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Effect of moringa oleifera leaves juice to increase the haemoglobin level among anemic females 辣木叶汁对提高贫血女性血红蛋白水平的影响
Pub Date : 2022-09-15 DOI: 10.18231/j.ijpns.2022.023
Thounaojam Bidyani, Reena Thakur
Anemia is considered as the most common cause of malnutrition and it has great significance in public health affecting children, adolescents and reproductive age group women in worldwide. One of the major health issues in adolescent girls is an Iron Deficiency Anemia, which can be reduced by consumption of Drumsticks leaves. The World Health Organization global estimates of anemia prevalence averaged 56%, with a range of 35%–75% depending on geographic location. In India, the prevalence of anemia is 52%. The study aim to assess the effect of Moringa Oleifera leaves juice to increase the haemoglobin level among anemic females. Quantitative research approach was adopted and quasi experimental research design was used for the study. Data was collected from 30 anemic females (15-24 years of age) by using non probability purposive sampling technique. It is concluded that Moringa Oleifera leaves juice is effective to increase the haemoglobin level among anemic females.
贫血被认为是营养不良最常见的原因,在影响全世界儿童、青少年和育龄妇女的公共卫生方面具有重要意义。青春期女孩的主要健康问题之一是缺铁性贫血,这可以通过食用鸡腿叶来减少。世界卫生组织对全球贫血患病率的估计平均为56%,根据地理位置的不同,范围为35%-75%。在印度,贫血的患病率为52%。本研究旨在评估辣木叶汁对提高贫血女性血红蛋白水平的影响。本研究采用定量研究方法,采用准实验研究设计。采用非概率目的抽样方法对30例15 ~ 24岁的女性贫血患者进行数据采集。由此可见,辣木叶汁能有效提高贫血女性血红蛋白水平。
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引用次数: 0
Nifty cup versus katori-spoon feeding in preterm infants – Study protocol of a randomized controlled trial 早产儿用漂亮的杯子喂养与用勺子喂养——一项随机对照试验的研究方案
Pub Date : 2022-09-15 DOI: 10.18231/j.ijpns.2022.018
G. Kalyan, N. Gujjar, Jogender Kumar, Praveen Kumar
Preterm neonates need an alternative method of feeding before breastfeeding. : To compare the Nifty cup with Katori-spoon feeding in preterm neonates on full gavage feeds and deemed fit for oral feeding.This open-label, parallel, randomized controlled trial will be done at the step-down unit of a tertiary care center in Northern India. We will include preterm neonates (< 34 weeks gestation) on gavage feeds. Our primary outcome will be the time taken to achieve full oral feeds (defined as 150 mL/kg/day) and the duration of the feeding transition. The secondary outcomes will be time to attain full breastfeeds, time spent during the feeding sessions, spillage of feeds, adverse events (including mortality), anthropometry (weight, length, occipitofrontal circumference) at discharge, and duration of hospitalization.We will also take the opinion of mothers/caregivers and nurses on Nifty cup use by the use of an indigenously designed questionnaire. We will need 94 participants to detect a significant difference of 3 days in transition duration with 5% α error and 80% power. To account for non-compliance/crossover, we will enroll 106 participants (53 in each group).We will do intention to treat analysis. All data will be analyzed using SPSS version 23 statistical software for Windows. We will do a regression analysis to determine if the intervention is an independent predictor of time to full oral feeds after adjusting for pre-specified variables like gestational age, birth weight, and PMA at enrolment.The study will provide evidence on the best feeding method for feeding preterm neonates. This evidence will guide nurses/health care professionals in deciding the feeding method for preterm infants.
早产儿在母乳喂养前需要另一种喂养方法。目的:比较Nifty杯式和katori勺式两种喂养方式对完全灌胃的早产儿的影响。这项开放标签、平行、随机对照试验将在印度北部的一家三级保健中心的降级单元进行。我们将采用灌胃喂养的早产儿(妊娠< 34周)。我们的主要结果将是达到完全口服喂养所需的时间(定义为150ml /kg/天)和喂养过渡的持续时间。次要结局是获得全母乳喂养的时间、喂养期间花费的时间、饲料溢出、不良事件(包括死亡率)、出院时的人体测量(体重、体长、枕额围)和住院时间。我们还将通过使用土著设计的问卷调查,听取母亲/照顾者和护士对俏皮杯子使用情况的意见。我们将需要94名参与者来检测3天的显著差异,α误差为5%,功率为80%。为了解释不符合/交叉,我们将招募106名参与者(每组53名)。我们将做意向治疗分析。所有数据将使用SPSS version 23统计软件进行分析。我们将进行回归分析,以确定在调整了预先指定的变量(如胎龄、出生体重和入组时的PMA)后,该干预措施是否是完全口服喂养时间的独立预测因子。本研究将为早产儿的最佳喂养方法提供依据。这一证据将指导护士/卫生保健专业人员决定早产儿的喂养方法。
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引用次数: 0
Retrospective analysis of impact of lockdown a learning ability of children between 04-08 years 04-08岁儿童禁闭对学习能力影响的回顾性分析
Pub Date : 2022-09-15 DOI: 10.18231/j.ijpns.2022.020
Anurag Medatwal, Umesh Gupta
Aim of this study is to Retrospective analysis of impact of lockdown a learning ability of children between 04-08 years. We conducted a survey with families whose children were aged between 04 & 08. Coordinated into two primary arrangements of inquiries, with a variable number of sub questions that fanned out to adjust to respondents' specific settings.As we enter the COVID-19 recuperation stage, it will be basic to ponder the job of schooling systems - & especially professional instruction - in encouraging strong social orders. The worldwide wellbeing emergency & the lockdown that followed that have regularly been underestimated, recharging our consciousness of their worth to society. This has reestablished a feeling of regard for those laborers who have worked tenaciously during this opportunity to keep economies above water. Interruptions on the scale we have recently seen are not restricted to pandemics, yet may likewise result from normal, political, monetary & natural turmoil. Our ability to respond really & effectively later on will rely on state run administrations' foreknowledge, availability & readiness.
本研究的目的是回顾性分析4-08岁儿童禁闭学习能力的影响。我们对孩子年龄在04 - 08岁之间的家庭进行了调查。协调成两种主要的调查安排,并以不同数量的子问题展开,以适应受访者的具体设置。随着我们进入COVID-19的恢复阶段,有必要思考一下学校制度——尤其是专业教育——在鼓励建立牢固的社会秩序方面的作用。全球福祉紧急情况和随后的封锁经常被低估,这让我们重新意识到它们对社会的价值。这重新建立了一种对那些在这个机会中顽强工作以使经济摆脱困境的劳动者的尊重。我们最近看到的这种规模的中断不仅限于大流行病,也可能由正常的政治、货币和自然动荡造成。我们今后真正有效地作出反应的能力将取决于政府的先见之明、可用性和准备程度。
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引用次数: 0
Clinical case report: Chronic kidney disease and ESKD (End stage kidney disease) 慢性肾病伴终末期肾病ESKD临床报告
Pub Date : 2022-09-15 DOI: 10.18231/j.ijpns.2022.024
Javaid Ahmad Mir, Onaisa Aalia Mushtaq, Bushra Mushtaq
Chronic kidney disease include fibrosis, loss of renal cells and infiltration of renal tissue by monocytes and macrophages. The pathophysiology may include protein uria, hypoxia and excessive angiotensive II production. Hypoxia also contributes to disease progression. The disease has a vast number of clinical manifestations which include abnormalities in laboratory tests, hypertension, fatigue and poor appetite. There are five stages of CKD and in stage 5 the full blown clinical manifestations of end -stage renal disease are evident.Medical this disease can be managed by:1. Controlling blood pressure. 2. Managing blood glucose level to maintain HbA1c below 7%. 3. Managing hyperlipidemia with diet and cholesterol lowering drugs. 3. Managing and treating emerging manifestations of renal failure. 4. Prepare clients for renal replacement therapy when necessary. Patients condition (general condition) was fair, GCS 15/15,but had ineffective coping strategies, he was very much worried about his condition & renal transplant. He was not satisfied about the treatment received. Doctors have planned to discharge him till they arrange a donor for kidney.
慢性肾脏疾病包括纤维化、肾细胞丧失和肾组织被单核细胞和巨噬细胞浸润。病理生理可能包括蛋白尿、缺氧和血管紧张II生成过多。缺氧也会导致疾病进展。该病有多种临床表现,包括实验室检查异常、高血压、疲劳和食欲不振。CKD有五个阶段,在第5阶段,终末期肾脏疾病的全面临床表现是明显的。医学上对本病的治疗方法有:控制血压。2. 控制血糖水平,维持HbA1c低于7%。3.通过饮食和降胆固醇药物控制高脂血症。3.管理和治疗肾衰的新表现。4. 必要时为病人准备肾脏替代治疗。患者病情(一般情况)尚可,GCS 15/15,但应对策略无效,对自己的病情及肾移植非常担心。他对所受的待遇不满意。医生计划让他出院,直到找到肾脏捐赠者。
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引用次数: 0
A study to assess the effectiveness of structured teaching programme on attitude regarding breast self-examination among adolescent girls in selected school of Indore M.P. 在印多尔省选定学校,评估结构化教学方案对青春期女孩乳房自我检查态度的有效性
Pub Date : 2022-09-15 DOI: 10.18231/j.ijpns.2022.021
M. Thakur, Reena Thakur
Breast self-examination enables a women or girls to detect changes in her breasts. The examination should be done each month soon after the menstrual period ends as normal physiological changes that they confuse results occur in the premenstrual period. This method of self-examination is useful in the early detection of breast cancer.This study made use of an evaluative approach with one group pretest and post-test design. The sample for the study sample comprised of 60 adolescent girls. A disproportionate purposive sampling technique was used to select 60 adolescent girls. The tool and STP were validated by 7 experts. Pre testing and reliability of the tool was established prior to pilot study. Pilot study was conducted among ten adolescent girls. this gave basis for the invigilator to conduct the actual study .the actual study was conducted among 60 adolescent girls .following the pretest, STP Was administered and post test was conducted seven days after the administration of STP. The obtained data was analyzed in terms of the objectives and hypothesis using descriptive.The mean pretest knowledge score was 12.50 ± 3.26, while in the posttest it was 23.20 ± 2.49. The difference was found to be statistically significant (p<0.05), showing a higher mean knowledge score in the posttest. Thus, the intervention was very helpful in improving the mean posttest knowledge score. The mean pretest attitude score was 52.78 ± 8.35, while in the posttest it was 67.78 ± 4.36. The difference was found to be statistically significant (p<0.05), showing a higher mean attitude score in the posttest.The finding of the present study were analyzed and discussed with the finding of the similar studies confirmed that STP was effective in attitude regarding breast self- examination among adolescent girls.
乳房自我检查使妇女或女孩能够发现乳房的变化。检查应在月经期结束后不久进行,因为正常的生理变化会混淆经前期的结果。这种自我检查的方法对乳腺癌的早期发现很有用。本研究采用一组前测和后测设计的评价方法。研究样本由60名青春期女孩组成。采用不成比例的有目的抽样方法,选取了60名青春期少女。7位专家对该工具和STP进行了验证。该工具的预测试和可靠性在试点研究之前就已经确定。在10名少女中进行了初步研究。这为监考人员进行实际研究提供了依据。实际研究在60名青春期女生中进行,在预测后进行STP,在STP使用后7天进行后测。所获得的数据分析的目的和假设使用描述性。前测平均分为12.50±3.26分,后测平均分为23.20±2.49分。差异有统计学意义(p<0.05),后测平均知识得分较高。因此,干预对提高平均后测知识得分有很大的帮助。前测态度平均分为52.78±8.35分,后测态度平均分为67.78±4.36分。差异有统计学意义(p<0.05),后测平均态度得分较高。本研究结果与类似研究结果进行了分析和讨论,证实STP对青春期女孩乳房自我检查的态度有效。
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引用次数: 0
A pre-experimental study to assess the effectiveness of planned teaching programme on knowledge regarding dental hygiene among school going children of Sultan-ul-Arifeen Senior Secondary School Rainawari Srinagar 一项旨在评估斯利那加Rainawari sulan -ul- arifeen高中学童口腔卫生知识计划教学方案有效性的实验前研究
Pub Date : 2022-09-15 DOI: 10.18231/j.ijpns.2022.019
Syed Shahid Siraj, Syed Arifa
Dental hygiene is the practice of keeping the mouth, teeth and gums clean and healthy by regular brushing and flossing and preventive dental care. The main aim of the study was to improve the knowledge and practice regarding dental hygiene using planned teaching programme among students of sultan-ul-Arifeen senior secondary school Rainawari Srinagar.: To assess the pre-test knowledge among school going children regarding dental hygiene. 2. To assess the post-test knowledge after implementation of planned teaching programme. 3. To compare the pre-test knowledge with the post-test knowledge regarding dental hygiene.Pre experimental research design was used for the study. The study was conducted on 45 school going children selected by stratified sampling technique. Data was collected regarding sociodemographic background of the samples and knowledge was assessed by administering structured knowledge questionnaire. Collected data was analyzed by descriptive and inferential statistics. Descriptive statistics includes frequency, percentages, mean and standard deviation. Inferential statistics includes chi square and t-test.The study result showed that the pre-test knowledge of the children of Sultan-ul-Arifeen senior secondary school Rainawari Srinagar was 60% and the post-test knowledge was 94%. In the pre-test study, majority of children (55.44%) had moderate knowledge, (44.44%) had inadequate pre-test knowledge and none of them had adequate knowledge. In the post test study, majority of school going children (95.55%) had adequate knowledge, 4.44% had moderate knowledge and none of them had inadequate knowledge.From the above findings it was concluded that majority of school going children had adequate post-test knowledge after administration of planned teaching programme regarding dental hygiene.Identifying the knowledge and attitude of school going children regarding dental hygiene can help the nurse in anticipating the need to arrange health education sessions for students deficient in knowledge regarding dental hygiene.
口腔卫生是指通过定期刷牙和使用牙线以及预防性牙齿护理来保持口腔、牙齿和牙龈的清洁和健康。该研究的主要目的是利用计划好的教学方案在斯利那加Rainawari Srinagar的sultan-ul-Arifeen高中学生中提高有关牙齿卫生的知识和实践。:评估学龄儿童在考试前对口腔卫生的认知。2. 评估计划教学方案实施后的测试后知识。3.比较测试前和测试后对口腔卫生知识的了解。本研究采用实验前研究设计。采用分层抽样方法对45名在校儿童进行研究。收集样本的社会人口学背景资料,并通过管理结构化知识问卷对知识进行评估。收集的数据通过描述统计和推理统计进行分析。描述性统计包括频率、百分比、平均值和标准差。推论统计包括卡方检验和t检验。研究结果显示,斯利那加Rainawari sulan -ul- arifeen高中学生测前知识为60%,测后知识为94%。在测前学习中,大多数儿童(55.44%)的测前知识一般,44.44%的儿童测前知识不充分,没有一个儿童的测前知识充分。在测试后的研究中,大多数学龄儿童(95.55%)知识充足,4.44%的学龄儿童知识一般,没有学龄儿童知识不足。从以上的调查结果可以得出结论,大部分学龄儿童在接受有计划的口腔卫生教学课程后,有足够的测试后知识。了解学龄儿童对口腔卫生的知识及态度,有助护士预判是否有需要为缺乏口腔卫生知识的学生安排健康教育课程。
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引用次数: 0
The effect of self instruction module on knowledge and attitude regarding premenopausal symptoms of women between the age 34-45 Years 自我指导模块对34 ~ 45岁妇女绝经前症状知识和态度的影响
Pub Date : 2022-07-15 DOI: 10.18231/j.ijpns.2022.009
Gitanjali Manik
Menopause is a normal occurrence in the life of every woman. It is the period in woman’s life when reproductive functions cease. “Menopause means permanent cessation of menstruation attend of reproductive life due to loss of ovarian follicular activity”. The clinical diagnosis is confirm following stoppage of menses for six consecutive month. Even though samples had heard and received information on menopause through various sources their level of knowledge was not adequate. All the women felt that information provided in the booklet was beneficial and practical use for them. The study will be help to reveal the existing knowledge of the women regarding premenopausal symptoms.Research Design - Pre-experimental one-group pre-test post-test research design , Research Setting- The physical location and conditions in which the data collection takes place in a study is the setting. Settings are the more specific places. The settings for the present study area were: Mayur Hospital and Research Centre Indore & Life Line Hospital Indore The Sample- In this study the samples were 60 premenopausal women of selected hospitals of Indore, who fulfilled the inclusion criteria. Data shows, 21 (35.0%) of the subjects has poor knowledge score, 37 (61.7%) of the subjects belongs to average knowledge and 2 (3.3%) of the subjects has good knowledge. that attitude of premenopausal women in pre-test was, 514 (42.8%) were disagree, 393 (21.8%) were agree, 212(35.3%) were strongly agree. But after post-test 954 (53%) of women were strongly agree, 404 (33.67%) were agree and 80(13.3%) were disagree. knowledge level in premenopausal women was 10.45 and mean score of post-test was 16.33. Mean difference in between pre-test and post-test knowledge was 0.69 and SD was 4.85 for pre-test and for post-test was 1.67. Computed ‘t’ value (t = 8.59) and ‘p’ value (p = 0.55) shows that there was significant difference between pre-test and post-test score at the level of p<0.05. The main aim of this pre-experimental study was to assess the knowledge and attitude of premenopausal women. 60 samples were selected by purposive sampling technique, women to change their knowledge and attitude.Thus the intervention SIM that is found to Increase knowledge.
更年期是每个女性生活中的正常现象。这是女性生命中生殖功能停止的时期。“更年期是指由于卵巢卵泡活动的丧失而导致月经和生殖生活的永久停止”。经连续6个月停止月经后,临床确诊。尽管样本通过各种来源听到和收到关于更年期的信息,但他们的知识水平还不够。所有妇女都认为,小册子中提供的资料对她们是有益和实用的。该研究将有助于揭示妇女对绝经前症状的现有知识。研究设计-实验前一组前测试后测试研究设计,研究环境-在研究中进行数据收集的物理位置和条件是环境。设置是更具体的地方。本研究区域的设置为:Mayur医院和研究中心Indore和生命线医院Indore样本-在本研究中,样本是60名绝经前妇女在Indore选定的医院,谁符合纳入标准。数据显示,21名(35.0%)的被试知识得分较差,37名(61.7%)的被试知识得分一般,2名(3.3%)的被试知识得分较好。绝经前妇女对前测的态度为:不同意514人(42.8%),同意393人(21.8%),强烈同意212人(35.3%)。但在测试后,954名(53%)女性表示强烈同意,404名(33.67%)女性表示同意,80名(13.3%)女性表示不同意。绝经前妇女知识水平为10.45分,后测平均得分为16.33分。前测与后测知识的平均差异为0.69,前测SD为4.85,后测SD为1.67。计算的t值(t = 8.59)和p值(p = 0.55)显示,测前和测后评分在p<0.05水平上有显著差异。本实验前研究的主要目的是评估绝经前妇女的知识和态度。采用有目的抽样技术,选取60个样本,改变女性的知识和态度。因此,干预SIM被发现增加知识。
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引用次数: 0
A quasi experimental study to evaluate the effectiveness of music therapy to alleviate the post-operative pain among school children’s (6 – 12) Years 评价音乐治疗对6 ~ 12岁学龄儿童术后疼痛缓解效果的准实验研究
Pub Date : 2022-07-15 DOI: 10.18231/j.ijpns.2022.008
A. Jain
Post-operative patients experience varying degrees of pain, generalized discomfort or anxiety, loss of contro and sensitivity to unfamiliar noises may increase a patient's restlessness and perception of pain. If orders for opioid or non-opioid analgesics were written, the non-opioids, some of which had no analgesic properties, were given exclusively, in addition, the doses ordered were usually too small or too infrequent to be maximally effective. Since the present study aims in investigating the effectiveness of music therapy to alleviate the post operative pain among school going childrens 6 – 12 years in Kamala Nehru Hospital & Research Center, Bhopal, Madhya Pradesh. The research design for this study was one group pre – test, post- test design pre experimental design The primary reason for selecting Kamala Nehru Hospital & Research Center Bhopal, Madhya Pradesh was familiarity, feasibility and expected cooperation from the hospital authorities in getting permission and conducting the study. The percentage of pain perception score of school going children before the administration of music therapy.They are having on an average 48. 4 % pain perception before the administration of music therapy. The overall percentage of pain perception score of school going children after the administration of music therapy. They are having on an average 70.6 % pain perception after the administration of music therapy. The analysis of present study by chi – square table, that the age of the school going children, the DF is 1, the c2 value is 5.86, the concern value is 3.84 which is greater than table value so that it is considered as highly significant at 0.05 or 5%. Emotional status of the school going children the DF is 1, the c2 value is 9.81, the concern value is 3.84 which is greater than concern value so it is considered as highly significant at 5% or 0.05. Over all H1is accepted because there are significant association between the selected demographic variables by emotional status and age group of the childrens. The analysis of the present study the ‘z’ value is 31.0 which is Highly Significant, that is, greater than the tabulated value at 1%. This data signifies that the music therapy was very effective., , , ,
术后患者会经历不同程度的疼痛,全身不适或焦虑,失去控制和对不熟悉的噪音敏感可能会增加患者的不安和对疼痛的感知。如果开具了阿片类或非阿片类镇痛药的处方,则只开具非阿片类药物,其中一些药物没有镇痛特性,此外,所开具的剂量通常太小或太不频繁,无法达到最大效果。本研究旨在探讨音乐疗法对中央邦博帕尔卡玛拉尼赫鲁医院及研究中心6 - 12岁学龄儿童术后疼痛的缓解效果。本研究的研究设计为一组前测试,后测试设计和预实验设计。选择中央邦博帕尔卡玛拉尼赫鲁医院和研究中心的主要原因是熟悉,可行性和期望医院当局在获得许可和开展研究方面的合作。音乐治疗前学龄儿童痛觉评分百分比。他们平均有48个孩子。4%的患者在接受音乐治疗前感觉疼痛。音乐治疗后学龄儿童痛觉总分百分比。在接受音乐治疗后,他们平均有70.6%的疼痛感。本研究采用卡方表分析,学龄儿童的年龄,DF值为1,c2值为5.86,关注值为3.84,大于表值,在0.05或5%处认为具有高度显著性。学龄儿童情绪状态的DF为1,c2值为9.81,关注值为3.84,大于关注值,在5%或0.05的水平上认为其具有高度显著性。总的来说,h1i是被接受的,因为根据儿童的情绪状态和年龄组所选择的人口统计学变量之间存在显著的关联。本研究的分析“z”值为31.0,这是高度显著的,即大于表中1%的值。这一数据表明音乐疗法非常有效。, , , ,
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引用次数: 0
A study to assess the effect of hot fomentation on thrombophlebitis among patients undergoing intravenous therapy admitted in the selected hospitals of Guwahati, Assam 在阿萨姆邦古瓦哈提选定医院接受静脉治疗的患者中,评估热发酵对血栓性静脉炎影响的研究
Pub Date : 2022-07-15 DOI: 10.18231/j.ijpns.2022.010
Julismita Deka, A. Dutta
Thrombophlebitis is contemplated as an adverse event resulting from iv therapy. Thrombophlebitis can occur due to mechanical, chemical and infective causes which lead to pain, inflammation, infiltration, injuring a nerve as well as extravasation, ecchymosis, hematoma, thrombosis and embolism are also common. To assess the effect of hot fomentation on thrombophlebitis among patients undergoing intravenous therapy.: For this study quantitative research approach was adapted and using true experimental pre-test - post-test control group design the study was conducted. Total sample 60 (30 for experimental and 30 samples for control group) were selected by simple random sampling technique was used and among patients with thrombophlebitis getting IV therapy in Medical Ward at GMCH, Assam. Modified visual infusion phlebitis scale was used to assess pre-test level of thrombophlebitis and post-test level of thrombophlebitis. Intervention was given over the site of thrombophlebitis and evaluated on the 4 day. : Findings showed that in experimental group mean pre-test thrombophlebitis score was 11.07±3.062 and in post-test mean thrombophlebitis score was 6.47±1.871 with mean difference was 4.60. In control group mean post-test thrombophlebitis score was 10.70±2.693 and in experimental group mean post-test thrombophlebitis score was 6.47±1.871 with mean difference was 4.23. The comparison was tested using unpaired t test with obtained (t=7.072) was statistically significant at p<0.05 level. Result revealed that hot fomentation was effective on level of thrombophlebitis among patients received intravenous therapy in experimental group as compared to control group. Hot fomentation is effective to reduce thrombophlebitis caused due to intravenous therapy.
血栓性静脉炎被认为是静脉治疗引起的不良事件。血栓性静脉炎可由机械性、化学性和感染性原因引起,引起疼痛、炎症、浸润、损伤神经以及外渗,淤斑、血肿、血栓形成和栓塞也很常见。目的:探讨热热法治疗静脉血栓性静脉炎的疗效。本研究采用定量研究方法,采用真正的实验前测-后测对照组设计。采用简单随机抽样方法,选取在阿萨姆邦GMCH内科病房接受静脉注射治疗的血栓性静脉炎患者60例(试验组30例,对照组30例)。采用改良目视输注静脉炎量表评定血栓性静脉炎试验前水平和试验后水平。对血栓性静脉炎部位进行干预,并于第4天进行评估。结果显示,实验组血栓性静脉炎术前平均评分为11.07±3.062,术后平均评分为6.47±1.871,平均差值为4.60。对照组术后血栓性静脉炎平均评分为10.70±2.693分,实验组术后血栓性静脉炎平均评分为6.47±1.871分,平均差值为4.23分。比较采用非配对t检验,得到(t=7.072)在p<0.05水平上有统计学意义。结果显示,热烫法对静脉治疗患者血栓性静脉炎水平的影响明显高于对照组。热热法可有效减轻静脉治疗引起的血栓性静脉炎。
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引用次数: 0
Effect of structured teaching programme on knowledge regarding modified partograph among auxiliary nurse midwives in selected community health centers 结构化教学方案对选定社区卫生中心辅助护士助产士修改产程知识的影响
Pub Date : 2022-07-15 DOI: 10.18231/j.ijpns.2022.012
Thounaojam Bidyani Devi
Maternal mortality remains one of the major problems in developing countries. In India the incidence of women dying while giving birth is among the highest in the world. The partograph has been considered as one of the valuable tool in the improvement of maternity services.Partogram serves an “early warning system” and assist in early decision on transfer, augmentation and termination of labour. It also increases the quality and regularity of all observations on the fetus and the mother in labour, and aids early recognition of problems with either. Partograph prevents prolonged labour effectively and thus reduces the risk of postpartum hemorrhage, sepsis uterine rupture, operative interventions and improving neonatal outcomes and reducing fetal mortality and morbidity. A pre-experimental one group pre-test, post-test design was used to observe the effect of structured teaching programe among Auxiliary Nurse Midwives regarding modified partograph. Reliability of the tool was tested by Karl Pearson (Correlation Coefficient) formula and it was found reliable r = 0.803. 60 samples were selected for the main study by non-probability convenient sampling technique. Highest percentage of Auxiliary Nurse Midwives (38.3%) were in the age group >35 years and (88.3%) were married. Highest percentage of Auxiliary Nurse Midwives (66.6%) were having high school basic qualification and (85%) were from 18 months revised auxiliary nurse midwives MPHW (F). Highest percentage of Auxiliary Nurse Midwives (58.3%) had 9 years and above total clinical experience, (41.6%) had 7 and above years of experience in labour room and (33.3%) Auxiliary Nurse Midwives had seldom used partograph in labour room. Highest percentage of Auxiliary Nurse Midwives (86.6%) had previous source of information during training. Highest percentage of Auxiliary Nurse Midwives (46.6%) agreed that partograph sheet is been supplied by the concerning department, (75%) agreed that use of partograph is allowed by medical officers / gynaecologists where (63.3%) are confident in using partograph.
产妇死亡率仍然是发展中国家的主要问题之一。在印度,妇女在分娩时死亡的发生率是世界上最高的。产妇分娩期被认为是改善产妇服务的宝贵工具之一。该方案是一个“早期预警系统”,并协助及早决定转移、增加和终止劳动力。它还提高了对分娩中的胎儿和母亲的所有观察的质量和规律性,并有助于及早发现两者的问题。分娩有效地防止延长分娩,从而减少产后出血,败血症,子宫破裂,手术干预和改善新生儿结局和降低胎儿死亡率和发病率的风险。采用前实验、前测试、后测试设计,观察辅助护士助产士对修改产程的结构化教学方案的效果。采用Karl Pearson(相关系数)公式对工具的可靠性进行检验,可靠度r = 0.803。采用非概率方便抽样技术,选取60个样本进行主要研究。辅助护士助产士年龄>35岁的比例最高(38.3%),已婚的比例最高(88.3%)。助产护士中,高中基本学历占比最高(66.6%),18个月经修订的MPHW (F)助产护士占比最高(85%)。助产护士中,9年及以上临床经验占比最高(58.3%),产房工作经验占比最高(41.6%),7年及以上产房工作经验占比最高(33.3%)。辅助护士助产士在培训期间有信息来源的比例最高(86.6%)。最高比例的辅助护士助产士(46.6%)同意由有关部门提供产纸,(75%)同意有信心使用产纸的医务人员/妇科医生允许使用产纸(63.3%)。
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IP Journal of Paediatrics and Nursing Science
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