Pub Date : 2022-10-01DOI: 10.1177/0974150X221128992
M. Suryavanshi, Shruti, Y. Sharma
Background: Good sleep is vital for a healthy heart. Studies showed that short sleep duration contributes to the development of myocardial infarction (MI). ST-segment elevated myocardial infarction (STEMI) in comparison to non-ST-segment elevated myocardial infarction (NSTEMI) is considered a dangerous health condition. Sleep qualities among patients with NSTEMI and those with STEMI are less clear in the available literature. So, the author undertook this study. Objective: To assess and compare the sleep quality among patients with STEMI and those with NSTEMI in cardiology units of a tertiary care hospital, Chandigarh. Methodology: The research design was descriptive and the approach used was the quantitative approach. A total of 100 patients were chosen by using the consecutive sampling technique. The interview technique was used to collect data with the help of the interview schedule comprised of socio-demographic profile sheets, clinical profile sheets and the Pittsburgh Sleep Quality Index (to assess the sleep quality). Results: The data revealed that more than 76% of patients were diagnosed with STEMI, whereas less than 24% of patients were diagnosed with NSTEMI. A significantly higher percentage of patients suffering from NSTEMI (40%) reported very good subjective sleep quality than those suffering from STEMI (12%) (p < 0.05). However, no statistically significant difference was seen in the sleep quality and sleep duration between patients with NSTEMI and those with STEMI as assessed by the Global Sleep Quality Index (p > 0.05). Conclusion: Each patient, irrespective of their type of MI, reported sleep difficulty. Patients with NSTEMI showed comparatively better sleep quality and sleep duration than those with STEMI. More efforts are required to improve the sleep qualities of patients with both NSTEMI and STEMI for the prevention of secondary cardiovascular events.
{"title":"Sleep Quality Among Patients with Myocardial Infarction","authors":"M. Suryavanshi, Shruti, Y. Sharma","doi":"10.1177/0974150X221128992","DOIUrl":"https://doi.org/10.1177/0974150X221128992","url":null,"abstract":"Background: Good sleep is vital for a healthy heart. Studies showed that short sleep duration contributes to the development of myocardial infarction (MI). ST-segment elevated myocardial infarction (STEMI) in comparison to non-ST-segment elevated myocardial infarction (NSTEMI) is considered a dangerous health condition. Sleep qualities among patients with NSTEMI and those with STEMI are less clear in the available literature. So, the author undertook this study. Objective: To assess and compare the sleep quality among patients with STEMI and those with NSTEMI in cardiology units of a tertiary care hospital, Chandigarh. Methodology: The research design was descriptive and the approach used was the quantitative approach. A total of 100 patients were chosen by using the consecutive sampling technique. The interview technique was used to collect data with the help of the interview schedule comprised of socio-demographic profile sheets, clinical profile sheets and the Pittsburgh Sleep Quality Index (to assess the sleep quality). Results: The data revealed that more than 76% of patients were diagnosed with STEMI, whereas less than 24% of patients were diagnosed with NSTEMI. A significantly higher percentage of patients suffering from NSTEMI (40%) reported very good subjective sleep quality than those suffering from STEMI (12%) (p < 0.05). However, no statistically significant difference was seen in the sleep quality and sleep duration between patients with NSTEMI and those with STEMI as assessed by the Global Sleep Quality Index (p > 0.05). Conclusion: Each patient, irrespective of their type of MI, reported sleep difficulty. Patients with NSTEMI showed comparatively better sleep quality and sleep duration than those with STEMI. More efforts are required to improve the sleep qualities of patients with both NSTEMI and STEMI for the prevention of secondary cardiovascular events.","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"81 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":"126343340","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}
Pub Date : 2022-06-07DOI: 10.1177/0974150X221096266
Geeta Thapar, M. Dhandapani, Navneet Singla, S. Dhandapani
Introduction Thoracolumbar spine surgery is performed to relieve symptoms like radicular pain and numbness caused by conditions such as disc herniation, lumbar canal stenosis, and spondylolisthesis. Objective: To explore the problems experienced and nursing care needs of patients during home care after thoracolumbar spine surgery. Methods An exploratory study was conducted among 50 patients who underwent thoracolumbar spine surgery in Neurosurgery units, PGIMER, Chandigarh, from July 2018 to September 2020. The problems and nursing care needs were assessed by interviewing the participants telephonically, using an interview schedule comprising of (a) patient profile, (b) clinical variables, and (c) questionnaires to assess physical, psychological, functional, and other problems after discharge. Descriptive statistics (mean, frequency, and percentage) were applied to analyze the data. Results The patients experienced physical problems such as pain, numbness in lower limbs, weakness in limbs, and loss of bladder after discharge. The psychological problems that patients faced were early awakening, sleeplessness, worry about physical dependence on others, stress regarding the family’s role responsibility, and anxiety to return to the job. The common functional issues were difficulty in bathing, difficulty in ambulation, dependence in toileting, and the need for assistance in grooming. Furthermore, other problems perceived by patients were difficulty regarding follow-up in OPD, difficulty in understanding postoperative exercises, lack of understanding of postoperative instructions, and difficulty in carrying out wound dressing. Conclusion The findings of the study provide preliminary evidence that patients experience physical, psychological, and functional problems during their home care after thoracolumbar spine surgery. Hence, it is vital to develop strategies to address the issues by developing need-based nursing care guidelines.
{"title":"Post-Hospitalization Problems and Nursing Care Needs of Patients who Underwent Thoracolumbar Spine Surgery","authors":"Geeta Thapar, M. Dhandapani, Navneet Singla, S. Dhandapani","doi":"10.1177/0974150X221096266","DOIUrl":"https://doi.org/10.1177/0974150X221096266","url":null,"abstract":"Introduction Thoracolumbar spine surgery is performed to relieve symptoms like radicular pain and numbness caused by conditions such as disc herniation, lumbar canal stenosis, and spondylolisthesis. Objective: To explore the problems experienced and nursing care needs of patients during home care after thoracolumbar spine surgery. Methods An exploratory study was conducted among 50 patients who underwent thoracolumbar spine surgery in Neurosurgery units, PGIMER, Chandigarh, from July 2018 to September 2020. The problems and nursing care needs were assessed by interviewing the participants telephonically, using an interview schedule comprising of (a) patient profile, (b) clinical variables, and (c) questionnaires to assess physical, psychological, functional, and other problems after discharge. Descriptive statistics (mean, frequency, and percentage) were applied to analyze the data. Results The patients experienced physical problems such as pain, numbness in lower limbs, weakness in limbs, and loss of bladder after discharge. The psychological problems that patients faced were early awakening, sleeplessness, worry about physical dependence on others, stress regarding the family’s role responsibility, and anxiety to return to the job. The common functional issues were difficulty in bathing, difficulty in ambulation, dependence in toileting, and the need for assistance in grooming. Furthermore, other problems perceived by patients were difficulty regarding follow-up in OPD, difficulty in understanding postoperative exercises, lack of understanding of postoperative instructions, and difficulty in carrying out wound dressing. Conclusion The findings of the study provide preliminary evidence that patients experience physical, psychological, and functional problems during their home care after thoracolumbar spine surgery. Hence, it is vital to develop strategies to address the issues by developing need-based nursing care guidelines.","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130732002","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}
Pub Date : 2022-06-01DOI: 10.1177/0974150X221096255
N. Kumari, S. Kaur, S. Saini
Background Prematurity contributes to neonatal mortality and morbidity. There are many complications that can contribute to preterm morbidity and mortality. One of the complications is an alteration in temperature. Objective To assess the core temperature within the first seven days after birth, of hemodynamically stable preterm neonates born before 34 weeks of gestation. Methodology A total of 120 neonates were enrolled by using the total enumeration technique from the various neonatal units of PGIMER, Chandigarh. Permission from Institutes Ethic Committee was obtained, and consent was taken from parents of preterm neonates. The tools used for data collection were: (a) Interview schedule—it comprised of sociodemographic profile. (b) Temperature monitoring sheet. Protocol for recording core temperature was developed and validated by experts in nursing and pediatrics. Demographic profile of neonates was collected. Core temperature was recorded as per protocol in three shifts, i.e., morning, evening, and night time, by using a digital thermometer for the first seven days after birth. Temperature recording sheet was used to record the core temperature. Results Out of the total 120 hospitalized preterm neonates, 55.8% of the study participants were females, and the mean gestational age of the study participants was 31.5 ± 1.79 weeks. The mean values of core temperature of hemodynamically stable preterm neonates recorded in the morning, evening, and night of day 1 and day 2 were less than 36.5°C. From day 3 to day 7, the mean value of core temperature in morning, evening, and night was more than 36.5°C. Conclusion The study findings suggest that the core temperature, when monitored for first seven days after birth in hemodynamically stable preterm neonates, was low for the first two days, but normal for the next five days.
{"title":"Core Temperature Within First Seven Days After Birth, of Hemodynamically Stable Preterm Neonates Born Before 34 Weeks of Gestation: A Prospective Study","authors":"N. Kumari, S. Kaur, S. Saini","doi":"10.1177/0974150X221096255","DOIUrl":"https://doi.org/10.1177/0974150X221096255","url":null,"abstract":"Background Prematurity contributes to neonatal mortality and morbidity. There are many complications that can contribute to preterm morbidity and mortality. One of the complications is an alteration in temperature. Objective To assess the core temperature within the first seven days after birth, of hemodynamically stable preterm neonates born before 34 weeks of gestation. Methodology A total of 120 neonates were enrolled by using the total enumeration technique from the various neonatal units of PGIMER, Chandigarh. Permission from Institutes Ethic Committee was obtained, and consent was taken from parents of preterm neonates. The tools used for data collection were: (a) Interview schedule—it comprised of sociodemographic profile. (b) Temperature monitoring sheet. Protocol for recording core temperature was developed and validated by experts in nursing and pediatrics. Demographic profile of neonates was collected. Core temperature was recorded as per protocol in three shifts, i.e., morning, evening, and night time, by using a digital thermometer for the first seven days after birth. Temperature recording sheet was used to record the core temperature. Results Out of the total 120 hospitalized preterm neonates, 55.8% of the study participants were females, and the mean gestational age of the study participants was 31.5 ± 1.79 weeks. The mean values of core temperature of hemodynamically stable preterm neonates recorded in the morning, evening, and night of day 1 and day 2 were less than 36.5°C. From day 3 to day 7, the mean value of core temperature in morning, evening, and night was more than 36.5°C. Conclusion The study findings suggest that the core temperature, when monitored for first seven days after birth in hemodynamically stable preterm neonates, was low for the first two days, but normal for the next five days.","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122333147","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}
Pub Date : 2022-05-31DOI: 10.1177/0974150X221097723
Kavita, J. Thakur, S. Saini, Monika Pebma, K. Das, T. Narang
Background Adequate knowledge and favourable attitude are paramount for management of COVID-19 patients at home. Objectives To assess the knowledge and attitude of community participants towards home care of COVID-19 patients. Materials and Methods A cross-sectional online survey was undertaken. Snowball sampling technique was used to enrol the individuals aged 18 years and above. An online questionnaire was developed on Google Forms and its link was circulated at various social media platforms. Data was collected from 352 individuals. Results A total of 352 participants took part in the survey. The average knowledge score of the participants was 16.2 (SD = 1.9, range 10–20). Nearly two-thirds (63.9%) of the participants had more accurate knowledge and 60.8% of the participants had more positive attitude towards home care of COVID-19 patients. Conclusion The study highlights the importance of more intensive, tailored education programmes to enhance knowledge and develop more favourable attitude towards home care of COVID-19 patients.
{"title":"Community Preparedness Towards Home Care of COVID-19 Patient: A Cross Sectional Study","authors":"Kavita, J. Thakur, S. Saini, Monika Pebma, K. Das, T. Narang","doi":"10.1177/0974150X221097723","DOIUrl":"https://doi.org/10.1177/0974150X221097723","url":null,"abstract":"Background Adequate knowledge and favourable attitude are paramount for management of COVID-19 patients at home. Objectives To assess the knowledge and attitude of community participants towards home care of COVID-19 patients. Materials and Methods A cross-sectional online survey was undertaken. Snowball sampling technique was used to enrol the individuals aged 18 years and above. An online questionnaire was developed on Google Forms and its link was circulated at various social media platforms. Data was collected from 352 individuals. Results A total of 352 participants took part in the survey. The average knowledge score of the participants was 16.2 (SD = 1.9, range 10–20). Nearly two-thirds (63.9%) of the participants had more accurate knowledge and 60.8% of the participants had more positive attitude towards home care of COVID-19 patients. Conclusion The study highlights the importance of more intensive, tailored education programmes to enhance knowledge and develop more favourable attitude towards home care of COVID-19 patients.","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125004727","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}
Pub Date : 2022-05-27DOI: 10.1177/0974150X221098205
A. Kaur, A. Kaur
Background Mobile phone is a new form of communication. It has become an integral part of everyday life of the individual and affects their social life. Mobile phone overuse is a dependency syndrome seen among certain mobile phone users. Objective To assess the impact of mobile phone dependency on academic stress among nursing students studying in Khalsa College of Nursing, Amritsar, Punjab. Methodology A descriptive non-experimental research design was selected for the study. The study was conducted on 370 nursing students selected by purposive sampling technique. The tool used was an interview schedule that included sociodemographic profile of the respondents, a modified mobile phone dependency scale and a modified academic stress scale. Results The age range of 41.9% of the students was 19-20 years. Majority (94.6%) of them were females and 94.6% were unmarried, 54.3% were studying in Basic BSc nursing program. Maximum (71.36%) students hailed from joint families; 63.8% were residing either in their hometown or with their relatives; 52.7% of them had family monthly income above Rs. 20,000 and 78.94% owned one mobile phone. More than half of the students (58.10%) were mild mobile phone users. Academic stress of 67.30% students was of moderate level. Majority of the students (84.62%), who were moderate mobile phone users, were facing a severe level of academic stress. There was a significant association of mobile phone usage with age, nursing program and monthly family incomes at P < .05 level of significance.
{"title":"Impact of Mobile Phone Usage on Academic Stress Among Nursing Students","authors":"A. Kaur, A. Kaur","doi":"10.1177/0974150X221098205","DOIUrl":"https://doi.org/10.1177/0974150X221098205","url":null,"abstract":"Background Mobile phone is a new form of communication. It has become an integral part of everyday life of the individual and affects their social life. Mobile phone overuse is a dependency syndrome seen among certain mobile phone users. Objective To assess the impact of mobile phone dependency on academic stress among nursing students studying in Khalsa College of Nursing, Amritsar, Punjab. Methodology A descriptive non-experimental research design was selected for the study. The study was conducted on 370 nursing students selected by purposive sampling technique. The tool used was an interview schedule that included sociodemographic profile of the respondents, a modified mobile phone dependency scale and a modified academic stress scale. Results The age range of 41.9% of the students was 19-20 years. Majority (94.6%) of them were females and 94.6% were unmarried, 54.3% were studying in Basic BSc nursing program. Maximum (71.36%) students hailed from joint families; 63.8% were residing either in their hometown or with their relatives; 52.7% of them had family monthly income above Rs. 20,000 and 78.94% owned one mobile phone. More than half of the students (58.10%) were mild mobile phone users. Academic stress of 67.30% students was of moderate level. Majority of the students (84.62%), who were moderate mobile phone users, were facing a severe level of academic stress. There was a significant association of mobile phone usage with age, nursing program and monthly family incomes at P < .05 level of significance.","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"127 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116262071","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}
Pub Date : 2022-05-23DOI: 10.1177/0974150X221098445
Shelza Thakur, Kamlesh Rani, R. Kalia
Introduction Childbirth is a natural, normal physiological phenomenon that introduces new experiences in women’s reproductive life. It has a great physiological, emotional, and social impact on a woman’s health. If a pregnant woman finds it difficult to adapt to the changes, she may suffer from anxiety and depression and it, in turn, affects the physical and mental health of both the mother and child. Assessing and managing anxiety is one of the most important needs during pregnancy. Objective To assess and compare the anxiety related to the childbearing process among primigravida and multigravida mothers. Methodology A descriptive study was conducted among 300 pregnant women visiting antenatal OPD or admitted before delivery in the selected hospital. The data were collected by interviewing pregnant women as per the interview schedule comprised of sociodemographic profiles and an anxiety scale. The obtained data were analyzed by using descriptive and inferential statistics. Results The results showed that 88% of pregnant women had low anxiety, whereas 12% had moderate anxiety. Anxiety was more common among primigravida women. Conclusion The study concluded that majority of the women had low anxiety during the childbearing process.
{"title":"Anxiety Related to “Childbearing Process” Among Women","authors":"Shelza Thakur, Kamlesh Rani, R. Kalia","doi":"10.1177/0974150X221098445","DOIUrl":"https://doi.org/10.1177/0974150X221098445","url":null,"abstract":"Introduction Childbirth is a natural, normal physiological phenomenon that introduces new experiences in women’s reproductive life. It has a great physiological, emotional, and social impact on a woman’s health. If a pregnant woman finds it difficult to adapt to the changes, she may suffer from anxiety and depression and it, in turn, affects the physical and mental health of both the mother and child. Assessing and managing anxiety is one of the most important needs during pregnancy. Objective To assess and compare the anxiety related to the childbearing process among primigravida and multigravida mothers. Methodology A descriptive study was conducted among 300 pregnant women visiting antenatal OPD or admitted before delivery in the selected hospital. The data were collected by interviewing pregnant women as per the interview schedule comprised of sociodemographic profiles and an anxiety scale. The obtained data were analyzed by using descriptive and inferential statistics. Results The results showed that 88% of pregnant women had low anxiety, whereas 12% had moderate anxiety. Anxiety was more common among primigravida women. Conclusion The study concluded that majority of the women had low anxiety during the childbearing process.","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115151406","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}
Pub Date : 2022-04-08DOI: 10.1177/0974150X221085320
R. Kaur, Sunita Sharma, K. Das, T. Narang
Introduction Psoriasis is a common dermatological disorder characterized by silvery-white, scaly, and erythematous plaques with or without pruritus. It is an immensely stressful condition, hampering the quality of life with significant psychological morbidity. Objective To assess the level of stress and quality of life among the patients with psoriasis. Methods A nonexperimental descriptive study design was used. Sixty participants were enrolled from Dermatology OPD, PGIMER, Chandigarh, by a purposive sampling technique during October to January 2021. An interview schedule, comprising (a) sociodemographic and clinical profile, (b) Perceived Stress Scale (PSS), (c) Patient Health Questionnaire-4 to assess anxiety (PHQ-4), (d) Patient Health Questionnaire-9 to assess depression (PHQ-9), (e) Patient Global Assessment (PtGA) Scale to assess severity of illness (PtGA), and (f) Dermatology Life Quality Index (DLQI), was used for data collection. Data were collected by a telephonic interview as per the interview schedule. At the end of the interview, patients were asked to send the pictures of affected body parts, which were then assessed by the dermatologist using the Investigator’s Global Assessment (IGA) Scale. Data analysis was done with descriptive and inferential statistics using the Statistical Package for Social Sciences (SPSS version 23). Results Most of (86.7%) the participants reported a moderate level of stress (PSS) and 65% described moderate effect on the quality of life. The assessment of the severity of illness on IGA depicted that 36.7% of participants had mild, 28.3% had moderate, and 26.7% had severe psoriasis. Mild to moderate depression (PHQ-9) was screened in about 25% of the participants. A significant correlation was found between stress, quality of life, anxiety, and depression (<0.001). The severity of psoriasis was significantly correlated with quality of life, anxiety, and depression. Conclusion The study results concluded that the presence of a significant level of stress has a considerable effect on the quality of life among the patients with psoriasis. Thus, it is recommended to assess and address the psychological issues along with medical management for the comprehensive management of patients with psoriasis.
银屑病是一种常见的皮肤病，其特征是银白色、鳞状、红斑斑块伴或不伴瘙痒。这是一个巨大的压力条件，阻碍生活质量与显著的心理疾病。目的了解银屑病患者的应激水平和生活质量。方法采用非实验描述性研究设计。在2021年10月至1月期间，通过有目的的抽样技术，从昌迪加尔的PGIMER皮肤科OPD招募了60名参与者。访谈时间表包括(a)社会人口学和临床概况，(b)感知压力量表(PSS)， (c)患者健康问卷-4评估焦虑(PHQ-4)， (d)患者健康问卷-9评估抑郁(PHQ-9)， (e)患者整体评估(PtGA)量表评估疾病严重程度(PtGA)， (f)皮肤病生活质量指数(DLQI)，用于数据收集。根据访谈时间表，采用电话访谈的方式收集数据。在访谈结束时，患者被要求发送受影响身体部位的照片，然后由皮肤科医生使用研究者的整体评估(IGA)量表进行评估。数据分析使用社会科学统计软件包(SPSS version 23)进行描述性和推断性统计。结果大多数(86.7%)的参与者报告了中等水平的压力(PSS)， 65%的参与者描述了对生活质量的中等影响。IGA对疾病严重程度的评估显示，36.7%的参与者患有轻度牛皮癣，28.3%患有中度牛皮癣，26.7%患有重度牛皮癣。在大约25%的参与者中筛选了轻度至中度抑郁症(PHQ-9)。压力、生活质量、焦虑和抑郁之间存在显著相关性(<0.001)。牛皮癣的严重程度与生活质量、焦虑和抑郁显著相关。结论压力的存在对银屑病患者的生活质量有相当大的影响。因此，建议在医疗管理的同时评估和解决心理问题，以实现银屑病患者的综合管理。
{"title":"Stress and Quality of Life in Psoriasis","authors":"R. Kaur, Sunita Sharma, K. Das, T. Narang","doi":"10.1177/0974150X221085320","DOIUrl":"https://doi.org/10.1177/0974150X221085320","url":null,"abstract":"Introduction Psoriasis is a common dermatological disorder characterized by silvery-white, scaly, and erythematous plaques with or without pruritus. It is an immensely stressful condition, hampering the quality of life with significant psychological morbidity. Objective To assess the level of stress and quality of life among the patients with psoriasis. Methods A nonexperimental descriptive study design was used. Sixty participants were enrolled from Dermatology OPD, PGIMER, Chandigarh, by a purposive sampling technique during October to January 2021. An interview schedule, comprising (a) sociodemographic and clinical profile, (b) Perceived Stress Scale (PSS), (c) Patient Health Questionnaire-4 to assess anxiety (PHQ-4), (d) Patient Health Questionnaire-9 to assess depression (PHQ-9), (e) Patient Global Assessment (PtGA) Scale to assess severity of illness (PtGA), and (f) Dermatology Life Quality Index (DLQI), was used for data collection. Data were collected by a telephonic interview as per the interview schedule. At the end of the interview, patients were asked to send the pictures of affected body parts, which were then assessed by the dermatologist using the Investigator’s Global Assessment (IGA) Scale. Data analysis was done with descriptive and inferential statistics using the Statistical Package for Social Sciences (SPSS version 23). Results Most of (86.7%) the participants reported a moderate level of stress (PSS) and 65% described moderate effect on the quality of life. The assessment of the severity of illness on IGA depicted that 36.7% of participants had mild, 28.3% had moderate, and 26.7% had severe psoriasis. Mild to moderate depression (PHQ-9) was screened in about 25% of the participants. A significant correlation was found between stress, quality of life, anxiety, and depression (<0.001). The severity of psoriasis was significantly correlated with quality of life, anxiety, and depression. Conclusion The study results concluded that the presence of a significant level of stress has a considerable effect on the quality of life among the patients with psoriasis. Thus, it is recommended to assess and address the psychological issues along with medical management for the comprehensive management of patients with psoriasis.","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130311147","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}
Pub Date : 2022-04-01DOI: 10.1177/0974150X221085323
P. Negi, S. Kaur, Aashima Arora, Raj Kumar Verma
Introduction: Pregnancy is a natural process. Physiological changes which occur during pregnancy increase the risk of developing oral diseases and potentially result in adverse pregnancy outcomes. So, it is important to maintain oral hygiene, especially during the antenatal period. Objective: To assess the oral hygiene practices among antenatal mothers. Methodology: A descriptive study was carried out in the Obstetrics and Gynecology OPD, PGIMER Chandigarh, where 200 antenatal mothers visiting Obstetrics and Gynecology OPD, PGIMER from October to December 2020 were enrolled using purposive sampling technique. Ethical clearance was obtained from Ethics Committee, PGIMER, Chandigarh, and written consent was taken from participants. Data were collected by interviewing participants as per interview schedule comprising (a) personal profile of antenatal mothers, (b) obstetric profile, and (c) oral hygiene practices and perception. Oral hygiene status was observed by assessment sheet (a) checklist comprising dental markers and (b) plaque index tool for assessing oral hygiene of antenatal mothers. Results: The findings of the study revealed that majority of mothers (86%) had correct perception that poor oral hygiene negatively affects the child and 58% believed that brushing does not cause loosening of teeth. When practices were assessed, it was found that 74.5% mothers brushed once only, 99.5% did not floss and 98.5% did not use mouthwash. Although the perception held by mothers was correct, they did not have good oral hygiene practices. When oral hygiene was assessed, it was found that 84.5% mothers had poor oral hygiene because of various dental problems like gum bleeding, caries, gingivitis, etc., whereas only 3% mothers had good oral hygiene. Conclusion: The study concluded that a majority of antenatal mothers had correct perception about oral hygiene, but they did not put it into practice. Many of them had poor oral hygiene. Hence, there is an urgent need for comprehensive educational program to promote good oral health and impart education about correct oral hygiene practices, as oral hygiene is a neglected aspect in pregnancy.
{"title":"Assessment of Oral Hygiene Practices Among Antenatal Mothers","authors":"P. Negi, S. Kaur, Aashima Arora, Raj Kumar Verma","doi":"10.1177/0974150X221085323","DOIUrl":"https://doi.org/10.1177/0974150X221085323","url":null,"abstract":"Introduction: Pregnancy is a natural process. Physiological changes which occur during pregnancy increase the risk of developing oral diseases and potentially result in adverse pregnancy outcomes. So, it is important to maintain oral hygiene, especially during the antenatal period. Objective: To assess the oral hygiene practices among antenatal mothers. Methodology: A descriptive study was carried out in the Obstetrics and Gynecology OPD, PGIMER Chandigarh, where 200 antenatal mothers visiting Obstetrics and Gynecology OPD, PGIMER from October to December 2020 were enrolled using purposive sampling technique. Ethical clearance was obtained from Ethics Committee, PGIMER, Chandigarh, and written consent was taken from participants. Data were collected by interviewing participants as per interview schedule comprising (a) personal profile of antenatal mothers, (b) obstetric profile, and (c) oral hygiene practices and perception. Oral hygiene status was observed by assessment sheet (a) checklist comprising dental markers and (b) plaque index tool for assessing oral hygiene of antenatal mothers. Results: The findings of the study revealed that majority of mothers (86%) had correct perception that poor oral hygiene negatively affects the child and 58% believed that brushing does not cause loosening of teeth. When practices were assessed, it was found that 74.5% mothers brushed once only, 99.5% did not floss and 98.5% did not use mouthwash. Although the perception held by mothers was correct, they did not have good oral hygiene practices. When oral hygiene was assessed, it was found that 84.5% mothers had poor oral hygiene because of various dental problems like gum bleeding, caries, gingivitis, etc., whereas only 3% mothers had good oral hygiene. Conclusion: The study concluded that a majority of antenatal mothers had correct perception about oral hygiene, but they did not put it into practice. Many of them had poor oral hygiene. Hence, there is an urgent need for comprehensive educational program to promote good oral health and impart education about correct oral hygiene practices, as oral hygiene is a neglected aspect in pregnancy.","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122600011","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}
Pub Date : 2022-04-01DOI: 10.1177/0974150X221085747
D. Rani, R. Kalia
Background: End-stage renal disease is a progressive and permanent deterioration in renal function in which the body’s ability to maintain metabolic and fluid and electrolyte balance is lost, resulting in uremia, increased serum creatinine levels, and elevated levels of blood urea nitrogen (azotemia). It develops over many years or results from repeated attacks of acute kidney disease. Hemodialysis (HD) is used to treat highly complex and permanent kidney failure. In addition to therapeutic effects, repeated HD can cause many complications and health problems. Objectives: To assess the activities of daily living (ADL) and fatigue among patients undergoing HD. Material and Method: A descriptive study was carried out in the month of February 2021. The assessment of daily living activities was done using the Barthel index. Fatigue was assessed by using the Fatigue Assessment Scale. The purposive sampling technique was used (N = 100). The data were collected by interviewing participants using a semi-structured interview schedule. Result: One-third of patients (35%) were moderately dependent, 31% were independent, 22% were slightly dependent, 8% were severely dependent, and 4% were totally dependent while performing the ADL (mean score, 84.50 ± 21.67). The assessment of fatigue revealed that 37% patients had moderate fatigue, 33% were severely fatigued, and 30% had mild fatigue (mean score, 30.48 ± 10.51). Conclusion: Patients on HD have a dependency of varying levels while performing the ADL. The patients also experience mild to severe fatigue. These problems require care and management by nurses in the hospital or by the caregivers at home.
{"title":"Activities of Daily Living (ADL) and Fatigue Among Patients Undergoing Hemodialysis","authors":"D. Rani, R. Kalia","doi":"10.1177/0974150X221085747","DOIUrl":"https://doi.org/10.1177/0974150X221085747","url":null,"abstract":"Background: End-stage renal disease is a progressive and permanent deterioration in renal function in which the body’s ability to maintain metabolic and fluid and electrolyte balance is lost, resulting in uremia, increased serum creatinine levels, and elevated levels of blood urea nitrogen (azotemia). It develops over many years or results from repeated attacks of acute kidney disease. Hemodialysis (HD) is used to treat highly complex and permanent kidney failure. In addition to therapeutic effects, repeated HD can cause many complications and health problems. Objectives: To assess the activities of daily living (ADL) and fatigue among patients undergoing HD. Material and Method: A descriptive study was carried out in the month of February 2021. The assessment of daily living activities was done using the Barthel index. Fatigue was assessed by using the Fatigue Assessment Scale. The purposive sampling technique was used (N = 100). The data were collected by interviewing participants using a semi-structured interview schedule. Result: One-third of patients (35%) were moderately dependent, 31% were independent, 22% were slightly dependent, 8% were severely dependent, and 4% were totally dependent while performing the ADL (mean score, 84.50 ± 21.67). The assessment of fatigue revealed that 37% patients had moderate fatigue, 33% were severely fatigued, and 30% had mild fatigue (mean score, 30.48 ± 10.51). Conclusion: Patients on HD have a dependency of varying levels while performing the ADL. The patients also experience mild to severe fatigue. These problems require care and management by nurses in the hospital or by the caregivers at home.","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134475647","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}
Pub Date : 2022-03-27DOI: 10.1177/0974150X221085316
G. Kalyan, Nitasha Sharma, S. Kaur, S. Saini, R. Saini, B. Kumari, R. Mehta, S. Grover, K. Das, A. Bhalla
Introduction: The literature related to quarantined nurses’ lived experiences working in nondesignated COVID settings is scarce. This study aimed to explore the lived experiences of quarantined nurses after accidental exposure in nondesignated COVID areas in a tertiary care hospital. Material and Methods: It was a qualitative phenomenological study. Snowball sampling technique was used to interview 11 nurses. The in-depth interviews were conducted telephonically using a prevalidated interview guide during October 2020 to February 2021. The interviews were audiotaped, transcribed, and translated to English. Thematic analysis was done using Colaizzi’s phenomenological method. The findings depicting similar codes were grouped into subthemes and themes. The findings are presented thematically with corresponding participant quotes. Results: Out of 11, six (55%) participants were quarantined in home and five (45%) in the institutional facilities. The major themes that emerged were: “psychological reactions,” “quarantine: the positive aspect,” and “support system” among the home quarantined nurses. The major themes in the institutional facility quarantined nurses were: “psychological reactions,” “poor quality of institutional quarantine facility,” “quarantine: the positive aspect,” “support system,” and “quarantine: a learning experience.” The nurses experienced various negative emotions during quarantine. Conclusion: To safeguard the physical and mental health of nurses, comprehensive support should be provided by the authorities in terms of availability of basic amenities and quality services during quarantine. Regular training and constant motivation are needed to promote their mental preparedness for crisis management.
{"title":"Lived Experiences of Nurses During Quarantine: A Qualitative Study from North India","authors":"G. Kalyan, Nitasha Sharma, S. Kaur, S. Saini, R. Saini, B. Kumari, R. Mehta, S. Grover, K. Das, A. Bhalla","doi":"10.1177/0974150X221085316","DOIUrl":"https://doi.org/10.1177/0974150X221085316","url":null,"abstract":"Introduction: The literature related to quarantined nurses’ lived experiences working in nondesignated COVID settings is scarce. This study aimed to explore the lived experiences of quarantined nurses after accidental exposure in nondesignated COVID areas in a tertiary care hospital. Material and Methods: It was a qualitative phenomenological study. Snowball sampling technique was used to interview 11 nurses. The in-depth interviews were conducted telephonically using a prevalidated interview guide during October 2020 to February 2021. The interviews were audiotaped, transcribed, and translated to English. Thematic analysis was done using Colaizzi’s phenomenological method. The findings depicting similar codes were grouped into subthemes and themes. The findings are presented thematically with corresponding participant quotes. Results: Out of 11, six (55%) participants were quarantined in home and five (45%) in the institutional facilities. The major themes that emerged were: “psychological reactions,” “quarantine: the positive aspect,” and “support system” among the home quarantined nurses. The major themes in the institutional facility quarantined nurses were: “psychological reactions,” “poor quality of institutional quarantine facility,” “quarantine: the positive aspect,” “support system,” and “quarantine: a learning experience.” The nurses experienced various negative emotions during quarantine. Conclusion: To safeguard the physical and mental health of nurses, comprehensive support should be provided by the authorities in terms of availability of basic amenities and quality services during quarantine. Regular training and constant motivation are needed to promote their mental preparedness for crisis management.","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127411933","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}
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