Indian Journal of Surgical Nursing

 The use of ventilators and cardiac support machines taken its prime role by the advent of technology. ECMO is one among those type of management used for cardiac and pulmonary dysfunction and mostly been used on children with congenital cardiac diseases. ECMO works by removing blood from person’s body and artificially exchanging CO2 and oxygen from red blood cells. It’s been used in children and adults by the different approaches like veno venous, veno arterial method of blood removal. Later the blood will be oxygenated by removing carbon dioxide artificially and provides adequate pressure to the blood stream in the body for maintaining cellular oxygenation.

Keywords: Extra Corporal Membrane Oxygenation; ECMO; Artificial Oxygenation; Life Support.

 The World Health Organization (WHO) defines chronic illness as the existence of a variety of physical health problems, which require health management for at least 1 year or even more than 10 years, such as hypertension, hyperlipidemia, and diabetes and asthma. Therefore, patients with chronic illness will encounter permanent changes in health status and are more likely to be under the menace of potential death. This menace is closely related to psychological distress, such as depression. Approximately 6–34% of the patients with chronic illness developed the symptoms of depression. Chronic illness is not only life-threatening to patients, but it is also a great burden to family and society.  Despite the regular treatment with medication, a significant proportion of patients does not respond to this treatment. Hence this review was aimed to associate the psychological well-being with the quality of life especially in patients suffering from severe asthma. The study was conducted among 30 patients at Chest OPD, Sri Ramachandra Hospital. The findings revealed that 40% had severe level of psychological distress; 53% had moderate level of psychological distress and 7% of them had well form of psychological well-being. Hence further research with large sample size is needed to findout the link between depression and sense of well-being.

Keywords: Asthma; Health Status; Quality of Life.

 Relaxation technique can have a moderate impact on both physiological well-being and respiratory function. A quantities research design used to conduct 30 patients with respiratory problem in MIMSR Medical College YCR Hospital latur, Were assessed for their knowledge regarding alternative therapy of relaxation technique used reduce the respiratory rate by demonstration of relaxation technique. Study was performed to find the association between variables under observation using questionnaires. Participated patients are (20 males and 10 females) in this study. Patient had the mean percentage 6.85 ±1.43 (SD) which is 72.58 % of the total mean score which is good knowledge depicting the difference of 26.77 % increase in mean percentage of score, for the effectiveness of demonstration chi-square test used for significance, these demographic variable are highly significance. Concluding that higher quality research is required, our results sustain the importance of relaxation techniques as a tool to manage respiratory problem.

Keywords: Relaxation Technique; Respiratory Function; Pulmonary Function.

 In today’s life, despite the recent advancements, notable risks yet threaten human beings, like the risk of burns which accounts for a high mortality in developed countries and leaves several people disabled Burn is an event that injures a huge number of victims each year and imposes irreplaceable physical, psychological, mental, economic, and social consequences, and even death. Burn patients need years of rehabilitation, surgery, and mental and psychological support. In recent years, numerous efforts have been made to prevent burns, such as conducting epidemiological studies, by which necessary interventions are purposefully administered in the treatment of burns. Burns are immediately or potentially life –threatening injuries. Patients with burn injuries are characterized by presence of , or being at high risk of developing life threatening problems due to the rapidly changing physiologic status, number of supportive devices and the multiple potential complications. Infection is one of the main complications among burned patients. The major part of nurses’ role during burn care is detecting and preventing infection

Keywords: Burns Patient; Nursing Care; Infection Control; Nosocomial Infections; Nurses Education.

 A study was conducted to assess the effectiveness of structured teaching programme on knowledge regarding sheehan’s syndrome among staff nurses in selected hospitals at Tumkur. The sample size of this study comprised of 50 staff nurses. Non probability convenience sampling technique was considered appropriate for this study. The collected data was analyzed using descriptive and inferential statistics. The findings revealed the post-test mean knowledge score was found higher (90.7%) when compared with pretest mean knowledge score (48.7%). The pre test mean knowledge score is 19.4 and standard deviation is 3. Post test mean knowledge is found to be 36.2 and standard deviation is 1.61. Enhancement is 42% and statistical paired‘t’ test value is 36.5. The statistical paired ‘t’ test indicated the enhancement in the mean knowledge score found to be significant at 5% level for all the aspects under study.

Keywords: Structured Teaching Programme; Sheehan’s Syndrome; Staff Nurses.

 Background: Organ transplantation has become an accepted means of treating end stage organ disease in recent years with acceptable patient and graft survival. While view of organ donation are positive there is a large gap between the number of registered donor compared to those awaiting organ donations on a global level. Objectives: To assess the effectiveness of structured teaching programme on Knowledge & attitude about organ donation among under graduate students. Design: quasi experimental one group pretest post test design adopted for this study Setting: Government arts and science college, Thanjavur Participants: 50 under graduate students in kundhavai arts collegefulfilling the inclusion criteria were selected by simple random sampling. Methods: A pre-test was conducted by using self administered questionnaire and attitude by attitude scale regarding organ donationImmediately after pre-test Structure Teaching Programme was given and again post test was conducted to assess the effectiveness of Programme. Collected data was analysed by using descriptive and inferential statistics. Results: On analysis , the study revealed that level of knowledge is 3 members ( 6%) having adequate knowledge , 47 members (94%) having moderate knowledge in pre-test . 48 members (96%) having adequate knowledge , 2 members (4%) having moderate knowledge in post-test. level of attitude is 8 members (16%) have fair attitude, 42 members (84%) have good attitude in pre-test .5 members (10%) have fair attitude, 45 members (90%) have good attitude post-test. This indicate the study was effective & it enhance Knowledge & attitude on organ donation among undergraduate students. The improvements was statistically tested by paired ‘t’ test value and result found to be significant at p > 2.02 value. There was a statistically no significant association found between the post test scores of the sample with their demographic variables and there is statistical significance association between religion and attitude regarding organ donation. Conclusion: This study was effective and its enhance the knowledge & attitude about organ donation among under graduates students.

Keywords: Effectiveness; Structured Teaching Programme; Knowledge; Attitude; Organ Donation; Under Graduate Students.

 Background: Myocardial infarction is a dynamic process where region of heart muscle have severe and prolonged decrease in O2 supply due to inadequate blood flow lead to necrosis of myocardium. MI leads to physical, social and mental impairment, and contributes to considerable impairment in quality of life of patient and family. The impairment may coped well with help of cardiac rehabilitation, which is sum of activity required to ensure the physical, psychological, social and mental condition of patient. Thus present study was carried out to assess the effectiveness of information booklet on knowledge, attitude and practice regarding cardiac rehabilitation among MI patients. Material and Methods: A quasi experimental study where pre test post test design without control group approach was undertaken in medical wards of Pravara Rural Hospital. A total of 30 MI patients were selected with help of systematic random sampling technique. The structured interview schedule was used to collect the data (where dichotomous questionnaire, rating scale and check list was used to assess the knowledge, attitude and practice on cardiac rehabilitation respectively). The information booklet was distributed to myocardial infarction patients immediately after the pre test. Effectiveness of booklet was done by conducting post test on the first follow up visit of patient to hospital after discharge. The data was analyzed with descriptive and inferential statistic wherever required. Result: The result of the study revealed that information booklet was effective as the knowledge score shows improvement from ‘average’ (40%) to ‘good’ (74%) from pre test to post test respectively. In relation to attitude of patient towards cardiac rehabilitation was found to be neutral after administration of booklet as attitude score was increased from pre test (35%) to post test (62%); practice regarding cardiac rehabilitation found to be significantly increased from pre test (39%) to post test (62%). There was a significant difference found between pre test and post test knowledge, attitude and practice scores at p<0.05 level. A significant association found between knowledge and demographic variable like age (ð2 = 16.75) at p<0.05 level. Conclusion: Majority of myocardial infarction patients had significant improvement in knowledge, attitude and practice regarding cardiac rehabilitation after implementation of information booklet. Hence the information booklet is considered to be an effective tool in order to bring a positive health out come in myocardial infarction patients.

Keywords: Effectiveness; Knowledge; Attitude; Practice and Information Booklet.