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A Descriptive Study to Assess the Knowledge of Patient Communication Skills among Nurses in Selected Hospitals, Chennai 金奈选定医院护士患者沟通技巧知识评估的描述性研究
Pub Date : 2022-01-01 DOI: 10.31690/ijnr.2022.v08i01.003
Grace Pal
Aim: This study aimed to assess the knowledge of nurses regarding patient communication. Introduction: The present study was undertaken during the year 2021. The objectives of the study were to assess the level of knowledge of patient communication skills among nurses in selected hospitals and to determine the association between the level of knowledge of patient communication skills with the demographic variables of nurses. Materials and Methods: A quantitative approach and descriptive design were adopted for the study. The study was conducted in selected hospitals. The sample size for the present study was 100 nurses aged between 18 and 32 years. Non-probability convenient sampling technique was adopted to select the samples for the study. The tool used for the data collection was the Likert scale to assess nurse-patient communication. Results: The present study findings revealed that of most of the nurses 63% had inadequate knowledge, 18% had moderately adequate knowledge, and 19% had adequate knowledge. There was a significant association between the level of knowledge and demographic variables such as age, gender, religion, level of education, clinical experience in years, shift worked, and received any additional training in patient communication. Moreover, there was no association between marital status, working unit, and designation with nurses knowledge regarding patient communication skills. Conclusion: The results reflect that most of the nurses had inadequate knowledge and the level of knowledge depended on the level of experience and education.
目的:本研究旨在了解护理人员对病人沟通的认知。本研究是在2021年进行的。本研究的目的是评估选定医院护士对病人沟通技巧的知识水平,并确定病人沟通技巧知识水平与护士人口统计学变量之间的关系。材料与方法:本研究采用定量方法和描述性设计。研究是在选定的医院进行的。本研究的样本量为100名年龄在18至32岁之间的护士。采用非概率方便抽样技术选择研究样本。数据收集工具为李克特量表,用于评估护患沟通。结果:本研究结果显示,大多数护士中,63%的人知识不足,18%的人知识适度,19%的人知识充足。知识水平与人口统计学变量(如年龄、性别、宗教、教育水平、临床经验年数、轮班工作和接受任何额外的患者沟通培训)之间存在显著关联。此外,婚姻状况、工作单位和职称与护士对患者沟通技巧的了解没有关联。结论:调查结果显示,大部分护理人员对护理知识的掌握程度不高,知识掌握程度与护理经验和文化程度有关。
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引用次数: 0
Effectiveness of Planned Teaching Program Regarding the Care of Children with Hearing Impairment among the Caretakers in Selected Schools of Sangli District in India 印度Sangli地区部分学校护理员照顾听力障碍儿童计划教学方案的有效性
Pub Date : 2022-01-01 DOI: 10.31690/ijnr.2022.v08i04.005
A. Kale
Aim: The aim of the study was to study the effectiveness of planned teaching program regarding the care of children with hearing impairment among the caretakers in selected schools of Sangli district in India. Background: Hearing impairment means that you cannot hear well out of one or both ears, or you cannot hear at all. Hearing loss can range from mild to severe. There can be mild, moderate, severe, or severe impairment. Hearing loss as a child is a huge burden and handicap. It hurts the child’s quality of life because the disability affects all parts of his or her development, either directly or indirectly. The results include not being able to understand speech sounds, which often means not being able to communicate verbally, a delay in learning a language, a delay in cognitive development, a disadvantage in economics and education, social isolation, and a stigma. Methodology: The research approach for this study is quantitative approach and purposive research design was used. The sample size consisted of 60 caretakers. Result: The 33.34% of caretakers were between 30 and 40 years, 63.34% of caretakers were undergraduates, place-wise 58.34% of caretakers were from urban, 61.66% of caretakers had previous knowledge. The preceding data show that caretakers who got planned training on hearingimpaired children had higher mean knowledge scores in post-test than pre-test. Thus, structured training on caring for hearing-impaired youngsters worked. Thus, alternate hypothesis wins over null hypothesis. Conclusion: The structured teaching on care of children with hearing impairment proved to be effective in delivering the knowledge. Hence, null hypothesis is rejected and alternative hypothesis is accepted.
目的:本研究的目的是研究在印度Sangli地区选定的学校中,针对听障儿童的看护人员实施计划教学方案的有效性。背景:听力障碍是指你的一只耳朵或两只耳朵听不清楚,或者你根本听不到。听力损失可以从轻微到严重。损伤可分为轻度、中度、重度或重度。儿童听力损失是一个巨大的负担和障碍。它损害了儿童的生活质量,因为残疾直接或间接地影响了他或她发展的各个方面。结果包括无法理解语音,这通常意味着无法进行口头交流,学习语言的延迟,认知发展的延迟,在经济和教育方面的劣势,社会孤立,以及耻辱。方法学:本研究采用定量研究方法,采用目的研究设计。样本量由60名看护人组成。结果:33.34%的看护者年龄在30 ~ 40岁之间,63.34%的看护者为大学生,58.34%的看护者来自城市,61.66%的看护者有先前的知识。结果表明,接受过听力障碍儿童培训的护理人员在测试后的平均知识得分高于测试前的平均知识得分。因此,有关照顾听障青少年的有组织培训起了作用。因此,备用假设胜过零假设。结论:听力障碍儿童护理的结构化教学能有效地传递知识。因此,拒绝零假设,接受备择假设。
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引用次数: 0
Develop and Validate Intubation Checklist for Critically Ill Patients Admitted in Intensive Care Units of the Teaching Hospital of Navi Mumbai 新孟买教学医院重症监护病房危重病人插管检查表的制定和验证
Pub Date : 2022-01-01 DOI: 10.31690/ijnr.2022.v08i02.001
S. Mankayarkarasi, Marika Mathew, S. Sinha
Aims: This study aims to develop and validate intubation checklist for critically ill patients admitted in intensive care units of the teaching hospital of Navi Mumbai. Materials and Methods: Expert data for an intubation checklist for critically ill patients are gathered using the Delphi method. The Delphi method is a structured communication technique or method that uses a panel of experts to make decisions. In three rounds, the experts respond. A facilitator or change agent summarizes the experts’ predictions and the reasons they gave for their predictions after each round. Experts are thus encouraged to revise previous responses in light of the responses of other panelists. Results: The findings show that agreement for development intubation has increased. One hundred percent of the 15 experts strongly agreed. Endotracheal intubation complications are reduced by 86.7% when using the endotracheal intubation checklist. The content of this endotracheal intubation checklist is appropriate in 80% of cases. The checklist for endotracheal intubation is superior to the protocol. Conclusion: A critically ill patient intubation checklist was created and validated. In total, 42 items were suggested by experts. In rounds two and three, the expert consensus was accepted, and the majority of items in both rounds had no significant differences in opinion. ItemContent Validity Index (CVI) (below 0.78) and slightly different opinions were removed. The final checklist included 41 items with 100% expert agreement, a high CVI-I of ranking agreement, and an inter-rater reliability of 0.94, indicating that the tool is highly valid and reliable.
目的:本研究旨在建立并验证新孟买教学医院重症监护病房危重病人插管检查表。材料和方法:采用德尔菲法收集危重病人插管检查表的专家数据。德尔菲法是一种结构化的沟通技术或方法,它使用一个专家小组来做决定。在三轮比赛中,专家们做出了回应。推动者或变革推动者在每一轮之后总结专家的预测以及他们给出的预测理由。因此,鼓励专家根据其他小组成员的答复修改以前的答复。结果:研究结果表明,对发展插管的认同有所增加。15名专家中100%强烈同意。使用气管插管检查表后,气管插管并发症减少86.7%。这份气管插管检查表的内容适用于80%的病例。气管插管检查表优于方案。结论:建立并验证了危重病人插管检查表。专家们总共提出了42项建议。在第二轮和第三轮中,专家的共识被接受,两轮中的大多数项目都没有明显的意见分歧。ItemContent Validity Index (CVI)(低于0.78)和略有不同的意见被删除。最终的清单包含41个项目,专家一致性100%,排名一致性CVI-I较高,评分间信度为0.94,表明该工具具有较高的效度和可靠性。
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引用次数: 0
Effectiveness of Structured Teaching Program on Knowledge and Practice Regarding Prevention and Management of Osteoarthritis among Adults 成人骨关节炎预防与管理知识与实践结构化教学方案的有效性
Pub Date : 2022-01-01 DOI: 10.31690/ijnr.2022.v08i02.003
Karni Singh, Hansaram, Sunita Patney, Shaarda Rastogi
Introduction: Osteoarthritis (OA) is a major source of pain, disability, and socioeconomic cost worldwide. In India, 80% of population suffers with OA who complains of knee pain. Annually, 10 million cases of OA are found. More than half of the people with OA are under 65 years of age. The best way of prevention and management of OA is regular exercise and maintenance of diet. Ignorance of the people, regarding preventive strategy, makes them more vulnerable to OA. Materials and Methods: A quantitative one-group pretest-posttest design was applied to assess knowledge and practice on prevention and management of OA among rural adults. Systematic random sampling was used to select 60 samples. Structured knowledge interview and practice rating scale were used to collect the data. Results: The study found significantly improvement in post-test knowledge (P ≤ 0.01) and practice score (P ≤ 0.01) of the adults regarding prevention and management of OA. The study reported significant correlation (P < 0.01) between post-test knowledge and practice score. The educational status (P ≤ 0.01), occupation (P = 0.0039), and monthly family income (P = 0.030) of the adults showed significantly association with post-test knowledge and practice. Conclusion: Structured teaching program has a major impact in improving knowledge and practice of adults regarding prevention and management of OA. Well-planned and demonstrated, nurse-led educational module will enhance the knowledge and improve the practice of the adult population
骨关节炎(OA)是世界范围内疼痛、残疾和社会经济成本的主要来源。在印度,80%的人患有关节炎,他们抱怨膝盖疼痛。每年发现1000万例OA病例。超过一半的OA患者年龄在65岁以下。预防和管理OA的最好方法是经常运动和维持饮食。人们对预防策略的无知,使他们更容易受到OA的伤害。材料与方法:采用定量的单组前测后测设计,对农村成人OA预防与管理的知识与实践进行评估。采用系统随机抽样的方法,选取60个样本。采用结构化知识访谈和实践评定量表收集数据。结果:研究发现,成人对OA预防和管理的测试后知识(P≤0.01)和实践得分(P≤0.01)均有显著提高。研究报告测验后知识与实践成绩有显著相关(P < 0.01)。成人受教育程度(P≤0.01)、职业(P = 0.0039)和家庭月收入(P = 0.030)与测试后知识和实践有显著相关。结论:结构化教学方案对提高成人预防和管理OA的知识和实践具有重要影响。精心策划和示范,护士主导的教育模块将提高知识和改进成人人口的做法
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引用次数: 1
A Comparative Study on Psychosocial Problems of Adolescents between Selected Urban and Rural Schools at Udaipur 乌代浦尔市部分城市与农村学校青少年心理社会问题比较研究
Pub Date : 2022-01-01 DOI: 10.31690/ijnmi.2022.v07i03.003
Mahaveer Yati, Aida Annie Mohan, Divya Pratap Singh Sisodiya
Background: Adolescence is a transition phase from childhood to adulthood, which is marked by several biological, cognitive, and psychosocial changes. Adolescents are facing multitude of problems throughout the world. Adolescents suffer from psychosocial problems at 1 time or the other during their development. Childhood behavioral disorders are the second leading cause of disease burden in young adolescents aged 10–14 years and the 11th leading cause among older adolescents aged 15–19 years. Materials and Methods: The research approach adopted for the present study was descriptive survey approach used to assess the level of psychosocial problems of adolescents between selected urban and rural schools at Udaipur. Chi–square is used to find the association between the level of psychosocial problems score of the respondents and selected baseline variables. Results: There was a significant association between the level of psychosocial problems score with selected baseline variables. In rural group such as age in year (χ2 = 12.10), family type (χ2 = 13.13), monthly family income (χ2 = 8.42), father educational status (χ2 = 18.35), father occupational status (χ2 = 14.25), mother occupational status (χ2 = 17.14), and living with (χ2 = 9.15) was significant at 0.05 level and there was no significant association between gender, mother educational status, birth order, and any previous history of head injury or mental problems at 0.05 level. Conclusion: The focus of this study was to compare psychosocial problems of adolescents between selected urban or rural schools at Udaipur.
背景:青春期是从童年到成年的过渡阶段,其特征是一些生理、认知和社会心理的变化。全世界的青少年都面临着许多问题。青少年在其发展过程中有时会出现社会心理问题。儿童行为障碍是10-14岁青少年疾病负担的第二大原因,是15-19岁大龄青少年疾病负担的第11大原因。材料和方法:本研究采用描述性调查方法,对乌代浦尔市选定的城市和农村学校青少年的社会心理问题水平进行评估。卡方被用来发现应答者的社会心理问题得分水平与选定的基线变量之间的关联。结果:心理社会问题得分水平与选定的基线变量之间存在显著关联。农村人群年龄(χ2 = 12.10)、家庭类型(χ2 = 13.13)、家庭月收入(χ2 = 8.42)、父亲文化程度(χ2 = 18.35)、父亲职业状况(χ2 = 14.25)、母亲职业状况(χ2 = 17.14)、生活伴(χ2 = 9.15)等因素在0.05水平上差异有统计学意义,性别、母亲文化程度、出生顺序、是否有颅脑损伤或精神问题史在0.05水平上差异无统计学意义。结论:本研究的重点是比较乌代浦尔选定的城市和农村学校青少年的社会心理问题。
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引用次数: 0
A Quasi-experimental Study to Assess Effectiveness of Information Booklet on Prevention of Respiratory Problems among Traffic Police in Metropolitan City 大都市交通警察呼吸系统疾病预防信息手册有效性评估的准实验研究
Pub Date : 2022-01-01 DOI: 10.31690/ijnr.2022.v08i04.004
Shivani S. Rajput, Suchita Sawant, G. Gholap
Introduction: Humans will never fit this environment; hence, perfect health is impossible. Health is the ability to adjust to changing life conditions. Air-filled and spongy lungs are on either side of the chest. The heart and mediastinum divide the thoracic cavity into two chambers. Pulmonary ventilation exchanges air with the lungs’ alveoli. Aim: The aim of the study was to study a Quasi-experimental Study to Assess Effectiveness of Information Booklet on Prevention of Respiratory Problems Among Traffic Police in Metropolitan City. Materials and Methods: The study employed a quantitative descriptive evaluative research design with one group pre-test and post-test research design. The sample included 60 traffic cops who met the inclusion criteria for the sample selection. The approach of non-probability convenient sampling was used. The Paired t-test was used to analyses the influence of an education booklet on traffic officers’ knowledge and behaviors regarding selected components of respiratory issue prevention. Results: The pre-test mean of traffic cop knowledge was 6.03, while the post-test mean was 19.85. The estimated t value 35 is more than the tabulated value 2.0 at the 5% level of significance. The mean of the traffic police procedures collected before the test was 1.68 and it jumped to 3.90 after the test. The estimated t value 14 is bigger than the tabulated value 2.0 at the 5% level of significance. Conclusion: Knowledge and practices in relation to selected aspects of prevention of respiratory problems among traffic police. The information booklet helped to increase the knowledge and practice of traffic police.
引言:人类永远不可能适应这种环境;因此,完美的健康是不可能的。健康是适应不断变化的生活条件的能力。胸部两侧的肺充满空气,呈海绵状。心脏和纵隔把胸腔分成两个腔室。肺通气与肺泡交换空气。目的:对大城市交通警察呼吸疾病预防信息手册的有效性进行准实验研究。材料与方法:本研究采用定量描述性评价研究设计,分为一组前测和后测研究设计。样本包括60名符合样本选择纳入标准的交警。采用非概率方便抽样的方法。配对t检验用于分析教育小册子对交通官员关于呼吸问题预防的选定成分的知识和行为的影响。结果:交通警察知识前测均值为6.03,后测均值为19.85。在5%显著性水平下,估计t值35大于表列值2.0。测试前收集的交警程序的平均值为1.68,测试后跃升至3.90。在5%显著性水平下,估计t值14大于表列值2.0。结论:交警在呼吸疾病预防的相关知识和实践方面存在差异。该小册子有助增加交通警察的知识和操作。
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引用次数: 0
“A Study to Assess the Effectiveness” of Planned Teaching Programme on Knowledge and Practice Regarding Buerger Allen Exercise Among Traffic Police with Diabetes Mellitus of Selected Urban Areas” “市区糖尿病交警伯格艾伦运动知识与实践计划教学计划”的有效性评估研究
Pub Date : 2022-01-01 DOI: 10.31690/ijnr.2022.v08i03.003
Neelam Rawat, G. Gholap
Background: Occupational health workers spending most of the day on their feet, every working day are at greater risk of health problems including varicose vein, poor circulation and swelling in the feet’s and legs, foot problems, and joint damage. Early detection of the condition could lead to treatment that offers the potential to reduce the incidence of fatal as well as to also improve the quality of life. Aim: The aim of the study was to assess knowledge and practice regarding Buerger Allen exercise on the lower extremity perfusion among traffic police before and after planned teaching. Methodology: Quantitative (descriptive evaluatory) research approach and one group pre-test- post-test research design (pre-experimental) is used. The study was conducted in selected urban areas of Mumbai with sample consisted of 60 traffic police personnel. Structured questionnaire was prepared to assess knowledge and self-reported questionnaire was used to assess practice. Planned teaching program with demonstration on Buerger Allen exercise was the intervention of the study provided to the samples. Results: The overall pre-test mean knowledge score and the overall pre-test mean practice score was found to be 8.42. The overall post-test mean knowledge score and practice score was found 15.05 and 6.48, respectively. The “t” value (P = 0.05) for knowledge score was 18.21 and for practice score 24.87 which indicates the effectiveness of planned teaching program regarding Buerger Allen exercise.
背景:职业卫生工作者每天大部分时间都站着,每个工作日都面临着更大的健康问题风险,包括静脉曲张、血液循环不良和足部和腿部肿胀、足部问题和关节损伤。这种情况的早期发现可能会导致治疗,从而有可能减少致命的发病率,并改善生活质量。目的:探讨交通警察在计划教学前后对布尔格-艾伦运动对下肢灌注的认知和实践情况。方法:采用定量(描述性评价)研究方法和一组前测-后测研究设计(预实验)。这项研究是在孟买选定的城市地区进行的,样本包括60名交通警察。采用结构化问卷对知识进行评估,采用自述问卷对实践进行评估。本研究提供给样本的干预措施是有计划的教学方案,并以伯格艾伦练习为示范。结果:总体前测平均知识得分和总体前测平均实践得分均为8.42。总体后测平均知识分和实践分分别为15.05分和6.48分。知识分的t值为18.21,实践分的t值为24.87,P = 0.05,表明计划教学方案对Buerger Allen练习的有效性。
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引用次数: 0
A Cross-sectional Study to Assess the Impact of COVID-19 on Job Satisfaction among Nursing Faculty COVID-19对护理人员工作满意度影响的横断面研究
Pub Date : 2022-01-01 DOI: 10.31690/ijnr.2022.v08i01.002
S. Muralidharan, Priyam Sharma, Sujeeta Malik
Introduction: Teaching nursing students, conducting research, serving in an administrative role, facilitating staff support in practice, and providing patient care are all responsibilities that nursing teachers are required to accomplish. These issues are causing nursing faculties’ job satisfaction to fluctuate year to year, prompting many to explore for new possibilities, and some leaving the field entirely. Aim: The aim of the study was to assess the impact of COVID-19 on job satisfaction among nursing faculties. Methods: Quantitative research approach was used to assess the impact of COVID-19 on job satisfaction among nursing faculty. Across-sectional research design was adopted for this study. The 60 nursing faculties who fulfilled the eligibility criteria were selected using convenient sampling. A 5-point Likert scale and checklist were created to gather the information. Online stage was utilized to gather the information from samples. Result: A total of 60 subjects responded through online platform. Majority (98.3%) of the samples belong to 21–40 years of age. About 93.3% of the samples were female. About 51.7% of samples had positive professional attitude whereas only 1.7% of samples had negative professional attitude. Majority of nursing faculties are dissatisfied with their job facilities and environment. Conclusion: Hence, the study concludes that nursing faculty job satisfaction should be improved further by meeting their acceptable needs, boosting their rewards and workload, and ensuring that they have enough time to sleep and recover. This research is really useful for enhancing nursing faculty job satisfaction during health emergencies and other crisis events.
导读:教授护理学生,进行研究,担任行政职务,在实践中促进工作人员的支持,并提供病人护理都是护理教师需要完成的职责。这些问题导致护理人员的工作满意度每年都在波动,促使许多人探索新的可能性,有些人完全离开了这个领域。目的:本研究的目的是评估COVID-19对护理人员工作满意度的影响。方法:采用定量研究方法评估新冠肺炎疫情对护理教师工作满意度的影响。本研究采用横断面研究设计。采用方便抽样的方法,选取符合入选条件的60所护理学院。一个5分李克特量表和清单被创建来收集信息。利用在线阶段收集样本信息。结果:共有60名受试者通过网络平台进行了反馈。绝大多数样本(98.3%)年龄在21-40岁之间。女性占93.3%。51.7%的样本有积极的职业态度,而只有1.7%的样本有消极的职业态度。大多数护理人员对其工作设施和环境不满意。结论:通过满足护理人员可接受的需求,增加护理人员的报酬和工作量,保证护理人员有足够的睡眠和恢复时间,进一步提高护理人员的工作满意度。本研究对提高护理人员在突发卫生事件和其他危机事件中的工作满意度具有重要意义。
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引用次数: 0
Sleep: A Nightmare 睡眠:噩梦
Pub Date : 2022-01-01 DOI: 10.31690/ijnmi.2022.v07i01.003
Ravisharan
Common Causes of Sleeplessness Include: (1) Stress – Concerns about work, school, health, finances, or family can keep your mind active at night, making it difficult to sleep. Stressful life events or trauma – such as the death or illness of a loved one, divorce, or a job loss can lead to stress. (2) Travel or work schedule – Disrupting your body’s circadian rhythms can lead to lack of sleep. Causes include jet lag from traveling across multiple time zones, working a late or early shift, or frequently changing shifts. (3) Poor sleep habits – Poor sleep habits include an irregular bedtime schedule, naps, stimulating activities before bed, an uncomfortable sleep environment, and using your bed for work, eating, or watching TV. Computers, TVs, video games, smartphones, or other screens just before bed can interfere with your sleep cycle. (4) Eating too much late in the evening – Having a light snack before bedtime is OK, but eating too much may cause you to feel physically uncomfortable while lying down. Many people also experience heartburn, a backflow of acid, and food from the stomach into the esophagus after eating, which may keep you awake. (5) Mental health disorders – Anxiety disorders, such as post-traumatic stress disorder, may disrupt your sleep. Awakening too early can be a sign of depression. (6) Medications – Many prescription drugs can interfere with sleep, such as certain antidepressants and medications for asthma or blood pressure. Many over-the-counter medications – such as some pain medications, allergy, and cold medications, and weight loss products – contain caffeine and other stimulants that can disrupt sleep. (7) Medical conditions – Examples of conditions linked with insomnia include chronic pain, cancer, diabetes, heart disease, asthma, gastroesophageal reflux disease (GERD), overactive thyroid, Parkinson’s disease, and Alzheimer’s disease. (8) Sleep-related disorders – Sleep apnea causes you to stop breathing periodically throughout the night, interrupting your sleep. Restless legs syndrome causes unpleasant sensations in your legs and an almost irresistible desire to move them, which may prevent you from falling asleep. (9) Caffeine, nicotine, and alcohol – Coffee, tea, cola, and other caffeinated drinks are stimulants. Drinking them in the late afternoon or evening can keep you from falling asleep at night. Nicotine in tobacco products is another stimulant that can interfere with sleep. Alcohol may help you fall asleep, but it prevents deeper stages of sleep and often causes awakening in the middle of the night. Complications of Insomnia May Include: (1) Lower performance on the job or at school. (2) Slowed reaction time while driving and a higher risk of accidents. (3) Mental health disorders, such as depression, an anxiety disorder, or substance abuse. (4) Increased risk and severity of long-term diseases or conditions, such as high blood pressure and heart disease. Prevention: Good sleep habits can help prevent insomnia
失眠的常见原因包括:(1)压力——对工作、学业、健康、财务或家庭的担忧会使你的大脑在晚上保持活跃,使你难以入睡。有压力的生活事件或创伤——如爱人的死亡或疾病、离婚或失业——都会导致压力。(2)旅行或工作时间表——打乱你身体的昼夜节律会导致睡眠不足。原因包括跨越多个时区的时差反应,上晚班或早班,或频繁换班。(3)不良的睡眠习惯——不良的睡眠习惯包括不规律的就寝时间、小睡、睡前刺激性活动、不舒服的睡眠环境,以及在床上工作、吃饭或看电视。睡前的电脑、电视、视频游戏、智能手机或其他屏幕会干扰你的睡眠周期。(4)晚上吃得太多——睡前吃点零食是可以的,但吃得太多可能会让你躺着的时候感到身体不舒服。许多人还会有胃灼热、胃酸倒流、食物从胃进入食道的经历,这些都会让你睡不着觉。(5)精神健康障碍——焦虑障碍,如创伤后应激障碍,可能会扰乱你的睡眠。醒得太早可能是抑郁的征兆。(6)药物治疗——许多处方药会干扰睡眠,比如某些抗抑郁药和治疗哮喘或血压的药物。许多非处方药——比如一些止痛药、过敏药、感冒药和减肥产品——都含有咖啡因和其他会扰乱睡眠的兴奋剂。(7)医疗条件——与失眠相关的条件包括慢性疼痛、癌症、糖尿病、心脏病、哮喘、胃食管反流病(GERD)、甲状腺过度活跃、帕金森病和阿尔茨海默病。(8)与睡眠有关的障碍——睡眠呼吸暂停会导致你在夜间周期性地停止呼吸,打断你的睡眠。不宁腿综合症会让你的腿产生不舒服的感觉,并且几乎无法抗拒地想要移动它们,这可能会阻止你入睡。(9)咖啡因、尼古丁和酒精——咖啡、茶、可乐和其他含咖啡因的饮料都是兴奋剂。在下午晚些时候或晚上喝咖啡会让你在晚上睡不着。烟草制品中的尼古丁是另一种干扰睡眠的兴奋剂。酒精可能会帮助你入睡,但它会阻止你进入更深的睡眠阶段,并经常在半夜醒来。失眠的并发症可能包括:(1)工作或学习表现较差。(2)驾驶时反应迟钝,发生事故的风险较高。(3)精神健康障碍,如抑郁症、焦虑症或药物滥用。(4)长期疾病或状况的风险和严重程度增加,如高血压和心脏病。预防:良好的睡眠习惯有助于预防失眠,促进良好的睡眠:(1)保持每天的就寝时间和起床时间一致,包括周末。(2)保持活跃——有规律的活动有助于促进良好的夜间睡眠。检查你的药物,看看它们是否会导致失眠。(4)避免或限制小睡。(5)避免或限制咖啡因和酒精,不要使用尼古丁。(6)睡前避免大吃大喝。(7)让你的卧室适合睡觉,只用于做爱或睡觉。(8)创造一个放松的睡前习惯,比如洗个热水澡、阅读或听轻音乐。结论:睡眠剥夺对市场没有任何帮助。品牌利用了我们的睡眠不足和习惯。我们给谁找借口,我们的网络连续剧可以暂停,深夜谈话可以
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引用次数: 0
A Quasi-Experimental Study to Assess the Effect of Planned Teaching Programme on the Knowledge and Practice Regarding Breast Self-examination among Adolescent in Selected Rural Area 评价计划教学方案对农村青少年乳房自检知识与实践影响的准实验研究
Pub Date : 2022-01-01 DOI: 10.31690/ijnmi.2022.v07i03.002
Ankita Bhamba, Manisha Rawade
Introduction: Breast self-examination involves the woman herself looking at and feeling the breast for lumps or other abnormalities. There is evidence that woman who correctly practice breast self-examination monthly is more likely to detect a lump in the early stage with early diagnosis and treatment yielding better survival. When adolescents become aware of themselves, they get in touch with their inner-self, their basic truths that satisfy their needs and their own personal desires. Teaching breast self-examination as breast changes occur in the adolescent girl can influence positive behaviors such as performing breast self-examinations and seeking regular professional breast examinations. Aim: The aim of study was to find out the effect of planned teaching on knowledge and practice regarding breast self-examination among adolescent in selected area. Subjects and Methods: One group pre-test and post-test research design was adopted, where the group was assessed. A semi-structured questionnaire was administered to assess the knowledge and practice regarding breast self-examination. Non-probability purposive sampling was used to select samples that fulfilled the required criteria. A sample size of 60 adolescents was taken for the study. Results: Findings revealed that in pre-test none of the adolescents was in the good or excellent range of knowledge and practice but in posttest there was significant shift of scores after administration of planned teaching. Therefore, heard about breast self-examination is dependent with pre-test knowledge and practice score while with other demographic variable such as age, education of mother, type of family, and source to receive information is independent. Conclusion: This study reveals that is important to have knowledge and practice of breast self-examination to detect breast abnormalities like Fibroadenoma and to have healthy life. Planned teaching was effective measure to improve knowledge and practices regarding breast self-examination among adolescent in selected rural area
乳房自检是指妇女自己观察和感觉乳房是否有肿块或其他异常。有证据表明,每月正确进行乳房自我检查的妇女更有可能在早期发现肿块,早期诊断和治疗可以提高生存率。当青少年意识到自己时,他们就会接触到自己的内在自我,接触到满足自己需求和个人欲望的基本真理。在青春期女孩发生乳房变化时,教授乳房自我检查可以影响积极的行为,如进行乳房自我检查和寻求定期的专业乳房检查。目的:探讨计划教学对选定地区青少年乳腺自检知识和实践的影响。对象与方法:采用一组前测和后测研究设计,对组进行评估。采用半结构式问卷调查乳房自检的知识和实践情况。非概率目的抽样用于选择符合要求标准的样本。该研究选取了60名青少年作为样本。结果:调查结果显示,在前测中,青少年的知识和实践得分均不处于良好或优秀的范围,但在后测中,实施计划教学后得分有显著的变化。因此,听说乳房自检与测前知识和实践分数相关,与年龄、母亲受教育程度、家庭类型、信息来源等人口统计学变量无关。结论:提高乳腺自我检查的知识和实践对发现乳腺纤维腺瘤等乳腺异常具有重要意义,有利于健康生活。计划教学是提高农村青少年乳房自检知识和行为的有效措施
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International journal of nursing research
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