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A study to assess the effectiveness of self-instructional module on knowledge regarding learning disabilities in children among primary school teachers 小学教师自学模块对儿童学习障碍知识的有效性评估研究
Pub Date : 2022-07-15 DOI: 10.18231/j.ijpns.2022.015
Jitendra Chicholkar
Learning disability (SLD) comprises a heterogeneous group of disorders with the main impairment being cognitive processing manifested by significant difficulties in the acquisition and use of skills such as listening, speaking, reading, reasoning, writing or mathematical skill. This leads to challenges in academic performance and has psychosocial implications. Trained teachers who have positive attitude and practical knowledge concerning individual needs (physical, emotional and intellectual) and problems can prevent and manage emotional and psychosocial problems of young children. In India the prevalence of specific learning disability in India ranges from 5%–15% in various studies. Identification of disorder prior to school age is difficult due to the instability of results obtained from formal testing procedures. Teachers are the first person to notice that the child is not learning as expected. The research design adopted for this study was pre experimental one group pre testpost test research design and research approach adopted for this was to qualitative approach. The sample was 100 primary school teachers. Non probability purposive sampling technique was used. Data was collected by using structured knowledge questionnaire consisting of two sections, Section I – Socio-Demographic variables & Section II – Structured knowledge Questionnaire.The mean of post-test knowledge scores was 26.6 which is significantly higher than mean of pre-test knowledge scores of 12.4. Standard deviation of post-test score and pre-test score is 9.4 and 13.3 respectively. The computed paired “t” value (18.67, df=99 at the level of P= 0.05) is greater than table value (1.66) which represents significant gain in knowledge. Hence the hypothesis RH is accepted. It is evident from the results that RH: There will be significant association between the pretest knowledge score and selected demographic variables at the level of P≤ 0.05. is accepted as there is significant association between pretest knowledge score and selected demographic variables like educational qualification, years of experience, child psychology in syllabus and attended in-service education.The study revealed that the level of knowledge regarding learning disability was low among school teachers in pretest and there was significant gain in knowledge in post test. Thus the study results revealed that self-instructional module is an effective instructional method to improve the knowledge level of primary school teachers regarding learning disabilities.
学习障碍(SLD)包括一组异质性障碍,其主要损害是认知处理,表现为在获得和使用诸如听、说、读、推理、写作或数学技能方面的重大困难。这导致学习成绩的挑战,并具有社会心理影响。对个人需求(身体、情感和智力)和问题有积极态度和实际知识的受过训练的教师可以预防和管理幼儿的情感和社会心理问题。在印度,各种研究表明,印度的特殊学习障碍患病率在5%-15%之间。由于从正式测试程序中获得的结果不稳定,在学龄前识别障碍是困难的。老师是第一个注意到孩子没有按照预期学习的人。本研究采用的研究设计为预实验、一组前测试、后测试的研究设计,采用的研究方法为定性方法。样本是100名小学教师。采用非概率目的抽样技术。采用结构化知识问卷收集数据,该问卷由两部分组成,第一部分-社会人口变量和第二部分-结构化知识问卷。测验后知识得分均值为26.6,显著高于测验前知识得分均值12.4。后测分数和前测分数的标准差分别为9.4和13.3。计算得到的配对“t”值(18.67,在P= 0.05的水平上df=99)大于表值(1.66),这表示知识的显著增加。因此,假设RH被接受。从结果可以看出,RH:在P≤0.05的水平上,前测知识得分与所选人口学变量之间存在显著相关。被接受的原因是,测前知识得分与教育资格、经验年限、教学大纲中的儿童心理学和参加在职教育等选定的人口统计学变量存在显著相关。研究发现,学校教师在前测阶段对学习障碍的认知水平较低,后测阶段对学习障碍的认知水平有显著提高。研究结果表明,自主教学模块是提高小学教师学习障碍知识水平的有效教学方法。
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引用次数: 0
Case report on schizophrenia: Application of paplaus model theory in nursing care plan 精神分裂症病例报告:paplus模型理论在护理计划中的应用
Pub Date : 2022-07-15 DOI: 10.18231/j.ijpns.2022.014
Javaid Ahmad Mir, Bushra Mushtaq, Onaisa Aalia Mushtaq, F. Ali
The term schizophrenia was coined by Eugen Bleuler, it has been derived from the Greek word “schizo” meaning split, and “phren” meaning mind.    The point prevalence of schizophrenia is about 1% with equal prevalence in both sexes. The onset of schizophrenia is bimodal in women and often runs a more benign course as compared to men and usually occurs in the late teens or early 20Most devastating disease as this disease strikes the people at the stage when they can show the growth and highest productivity in their lives, mostly in teens or early 20’s, it affects people such a way unable them to return to normal lives: go to job, school to marry, etc. Understanding the severity of this disorder is very important because these clients are always Potential for violence self-directed or at others related to extreme suspiciousness so to Identify the level of suicide precautions needed. If there is a high-risk, does a hospitalization requires? Or if there is a low risk, will the client be safe to go home with supervision from a family member or a friend? For example, does client:   Admit previous suicide attempts.,Abuse any substances..Have no peers/friends.,Have any suicide plan.,Contact the family, arrange for crisis counseling. Activate links to self-help groups.,Check for the availability of required supply of medications needed,Initially, provide activities that require minimal concentration (e.g., drawing, playing simple board games),Involve the client in gross motor activities that call for very little concentration (e.g., walking,When the client is at the most depressed state, Involve the client in one-to-one activity.
“精神分裂症”一词是由尤金·布鲁勒创造的,它来源于希腊语“schizo”,意思是分裂,“phren”意思是精神。精神分裂症的点患病率约为1%,男女患病率相等。精神分裂症的发病在女性中是双峰的,与男性相比,往往是良性的,通常发生在十几岁或二十岁出头。最具破坏性的疾病是,这种疾病发生在人们的成长阶段,在他们的生活中表现出最高的生产力,主要是在十几岁或二十岁出头,它影响人们的方式使他们无法恢复正常生活:去工作,上学,结婚等。了解这种障碍的严重程度是非常重要的,因为这些病人总是有潜在的暴力倾向,自我导向的,或者与他人有关的极端怀疑,所以要确定自杀预防措施的水平。如果是高危人群,是否需要住院治疗?或者如果风险很低,在家人或朋友的监督下,客户是否安全回家?例如,客户是否承认有过自杀企图。滥用任何物质,没有同伴/朋友。有自杀计划吗?联系家属,安排危机咨询。激活自助小组的链接。检查所需药物供应是否充足,最初提供不需要集中注意力的活动(如画画、玩简单的棋盘游戏),让病人参与不需要集中注意力的大运动活动(如散步),当病人情绪最低落时,让病人参与一对一的活动。
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引用次数: 0
A comparative study to assess the quality of nursing care rendered by staff nurses and the level of satisfaction perceived by patients in selected wards of selected government and private hospitals of Srinagar, Kashmir 一项比较研究,以评估工作人员护士提供的护理质量和患者在克什米尔斯利那加选定的政府和私立医院的选定病房的满意度
Pub Date : 2022-07-15 DOI: 10.18231/j.ijpns.2022.011
Syed Shahid Siraj, Syed Arifa
The objectives of the study were to assess the quality of nursing care rendered by staff nurses in medical and surgical wards of government and private hospitals, to compare the quality of nursing care rendered by staff nurses in medical and surgical wards of government and private Hospitals, to find association between quality of nursing care rendered by staff nurses and selected demographic variables, to assess the level of satisfaction perceived by patients in medical and surgical wards of government and private hospitals, to compare the level of satisfaction perceived by patients in medical and surgical wards of government and private hospitals, to find association between level of satisfaction perceived by patients and selected demographic variables. Quantitative research approach and (descriptive comparative) research design was used. Tools used for data collection comprised of a structured observation checklist to assess quality of nursing care and a structured patient satisfaction questionnaire for assessment of patient satisfaction. Convenient sampling was adopted to select the 60 staff nurses, 30 from each hospital and 60 patients, 30 from each hospital. The study was conducted at a government (SMHS) hospital and a private (Noorah) Hospital, Srinagar.Data was analyzed and interpreted using both descriptive and inferential statistics. The findings showed that better quality of nursing care was rendered by staff nurses in private than in the government hospital. In government hospital, the areas in which staff nurses rendered good quality of care were nurse’s communication and behavior and patient safety, average quality in areas of documentation and environment and poor quality in the area of general nursing care. In case of private hospital, good quality of nursing care was rendered under the areas environment, patient safety, nurse’s communication and behavior and average quality of nursing care was rendered in the area documentation. No significant association was found between the quality of nursing care and selected demographic variables viz. age, educational qualification and years of work experience in both hospitals. A significant association was found between the level of satisfaction perceived by patients and age and marital status, and no significant association with gender, days of stay in the hospital and history of previous hospitalization in the government hospital. On average, in the government hospital, patients were satisfied with nurse’s communication and behavior and were dissatisfied with general nursing care and care facilities in the ward. In private hospital, no significant association was found between the level of satisfaction perceived by patients and demographic variables viz. age, gender, marital status, days of stay in the hospital and history of previous hospitalization. In the private hospital, on average the patients were satisfied with the general nursing care and nurse’s communication and behavior but w
该研究的目的是评估公立医院和私立医院内科和外科病房的护士的护理质量,比较公立医院和私立医院内科和外科病房的护士的护理质量,发现护士护理质量与选定的人口变量之间的联系。评估公立医院和私立医院内科和外科病房患者感知的满意度水平,比较公立医院和私立医院内科和外科病房患者感知的满意度水平,发现患者感知的满意度水平与选定的人口统计学变量之间的关联。采用定量研究方法和(描述性比较)研究设计。用于数据收集的工具包括用于评估护理质量的结构化观察检查表和用于评估患者满意度的结构化患者满意度问卷。采用方便抽样的方法,每所医院选取护士60名,每所医院选取患者60名,每所医院选取30名。这项研究是在斯利那加的一家政府医院(SMHS)和一家私立医院(norah)进行的。数据分析和解释使用描述性和推理统计。调查结果表明,私立医院的护士比公立医院的护士提供的护理质量更好。在政府医院,工作人员护士提供高质量护理的领域是护士的沟通和行为以及患者安全,文件和环境领域的质量一般,一般护理领域的质量较差。私立医院在区域环境、患者安全、护士沟通和行为方面的护理质量较好,在区域文件方面的护理质量一般。护理质量与选定的人口学变量(即两家医院的年龄、教育程度和工作经验年数)之间没有显著关联。患者满意度水平与年龄、婚姻状况有显著相关性,与性别、住院天数和既往公立医院住院史无显著相关性。平均而言,在公立医院,患者对护士的沟通和行为感到满意,对病房的一般护理和护理设施不满意。在私立医院,患者感知的满意度水平与年龄、性别、婚姻状况、住院天数和既往住院史等人口统计学变量之间无显著关联。在私立医院,患者对一般护理和护士的沟通行为感到满意,但对病房护理设施不满意。研究结果表明,私立医院护士的护理质量优于公立医院护士。民营医院的患者满意度高于公立医院。
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引用次数: 0
Development of pediatric vestibular symptom questionnaire in malayalam language for children aged 3-6 years 3 ~ 6岁儿童马拉雅拉姆语前庭症状问卷的编制
Pub Date : 2022-07-15 DOI: 10.18231/j.ijpns.2022.013
V. S. Dreepatta, A. Dasgupta
Vestibular disorders are the leading cause of dizziness in children. Vestibular disorders in youngsters with and due to Otitis Media Effusion have recently gained attention. The best way to identify vestibular disorders in youngsters is to use crude methods. The majority of the time, the parents’ history is used to form the view. As a result, questionnaires are the finest tool for estimating children. The Pediatric Vestibular Symptom Questionnaire was created and validated to measure children’s private vestibular symptom inflexibility (i.e. dizziness, shakiness), as a reliable and valid tool for assessing the presence and inflexibility of private vestibular symptoms in children with vestibular diseases or concussion provides a tool for assessing the presence and inflexibility of private vestibular symptoms in children with vestibular diseases or concussion. The questionnaire was used to distinguish between children with vestibular symptoms and healthy controls, and it should be used to detect and quantify vestibular symptoms that require further examination and treatment. The adaptation of the same in Malayalam Language among the natives of Kerala, the Southern Indian states were used widely to evaluate and identify the vestibular symptoms among the children for the effective treatment and better prognosis. Based on the statistics and analysis obtained the questionnaire demonstrated robust reliability, construct and discriminate validity.
前庭疾病是儿童头晕的主要原因。青少年中耳炎积液引起的前庭功能障碍最近引起了人们的关注。鉴别青少年前庭功能障碍的最好方法是使用粗糙的方法。大多数时候,父母的历史是用来形成观点的。因此,调查问卷是评估孩子的最好工具。《儿童前庭症状问卷》旨在测量儿童私人前庭症状的不灵活性(即头晕、颤抖),作为评估前庭疾病或脑震荡儿童私人前庭症状存在和不灵活性的可靠有效工具,为评估前庭疾病或脑震荡儿童私人前庭症状的存在和不灵活性提供了工具。该问卷用于区分有前庭症状的儿童和健康对照者,并应用于发现和量化需要进一步检查和治疗的前庭症状。在印度南部喀拉拉邦的土著居民中,广泛使用马拉雅拉姆语来评估和识别儿童的前庭症状,以获得有效的治疗和更好的预后。经统计分析得出问卷具有稳健的信度、结构效度和区分效度。
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引用次数: 0
Assess the level of stress and coping level among married working women in Kashmir 评估克什米尔已婚职业妇女的压力水平和应对水平
Pub Date : 2022-04-15 DOI: 10.18231/j.ijpns.2022.005
U. Amin, Insha Rasool, Rohi Jan, Rumysa Yousuf, Shahnaz Mabool, Humaira Qadir
Aim of this study was: 1. To assess the level of stress among Married Working Women as measured by Perceived stress scale 2. To determine the Level of coping among Married Working Women as assessed by Stress Coping Resources Inventory. 3. To find out the association between the level of stress and Level of Coping among Married Working Women with their selected demographic variables. 93 married working women, randomly selected were assessed by Standardized tool (Perceived Stress Scale and Stress Coping Resources Inventory) and demographic Variables. Online Survey method was adopted in order to collect data for a period of three months from 21 September 2021 to 21 December 2021.: Findings revealed that 72% of married working women had High Stress Level, 22% had Moderate Stress Level and only 6% had Low Stress Level. However, maximum (58%) married working women had above average Coping Level, 41% had average Coping Level, 1% had below average Coping Level and none had High Coping Level. Data analysis was performed using SV26|IBM SPSS Statistics 26. Chi- Square test & Unpaired t-Test was used to find out association of Level of stress and Level of Coping with selected demographic variables.Stress Level among working women is significantly high and there is significant association between Level of stress & Level of Coping among married working women. The results of the study proclaimed association was found between Age and Level of Coping among married working women. Whereas no association was found between other demographic variables and coping among married working women. After study, we conducted that Maximum of working women have High stress level and no one had high Coping level.
本研究的目的是:1。以感知压力量表2评估已婚职业女性的压力水平。采用压力应对资源量表评估已婚职业女性的应对水平。目的探讨已婚职业女性压力水平和应对水平与其人口学变量之间的关系。采用压力感知量表(Perceived Stress Scale)、压力应对资源量表(Stress Coping Resources Inventory)和人口统计学变量对随机抽取的93名已婚职业女性进行评估。采用在线调查方法收集数据,时间为2021年9月21日至2021年12月21日,为期三个月。调查结果显示,72%已婚职场女性的压力水平较高,22%为中等压力,只有6%为低压力。然而,最多(58%)已婚职业女性的应对水平高于平均水平,41%的女性应对水平为平均水平,1%的女性应对水平低于平均水平,没有人应对水平较高。采用SV26|IBM SPSS Statistics 26进行数据分析。采用卡方检验和非配对t检验来发现压力水平和应对水平与选定人口统计变量的关系。职业女性的压力水平显著较高,已婚职业女性的压力水平与应对水平之间存在显著相关。研究结果表明,在已婚职业女性中,年龄与应对水平之间存在关联。而其他人口统计变量与已婚职业女性应对能力之间没有关联。通过研究,我们发现绝大多数职业女性都有高压力水平,没有人有高应对水平。
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引用次数: 1
To study the effect of early zinc supplementation on growth of low birth weight infants- A randomised control trial 研究早期补锌对低出生体重儿生长发育的影响——一项随机对照试验
Pub Date : 2022-04-15 DOI: 10.18231/j.ijpns.2022.003
S. Gaikwad, J. Patel, Ashwini Kundalwal
The present study was carried out with aim to study the effect of early zinc supplementation on growth of low birth weight infants — A randomised control trial in the Department of Paediatrics at Government Medical College and Hospital, to study effect of zinc supplementation on LBW infants. The registered subjects were then randomized into Intervention (Group I, Case) and Non-Intervention (Group II, control) groups using computer generated random number technique. Cases (Group I) were given zinc supplements Syrup Zinc acetate (Syp. Zinconia 5ml=20mg) 2mg/kg single dose in morning at 8 a.m. daily and multivitamins drops 10 drops per day (Vit.A 375 µg, Vit.B1-B6, Vit.D 5µg) for duration of 6 weeks and Controls (Group II) were given multivitamins drops (Vit.A 375 µg, Vit.B1-B6, Vit.D 5µg) 10 drops per day for duration of 6 weeks.There was no significant difference in cases and controls in respect to males and females. No significant difference (p value >0.05) in pattern of intrauterine growth in cases and controls.Fifty percent of our study subjects in both group were of weight more than 1400 grams.Zinc had significant effect on weight gain of pre-terms (AGA and SGA) and term AGA only at the end of 6 weeks. There was only significant effect on length in mean difference at 6 weeks when compared to at 48 hours. There was highly significant difference in supplement group (cases) in weight/length at 6 weeks with minimal or insignificant effect on chest circumference and head circumference.
本研究的目的是研究早期补锌对低出生体重婴儿生长的影响——在政府医学院和医院儿科进行的一项随机对照试验,研究补锌对低出生体重婴儿的影响。然后使用计算机生成随机数技术将注册的受试者随机分为干预组(第一组,病例)和非干预组(第二组,对照组)。1组患者给予糖浆醋酸锌(Syp;锌5ml=20mg) 2mg/kg单剂,每天早上8点服用,复合维生素滴剂每天10滴(Vit)。A 375µg, Vit。B1-B6,维特。D 5µg),持续6周,对照组(II组)给予复合维生素滴剂(Vit)。A 375µg, Vit。B1-B6,维特。D 5µg),每天10滴,持续6周。在男性和女性的病例和对照中没有显著差异。病例组与对照组宫内生长模式差异无统计学意义(p值>0.05)。两组中都有50%的研究对象体重超过1400克。锌仅在6周结束时对早产儿(AGA和SGA)和中期AGA的体重增加有显著影响。与48小时相比,6周时的平均差异长度只有显著影响。在6周时,补充组(病例)的体重/长度差异极显著,而对胸围和头围的影响很小或不显著。
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引用次数: 0
Palliative care: Time for action 姑息治疗:是时候采取行动了
Pub Date : 2022-04-15 DOI: 10.18231/j.ijpns.2022.001
Javaid Ahmad Mir, Onaisa Aalia Mushtaq, Bushra Mushtaq
Palliative care improves the life quality of client and also for their families who are suffering with challenges associated with life-threatening illness, whether physical, psychological, social or spiritual. The quality of caregiver’s life also improves. According to WHO each year, an estimated 40 million people are in need of palliative care; 78% of them people live in low- and middle-income countries. Worldwide, only about 14% of people who need palliative care currently receive it. Unnecessarily restrictive regulations for morphine and other essential controlled palliative medicines deny access to adequate palliative care.
姑息治疗改善了病人及其家人的生活质量,这些人正在遭受与威胁生命的疾病有关的挑战,无论是身体、心理、社会还是精神方面的挑战。照顾者的生活质量也得到改善。据世卫组织统计,每年估计有4000万人需要姑息治疗;其中78%生活在低收入和中等收入国家。在世界范围内,目前只有约14%需要姑息治疗的人得到了治疗。对吗啡和其他受管制的基本姑息药物实施不必要的限制性规定,使人们无法获得适当的姑息治疗。
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引用次数: 0
Clinical case report on bipolar affective disorder, mania 双相情感障碍、躁狂症临床病例报告
Pub Date : 2022-04-15 DOI: 10.18231/j.ijpns.2022.007
Javaid Ahmad Mir, Bushra Mushtaq, Onaisa Aalia Mushtaq
Bipolar disorder is an episodic, potentially life-long, disabling disorder that can be difficult to diagnose. Need to improve recognition, reduce sub-optimal care and improve long-term outcomes. There is variation in management of care across healthcare settings.Characteristics of a Manic Episode: A distinct period of abnormally and persistently elevated, expansive or irritable mood.During the period of mood disturbance, at least three of the following symptoms have persisted (four if the mood is only irritable) and have been persistent to a significant degree.1. Inflated self-esteem or grandiosity. 2. Decreased need for sleep. 3. More talkative than usual or pressure to keep talking. 4. Flight of ideas or subjective experience that thoughts are racing. 5. Distractability, i.e. attention too easily drawn to unimportant or irrelevant external stimuli. 6. Increase in goal-directed activity or psychomotor agitation. 7. Excessive involvement in pleasurable activities which have a high potential for painful consequences, e.g. unrestrained buying sprees, sexual indiscretions, or foolish business investments.Mood disturbance sufficiently severe to cause marked impairment in occupational functioning or in usual social activities or relations with others, or to necessitate hospitalization to prevent harm to self or others.At no time during the disturbance have there been delusions or hallucinations for as long as two weeks in the absence of prominent mood symptoms. Not superimposed on schizophrenia, schizophrenic form disorder, or delusional disorder or psychotic disorder.The disturbance is not due to the physiologic effects of a substance or general medical disorder.
双相情感障碍是一种发作性的、可能终身致残的障碍,很难诊断。需要提高认识,减少次优护理和改善长期结果。不同医疗机构的护理管理存在差异。躁狂发作的特征:一段不正常且持续升高、膨胀或易怒情绪的明显时期。在情绪障碍期间,至少有下列三种症状持续存在(如果只是情绪烦躁,则有四种),并持续到显著程度。膨胀的自尊或浮夸2. 睡眠需求减少。3.比平时更健谈或有压力说个不停。4. 思想的奔逃或主观体验,即思想的奔逃。5. 易分散注意力,即注意力太容易被不重要或不相关的外部刺激吸引。6. 目标导向活动或精神运动性躁动增加。7. 过度参与有可能带来痛苦后果的愉快活动,如无节制的购物狂潮、性轻率行为或愚蠢的商业投资。情绪障碍严重到足以造成职业功能或日常社会活动或与他人关系的明显损害,或必须住院以防止伤害自己或他人。在障碍期间,在没有明显情绪症状的情况下,从未出现过长达两周的妄想或幻觉。不叠加于精神分裂症,精神分裂形式障碍,妄想障碍或精神障碍。这种障碍不是由于某种物质的生理作用或一般的医学障碍。
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引用次数: 1
ImpactofCovid-19onchildrenphysicalandmentalhealth ImpactofCovid-19onchildrenphysicalandmentalhealth
Pub Date : 2022-04-15 DOI: 10.18231/j.ijpns.2022.002
Pallavi M Bobade, Nancy Domingo
Today’s children are tomorrow’s citizen with this statement it’s very important that children’s health is a vital parameter to be protected. Children of all ages, and from all countries, have being affected by the socioeconomic impacts and, in some cases, by mitigation measures that may inadvertently do more harm than good. Moreover, the harmful effects of this pandemic are not distributed equally. The consequences proved to be more disastrous.In extreme cases, children suffered from predicament like mental illness and physical trauma. Mental illness like depression characterized by low mood, tiredness, pessimism, poor sleep, and appetite, feeling helpless, guilty, and hopeless, with a gradual reduction in work output and physical illness which they suffer were fatigue, anemia, malnutrition dehydration respiratory distress cold, fever pneumonia etc.. Older children were more vulnerable because they are much exposed in the society therefore special care must be taken for them. Negative impact of Covid 19 during pandemic can profoundly affect growth and development of child. These negative impacts could be related to rise in poverty levels, food insecurity disrupted healthcare and other personal factors such as demise of caregivers and psychological stress. For this all problems we have to prioritize the continuity of child –centered services with a particular focus on equity of access-particularly in relation to schooling, nutrition programmed immunization and other maternal and new-born care. Also, the health education needed for parents provides practical support to parents and caregivers including how to talk about the pandemic with children, how to manage their own mental health and the mental health of their children, and tools to help support their children’s learning.
今天的儿童是明天的公民,根据这一声明,儿童的健康是需要保护的一个重要参数,这一点非常重要。来自所有国家的所有年龄段的儿童都受到社会经济影响的影响,在某些情况下还受到可能在无意中弊大于利的缓解措施的影响。此外,这一流行病的有害影响并不是平均分布的。事实证明,后果更为灾难性。在极端的情况下,孩子们遭受了精神疾病和身体创伤等困境。精神疾病,如抑郁症,表现为情绪低落、疲劳、悲观、睡眠差、食欲不振,感到无助、内疚和绝望,工作产出逐渐减少,身体疾病,如疲劳、贫血、营养不良、脱水、呼吸窘迫、感冒、发烧、肺炎等。年龄较大的儿童更容易受到伤害,因为他们在社会中受到的影响更大,因此必须对他们给予特别照顾。Covid - 19大流行期间的负面影响会严重影响儿童的生长发育。这些负面影响可能与贫困水平上升、粮食不安全中断的医疗保健以及其他个人因素有关,如照顾者的死亡和心理压力。为了解决所有这些问题,我们必须优先考虑以儿童为中心的服务的连续性,特别注重公平获得机会,特别是在学校教育、营养、规划免疫和其他孕产妇和新生儿护理方面。此外,父母所需的健康教育为父母和照料者提供了实际支持,包括如何与儿童谈论大流行病,如何管理自己和子女的心理健康,以及帮助支持子女学习的工具。
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引用次数: 0
A study to assess the risk factors contributing to psychological stress, anxiety and depression in mothers of Covid-19 positive hospitalized children in a Tertiary care hospital 一项评估三级医院Covid-19阳性住院儿童母亲心理压力、焦虑和抑郁风险因素的研究
Pub Date : 2022-04-15 DOI: 10.18231/j.ijpns.2022.004
Suchandra Das, Nitu Malik, Abhishek Dutta, Satyabrata Roy Chowdhary, M. Sarkar, K. Datta
Parents of the COVID -19 positive hospitalized children are facing different psychological stresses which are affecting child’s care and well-being. To determine the psychological stress, anxiety and depression and to identify the associated influencing factors in mothers of hospitalized COVID-19 infected children In this cross-sectional observational study, 150 mothers of COVID-19 positive hospitalized children in a paediatric tertiary care hospital were randomly selected and studied. Data collection tool was a two part questionnaire; the first part was based on ‘Perceived stress scale-10’ and ‘Hospital anxiety and depression scale’ and the second part included stressors related to COVID-19 pandemic selected based on previous researches. The incidence of these stressors and their significance in causing stress, anxiety and depression was assessed using standard statistical methods.83.4% had moderate psychological stress, 35% had significant anxiety and 38% had significant depression. Worry about hospital bed availability and treatment cost (Odd’s ratio>9) and worry about getting infection (Odd’s ratio>8) as main stressors for stress, concern about family members and worry about getting infection (Odd’s ratio>9 for both) as main factors for anxiety and concern about family members (Odd’s ratio>22) as main factor for depression was found in study population. This pandemic has imposed grave psychological impact on mothers of hospitalized COVID infected children and various influencing social factors have been identified through our study. Holistic approach including socio-economic, administrative and political measures should be taken and adequate psychological support should be provided to address maternal mental health related issues.
COVID -19阳性住院儿童的父母面临着不同的心理压力,这些压力正在影响儿童的护理和福祉。为了解COVID-19感染住院患儿母亲的心理压力、焦虑和抑郁状况,并确定相关影响因素。本横断面观察研究随机选取某儿科三级医院COVID-19阳性住院患儿母亲150例进行研究。数据收集工具为两部分问卷;第一部分是基于“感知压力量表-10”和“医院焦虑和抑郁量表”,第二部分是根据之前的研究选择的与COVID-19大流行相关的压力源。采用标准统计方法评估应激源的发生率及其对应激、焦虑和抑郁的影响,83.4%的人有中度心理应激,35%的人有显著焦虑,38%的人有显著抑郁。研究人群焦虑的主要因素是担心医院床位和治疗费用(Odd’s比>9)和担心感染(Odd’s比>8),担心家人和担心感染(Odd’s比均>9)是焦虑的主要因素,担心家人(Odd’s比>22)是抑郁的主要因素。本次疫情给住院的新冠肺炎患儿的母亲造成了严重的心理影响,我们通过研究确定了各种影响因素。应采取全面办法,包括社会经济、行政和政治措施,并应提供充分的心理支持,以解决与产妇心理健康有关的问题。
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IP Journal of Paediatrics and Nursing Science
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