nursing care needs were grouped under various domains: the physical domain includes headache, rigidity, fatigue, difficulty in the activity of daily living, and many more. The psychological domain has anger, altered memory, concentration, and so on. The problems under the social domain were, not interested in socialization, loss/change of job, disturbing role and responsibility, and so on. The spiritual domain includes decreased/increased faith in God, an inability to practice rituals. Poor therapeutic compliance includes lack of compliance to medical treatment and loss of follow-up. The care need includes a lack of caring skills, knowledge deficit among many. Caregivers reported an increase in burden, disturbed family, financial issues, and lack of caring skills. Conclusion The study found various problems and nursing care needs under seven domains, that is, physical, psychological, social, spiritual, poor therapeutic compliance, care needs, and challenges faced by caregivers, which can be considered during the transition phase of patients with sSAH and may guide the health care worker in the provision of holistic care.
自发性蛛网膜下腔出血(sSAH)是一种以血液外渗进入蛛网膜下腔为特征的神经系统急症。接受治疗干预的患者在出院后可能面临许多问题,这对患者和护理人员都是一种负担。要全面了解患者的需求,就必须了解患者和护理人员在出院后面临的护理相关问题。这可能会导致功能状态和生活质量的改善。目的了解在昌迪加尔三级保健中心接受治疗干预随访的sSAH患者的护理需求及存在的问题。方法采用目的抽样法,对21名被试(15名患者与护理人员配对,6名医护人员配对)进行定性叙述研究。使用访谈指南,从患者、护理人员和卫生保健工作者(HCWs)中确定患者的问题和护理需求。访谈在获得参与者的书面同意后被记录下来。伦理许可是由研究所委员会批准的。结果患者、护理人员和卫生保健人员报告了各种问题。这些问题和护理需求被分为不同的领域:身体领域包括头痛、僵硬、疲劳、日常生活活动困难等等。心理领域包括愤怒、记忆改变、注意力不集中等等。社会域下的问题有:对社会化不感兴趣、失业/跳槽、角色和责任不安等。精神领域包括对上帝的信仰减少/增加,无法进行仪式。治疗依从性差包括缺乏对药物治疗的依从性和失去随访。护理需求包括缺乏护理技能,许多人缺乏知识。照护者报告负担增加、家庭不安、经济问题和缺乏照护技能。结论研究发现了sSAH患者在生理、心理、社会、精神、治疗依从性差、护理需求和护理人员面临的挑战等7个方面存在的问题和护理需求,可在sSAH患者过渡阶段予以考虑,并可指导医护人员提供整体护理。
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引用次数: 0
Factors Influencing Nurses and Midwives’ Participation in Research: A Qualitative Study 影响护士和助产士参与研究的因素:一项定性研究
Pub Date : 2023-01-01 DOI: 10.1177/0974150X221146075
J. Kyei, Gladys Dzansi, A. K. Acheampong, C. A. Adjei, L. Ohene, Samuel Adjorlolo, Isabella Naana Akyaa Asante, Philomena Woolley, Felix Nyante, Lydia Aziato
Background The utilisation of research findings in healthcare among health professionals is key for promoting patient safety and achieving quality health outcomes including that of nursing and midwifery research. However, not much is known about the challenges Ghanaian nurses and midwives face in generating evidence-based findings to inform context-specific nursing and midwifery practice. Aim Explore factors influencing nurses and midwives’ participation and research use in Ghana. Methods We employed a qualitative descriptive exploratory approach involving in-depth face-to-face interviews with 60 nurses and midwives from six regions in Ghana. Participants were selected from training institutions, hospitals and community health units. Interviews were audio recorded and transcribed for analysis. Data was coded and categorised into themes and subthemes using content analysis procedures. Results Nurses’ and midwives’ role in research varied. Barriers to research participation included inadequate knowledge, lack of interest, access to research funds, time constraints and attitude of respondents. Commitment, mentoring, access to resources and prestige associated with publishing enhanced participation. Conclusion Developing nurses’ and midwives’ interest in research requires training, collaboration, access to research funds and use of research outcomes.
背景:在卫生专业人员中利用医疗保健方面的研究成果是促进患者安全和实现高质量健康结果的关键,包括护理和助产研究。然而,人们对加纳护士和助产士在产生基于证据的发现,为具体情况的护理和助产实践提供信息方面所面临的挑战知之甚少。目的探讨加纳护士和助产士参与和研究使用的影响因素。方法采用定性描述性探索性方法,对来自加纳六个地区的60名护士和助产士进行了深入的面对面访谈。参与者是从培训机构、医院和社区保健单位中挑选出来的。访谈录音和文字记录以供分析。使用内容分析程序对数据进行编码并将其分类为主题和子主题。结果护士和助产士在研究中的作用各不相同。参与研究的障碍包括知识不足、缺乏兴趣、获得研究资金、时间限制和受访者的态度。与出版相关的承诺、指导、获得资源和声望提高了参与度。结论培养护士和助产士对研究的兴趣需要培训、合作、获得研究经费和使用研究成果。
{"title":"Factors Influencing Nurses and Midwives’ Participation in Research: A Qualitative Study","authors":"J. Kyei, Gladys Dzansi, A. K. Acheampong, C. A. Adjei, L. Ohene, Samuel Adjorlolo, Isabella Naana Akyaa Asante, Philomena Woolley, Felix Nyante, Lydia Aziato","doi":"10.1177/0974150X221146075","DOIUrl":"https://doi.org/10.1177/0974150X221146075","url":null,"abstract":"Background The utilisation of research findings in healthcare among health professionals is key for promoting patient safety and achieving quality health outcomes including that of nursing and midwifery research. However, not much is known about the challenges Ghanaian nurses and midwives face in generating evidence-based findings to inform context-specific nursing and midwifery practice. Aim Explore factors influencing nurses and midwives’ participation and research use in Ghana. Methods We employed a qualitative descriptive exploratory approach involving in-depth face-to-face interviews with 60 nurses and midwives from six regions in Ghana. Participants were selected from training institutions, hospitals and community health units. Interviews were audio recorded and transcribed for analysis. Data was coded and categorised into themes and subthemes using content analysis procedures. Results Nurses’ and midwives’ role in research varied. Barriers to research participation included inadequate knowledge, lack of interest, access to research funds, time constraints and attitude of respondents. Commitment, mentoring, access to resources and prestige associated with publishing enhanced participation. Conclusion Developing nurses’ and midwives’ interest in research requires training, collaboration, access to research funds and use of research outcomes.","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134446581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Stress Level of Parents of Hospitalized Preterm Neonates 住院早产儿父母的压力水平
Pub Date : 2022-10-01 DOI: 10.1177/0974150X221128635
Rajbeer Kaur, S. Kaur, Praveen Kumar, R. Bagga
Background: Preterm birth is an unexpected event, which is very stressful for the parents and family members as they are never prepared for this situation. The major stressors of parental stress such as the appearance of the neonate, neonatal intensive care unit (NICU) environment, condition of the neonate, behaviour of care professionals and financial implications are well documented. Objective: To assess the level of stress among the parents of preterm hospitalized neonates admitted in the NICU, Nehru Hospital, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh. Methods: Data were collected by interviewing 17 parents on the fifth day of admission to the NICU, PGIMER, Chandigarh, after taking informed written consent from them. The Parental Stress Scale–NICU (PSS-NICU) and the fathers stress scale were used to assess the stress level of parents of hospitalized preterm neonates. Data were analysed by using SPSS (version 20). Results: The mean age of mothers was 28.24 ± 4.96 and that of the fathers was 30.29 ± 4.25. The total mean mothers’ stress score was 171.76 ± 33.44, and the total mean fathers’ stress score was 125.02 ± 36.16. Conclusion: The study showed that mothers and fathers were very stressful during the period of hospitalization of their preterm neonates.
背景:早产是一种意外事件,对父母和家庭成员来说压力很大,因为他们从来没有为这种情况做好准备。父母压力的主要压力源,如新生儿的外观,新生儿重症监护病房(NICU)的环境,新生儿的条件,护理专业人员的行为和经济影响都有很好的记录。目的:了解昌迪加尔医学教育与研究研究生院尼赫鲁医院新生儿重症监护室早产儿父母的应激水平。方法:在获得家长的知情书面同意后,于患儿入住昌迪加尔PGIMER NICU第5天对17名家长进行访谈。采用父母压力量表- nicu (PSS-NICU)和父亲压力量表评估住院早产儿父母的压力水平。数据分析采用SPSS (version 20)软件。结果:母亲平均年龄28.24±4.96岁,父亲平均年龄30.29±4.25岁。母亲总平均压力得分为171.76±33.44分,父亲总平均压力得分为125.02±36.16分。结论:本研究表明,在早产婴儿住院期间,母亲和父亲的压力很大。
{"title":"Stress Level of Parents of Hospitalized Preterm Neonates","authors":"Rajbeer Kaur, S. Kaur, Praveen Kumar, R. Bagga","doi":"10.1177/0974150X221128635","DOIUrl":"https://doi.org/10.1177/0974150X221128635","url":null,"abstract":"Background: Preterm birth is an unexpected event, which is very stressful for the parents and family members as they are never prepared for this situation. The major stressors of parental stress such as the appearance of the neonate, neonatal intensive care unit (NICU) environment, condition of the neonate, behaviour of care professionals and financial implications are well documented. Objective: To assess the level of stress among the parents of preterm hospitalized neonates admitted in the NICU, Nehru Hospital, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh. Methods: Data were collected by interviewing 17 parents on the fifth day of admission to the NICU, PGIMER, Chandigarh, after taking informed written consent from them. The Parental Stress Scale–NICU (PSS-NICU) and the fathers stress scale were used to assess the stress level of parents of hospitalized preterm neonates. Data were analysed by using SPSS (version 20). Results: The mean age of mothers was 28.24 ± 4.96 and that of the fathers was 30.29 ± 4.25. The total mean mothers’ stress score was 171.76 ± 33.44, and the total mean fathers’ stress score was 125.02 ± 36.16. Conclusion: The study showed that mothers and fathers were very stressful during the period of hospitalization of their preterm neonates.","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117018396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment of the Posture of Adults at Their Workplace 成年人在工作场所的姿势评估
Pub Date : 2022-10-01 DOI: 10.1177/0974150x221124228
Anjana. Sharma, R. Kalia
Introduction: “Body mechanics” is a term used to describe the ways we move and go about in our lives. It includes how we hold our body while sitting, standing, lifting, bending, carrying, or moving. Poor body mechanics can often lead to poor body posture, back pain, and related discomfort. Workers in industries and offices are exposed to various types of risk factors such as lifting heavy items, bending, reaching overhead, pushing and pulling heavy loads, working in awkward body postures, and performing the same or similar tasks repetitively, causing morbidity. Taking care of the back is a lifelong project, and use of proper body mechanics is an effective way to maintain health and fitness of the back. Objective: To assess the posture of adults at their workplace with an aim to develop a health education package on body mechanics. Methodology: Non-experimental descriptive design was used for the study. The study was conducted among 50 subjects from various organizations at Kurali, Punjab. Sociodemographic data sheet and an observation checklist were used to observe the body mechanics practices of the subjects. Results: The findings of the study revealed that 27 (54%) subjects had good body mechanics practices, 17 (34%) had average practices, whereas 6 (12%) had poor body mechanics practices. Conclusion: Only half of the workers were practicing good body mechanics; hence, there is a need to educate the workers regarding good practices.
“身体力学”是一个用来描述我们在生活中移动和走动方式的术语。它包括我们在坐着、站着、举起、弯腰、搬运或移动时如何保持身体。糟糕的身体力学通常会导致不良的身体姿势,背部疼痛和相关的不适。在工业和办公室工作的工人暴露于各种危险因素,如举起重物,弯腰,到达头顶,推和拉重物,以尴尬的身体姿势工作,重复执行相同或类似的任务,导致发病率。照顾背部是一项终身工程,使用适当的身体力学是保持背部健康和健美的有效方法。目的:评估成人在工作场所的姿势,以制定一套身体力学健康教育方案。方法:本研究采用非实验描述性设计。这项研究是在旁遮普省库拉利不同组织的50名受试者中进行的。采用社会人口学数据表和观察表观察受试者的身体力学练习情况。结果:研究结果显示,27名(54%)受试者身体力学练习良好,17名(34%)受试者身体力学练习一般,6名(12%)受试者身体力学练习不佳。结论:只有一半的工人练习良好的身体力学;因此,有必要对工人进行良好实践方面的教育。
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引用次数: 0
Assessment of Knowledge and Skills of Nurses Related to the Measurement of Capillary Refill Time Among Preterm Neonates: A Pilot Study 护士对早产儿毛细血管再充血时间测量相关知识和技能的评估:一项初步研究
Pub Date : 2022-10-01 DOI: 10.1177/0974150X221124229
K. Rana, K. Das, G. Kalyan, S. Saini
The preterm neonates have a higher mortality rate, associated with their vulnerable state to minimal changes in their physiological parameters. 1 The hemodynamic status and the related assessment of neonatal perfusion are the integral components of a preterm neonate’s physiological monitoring. One of the important parameters of this monitoring is capillary refill time (CRT). It is an indirect indicator of the cardiac output and peripheral circulation, which, if timely managed, can reduce the morbidity and mortality rates of these preterm neonates. 2,3,4 The nurses perform and record CRT in the nursing monitoring sheets as a routine procedure in neonatal intensive care units. The normal CRT of preterm neonates is less than 3 s; exceeding 4 s shows inadequate blood supply to the extremities. However, more than 5 s indicates decreased cardiac output. 5 In practice, the healthcare providers use the index finger with moderate pressure for 5 s over the chest to cause blenching on the skin and observe revascularization time to record as CRT. 6 The measurement of CRT is an essential clinical skill, and it helps quickly assess the condition of preterm neonates’ blood circulation and averts adverse health outcomes. Nurses must possess adequate knowledge and skills related to CRT. Keeping that in mind, the present pilot study was conducted. to the A pilot study using the total enumeration sample technique was conducted on 105 nurses working in various neonatal units in a tertiary care center in North India. The inclusion criteria included nurses working in neonatal units who consented to the study. Ethical approval was taken from institute’s ethics committee and written informed consent was obtained from participants of the study. The data were collected using a questionnaire containing: (a) personal information of nurses and (b) knowledge and expressed practices/skill of nurses related to the measurement of CRT. Neonatologists, pediatrics, and nursing experts validated the questionnaire, and the content validity index (CVI) score was 0.8. The reliability of the questionnaire was determined using the test–retest method, and its CVI score was 0.8. The total enumeration sampling technique was used. A structured Performa was used to collect data using the pen–pencil technique, and the measured value of CRT was recorded. The data were entered and analyzed using SPSS version 20.
早产儿的死亡率较高,这与他们的生理参数对微小变化的脆弱状态有关。1新生儿血流动力学状态及血流灌注的相关评估是早产儿生理监测的重要组成部分。该监测的一个重要参数是毛细管再灌注时间(CRT)。它是心输出量和外周循环的间接指标,如果及时处理,可以降低这些早产儿的发病率和死亡率。作为新生儿重症监护病房的常规程序,护士在护理监护单上执行并记录CRT。正常早产儿CRT小于3 s;超过45秒说明四肢供血不足。然而,超过5s则表明心输出量减少。5在实践中,医护人员用食指以中等压力在胸部上方按压5 s,使皮肤融化,观察血供重建时间,记录为CRT。测量CRT是一项重要的临床技能,它有助于快速评估早产儿的血液循环状况,避免不良的健康后果。护士必须具备足够的CRT相关知识和技能。考虑到这一点,进行了目前的试点研究。一项试点研究采用全枚举抽样技术,对印度北部三级保健中心各新生儿病房的105名护士进行了调查。纳入标准包括在新生儿病房工作并同意本研究的护士。本研究已获得研究所伦理委员会的伦理批准,并获得研究参与者的书面知情同意。数据采用问卷收集,问卷内容包括:(a)护士的个人资料;(b)护士对CRT测量的知识和表达实践/技能。新生儿、儿科、护理专家对问卷进行了验证,内容效度指数(CVI)得分为0.8分。采用重测法确定问卷的信度,其CVI得分为0.8。采用全枚举抽样技术。采用结构化的Performa笔尖法采集数据,并记录CRT的测量值。数据输入和分析使用SPSS版本20。
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引用次数: 0
A Comparative Study to Assess the Mental Health Problems, Quality of Life, Work Ability and Social Adjustments Among OST and Non-OST Drug Users in Chandigarh 昌迪加尔市吸毒成瘾者与非吸毒成瘾者心理健康问题、生活质量、工作能力及社会适应的比较研究
Pub Date : 2022-10-01 DOI: 10.1177/0974150X221127450
Pardeep Kumar, Sunita Sharma, S. Saini, Sandeep Mittal, Vanita Gupta
Introduction: Injectable drug use is a cause of disease burden and a contributor to blood-borne virus transmission and health-related problems. It is one of the serious problems of our country. The best suitable strategy of treatment for opioid dependence is ‘opioid substitution therapy’ (OST). It is beneficial for the injectable drug users (IDUs) in reduction in the behaviour of injecting and opioid use, which helps in reducing criminal activities, domestic violence, enhancing ties within the family and improving productivity. Objective: To assess the mental health problems, quality of life, work ability and social adjustability among OST and non-OST IDUs. Materials and Methods: The descriptive study was conducted among 100 male IDUs (50 in the OST group and 50 in the non-OST group), registered with the two selected non-governmental organizations (NGOs) of Chandigarh selected by using the consecutive sampling technique. The OST group was contacted during their visit to the centre for receiving the daily dose of OST, while the non-OST group was contacted during their visit to the NGO centres for getting fresh syringes in exchange with used syringes under the syringe exchange programme. The data were collected by interviewing the study subjects by using the interview schedule comprising of the (a) socio-demographic profile, (b) health problems, (c) substance-use-related problems scale, (d) work ability and social adjustability scale, (e) the depression, anxiety and stress scale-21 and (f) World Health Organization Quality-of-Life BREF (WHOQOL BREF) Scale. All the tools were standardized and available in the open domain. Results: The study subjects were in the age group of 18–58 years with the mean age of 27.52 ± 6.67 years. Significantly lesser problems in the OST group study participants related to health, occupation, finance, legal, family, marital and social status were reported than those in the non-OST group participants (t-test, p < 0.01). A significantly higher percentage of the study participants in the non-OST group had depression, anxiety and stress than that in the OST group. Quality of life of IDUs in the OST group was significantly better than that of IDUs in the non-OST group, as per the WHOQOL BREF Scale (Mann–Whitney U test, p < 0.05). Conclusion: IDUs on OST therapy (OST group) were having lesser problems in the area of health (physical and mental), occupational, financial, legal, family, marital, social and better quality of life than those in the non-OST group.
简介:注射吸毒是疾病负担的一个原因,也是血液传播病毒和健康相关问题的一个因素。这是我国面临的严重问题之一。治疗阿片类药物依赖的最佳策略是“阿片类药物替代疗法”(OST)。这有利于注射吸毒者减少注射和使用阿片类药物的行为,从而有助于减少犯罪活动、家庭暴力、加强家庭内部的联系和提高生产力。前言:目的:评价吸毒成瘾者和非吸毒成瘾者的心理健康问题、生活质量、工作能力和社会适应能力。材料与方法:采用连续抽样的方法,在昌迪加尔选定的两个非政府组织(ngo)登记的100名男性IDUs中(OST组50名,非OST组50名)进行描述性研究。OST组在访问中心期间与他们取得联系,以获得OST的每日剂量,而非OST组在访问非政府组织中心期间与他们取得联系,以便根据注射器交换计划以旧注射器交换新注射器。采用访谈表对研究对象进行访谈,访谈表包括:(a)社会人口统计资料、(b)健康问题、(c)药物使用相关问题量表、(d)工作能力和社会适应能力量表、(e)抑郁、焦虑和压力量表-21和(f)世界卫生组织生活质量量表(WHOQOL BREF)。所有的工具都是标准化的,并且可以在开放领域中使用。结果:研究对象年龄18 ~ 58岁,平均年龄27.52±6.67岁。OST组在健康、职业、财务、法律、家庭、婚姻和社会地位方面的问题报告显著少于非OST组(t检验,p < 0.01)。非OST组抑郁、焦虑和压力的比例明显高于OST组。根据WHOQOL BREF量表(Mann-Whitney U检验,p < 0.05), OST组注射者的生活质量显著优于非OST组注射者。结论:接受OST治疗的注射吸毒者(OST组)在健康(身心)、职业、财务、法律、家庭、婚姻、社会等方面的问题较少,生活质量优于非OST组。
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引用次数: 0
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Nursing & Midwifery Research Journal
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