Indian Journal of Surgical Nursing

Depression is the most common mental disorder worldwide. Nearly 350 million people are affected from depression. The prevalence of depression is higher in developing countries compare to developed countries. Diabetes is a chronic endocrine disease, affecting a large proportion of the world population. World Health Organization estimated that by 2030, the number of diabetes patient at global and India level will be 360 million and 79.4 million respectively. Depression increases the possibilities of poor glycemic control among diabetic patients due to poor self-care and behavioral mechanism. In the world, prevalence of depression among patients with diabetes is around 8.5-27.3%. Indians have wide range of the prevalence (12-49%) because of vast geographical and ethnic differences. The co-morbidity of depression among diabetic patients is an obstacle in sound diabetes management. Lack of social support, migration, gender, low economic status, unemployment and poor screening system are increasing the risk of depression in patients with diabetes. An integrated health care program is necessary to reduce the prevalence of depression among diabetic patients. The screening of depression at diabetes clinic, good social support and collaborative program are effective in reduction of depressive symptoms among patients with diabetes. Early diagnosis and treatment of depression among diabetic patient will be helpful in declining the direct treatment cost, disease burden, morbidity and mortality rate.

Keywords: Depression; Diabetes; Prevalence; Diabetic Patients; Co-Morbidity; Screening.

 

Breakfast is regarded by many as ‘The most important meal of the day’ because an adequate food intake at the reminder of the day is likely to be met. The habit of skipping breakfast has become very popular among children and adolescents. A study to assess the level of knowledge regarding the effects of skipping breakfast among second year B.Sc. Nursing students in MTPG & RIHS, Puducherry. The quantitative approach was used for the study. The study reveals that the maximum number (61) of students were having moderate knowledge on effects of skipping breakfast and also states age of the students, gender, education of the father, education of mother, occupation of the father, occupation of mother, religion, type of family, area of residence, family income/month had no significant association with knowledge of students.

Keywords: Breakfast; Skipping Breakfast; Cognition; Behavior; Anxiety.

 

This article focuses on the need for revolution in nursing in this rapidly evolving era. Nurses need to get along with the advancements of technology in the same pace to maintain standards and quality nursing care. But it is apparent that missing links are found and therefore the need for revolution arises. The article furthers its discussion on the four major areas of nursing such as nursing administration, nursing education, nursing research and clinical practice. It is supported with adequate research. And it concludes stating that nursing community should come forward together with unity and cooperation and exercise required reforms in nursing and raise the standards of nursing profession.

Keywords: Revolution; Nursing administration; nursing education; clinical practice; nursing research

 

Background: Cardiovascular disease is the nation’s number one killer claiming almost as many lives as cancer, accident, pulmonary infection and all other causes of death combined. A cardiac arrest, also known as cardiopulmonary arrest, cardiopulmonary arrest or circulatory arrest, is the abrupt cessation of normal circulation of the blood due to failure of the heart to contract effectively during systole [1]. Dysrhythmias (abnormal heart rhythms) are common in people with cardiac disorders but also occur in people with normal hearts. Because seconds can literally make the difference between life and death for the person who is experiencing a serious dysrhythmias, evaluating responsiveness, quickly activating the emergency medical services and initiating cardiopulmonary resuscitation can determine the outcome [2]. Nurses plays important role in controlling and preventing dysrhythmias. Lack of adequate knowledge regarding the use of defibrillator may be life threatening. Hence the study was undertaken to evaluate the effectiveness of self instructional module on knowledge and practice regarding use of defibrillator  among staff nurses working in selected areas of hospitals of the city, Nagpur.

Objectives: to assess the pre test and posttest knowledge and practice, and to associate the knowledge and practice score with selected demographic variables.

Methodology: a pre-experimental one group pretest posttest design was adopted for the study. It was conducted over 60 staff nurses and was selected by using non probability purposive sampling technique. Pre test was done using self structured questionnaire for knowledge and observation check list for practice. After pretest, the researcher administered self instructional module regarding knowledge and practice. Post test was done after seven days and analysis showed that there was significant increase in knowledge and practice after administering self instructional module. The analysis revels that post test mean knowledge score value which was 22.60 with SD of ±2.36 when compared with pre test mean knowledge score value which was 11.83 with SD of ±2.76. The calculated t value 23.89 is greater than table value 2.00 at 0.05 level of significance. Thus H1 is accepted and H0 is rejected and post test mean practice score was higher 18.78with SD of ±1.73 when compared with pre test mean practice score value which was 11.43 with SD of ±2.16. The calculated t value 23.79 is greater than table value 2.00 at 0.05 level of significance. Thus H1 is accepted and H0 is rejected.

Conclusion: The significantly association was found on knowledge with area of work. Thus, the study concluded that self instructional module was effective in improving knowledge and practice regarding use of defibrillator.

Keywords: Staff Nurses; Use of Defibrillator; Self Instructional Module; Knowledge; Practice.

A structured teaching program was conducted to assess the knowledge score of mothers of under five children regarding safe food practices. The sample of these study comprise of 40 mothers. Collected data was analyzed by using description and inferential statistics in the mother mean value for the pre test 0.53 with the mean % of 53%. The mean value of post test is 0.71 with the mean % of 71%. The data analysis revealed that there is a significant association between all variable. The study revealed that the mothers of under five children gained adequate knowledge regarding safe food practices.

Keywords: Safe Food Practices; Mothers; Under Five Children.

 

Shaken baby syndrome is the medical term used to describe the injuries resulting from shaking an infant or young child. Physical abuse is the one of the main causes of serious head injury in infants. The main aim of the study was to raise the awareness of shaken baby syndrome among care givers of infant. A pre experimental one group pre test post test design was undertaken to assess the effectiveness of structured teaching program on knowledge of caregivers of infants regarding shaken baby syndrome. Purposive sampling technique was used to select 60 caregivers of infant, who were meeting the sampling criteria. Structured knowledge questionnaire was used during data collection, pretest was conducted on day one followed by teaching program among the same care givers in Bhouri, Bhopal. Post test was conducted on the eighth day. Descriptive and inferential statistics were used to analyze data. The finding of the study revealed that mean post test knowledge score (57.8) were significantly higher than the mean pre test knowledge score (36.8) which was significant at 0.05 level. The study revealed that the structured teaching program was effective in enhancing the knowledge of caregivers of infant regarding shaken baby syndrome.

Keywords: Effectiveness; Shaken Baby Syndrome; Structured Teaching Program.

 

A study was conducted to assess the knowledge and attitude regarding infertility among teenagers studying in selected college of Ahmednagar, with a view to develop health education pamphlet. The objectives of the study were 1) To assess the knowledge regarding infertility among teenagers studying in selected college of Ahmednagar. 2) To assess the attitude regarding infertility among teenagers studying in selected college of Ahmednagar. 3) To find out association between the knowledge and selected demographic variables. 4) To find out association between attitude and selected demographic variables. 5) To develop health education pamphlet regarding infertility. The conceptual framework of the study was based on Nola. J. Pender’s health promotion model. The study was conducted on a sample of 60 teenagers studying in New Art’s college of Ahmednagar, using simple random sampling technique. In the present study descriptive survey design was adopted. Data were collected by using structured knowledge questionnaire & Likert’s 5 point attitude scale. The obtained data were analyzed by using descriptive and inferential statistics like frequency, percentage, mean, standard deviation and chi square. The knowledge scores of teenagers revealed that 58.33% had average knowledge, 25% had poor knowledge and remaining 16.66% had good knowledge regarding infertility. The attitude scores of teenagers revealed that 56.66% had neutral attitude, 25% had positive attitude and remaining 18.33% had negative attitude regarding infertility. The study concluded that the knowledge and attitude in the respective field was inadequate among the teenagers. So it is important to initiate actions to enhance the knowledge and attitude of the students in the college so that they can take necessary measures to prevent infertility.

Keywords: Infertility; Teenagers; Health Education Pamphlet.

 

Background: Cardiac emergencies including cardiac arrest proceed with warning signs which should be identified early to enable timely treatment for improvement and survival. The cardiac arrest is a common medical emergency where the nurse play significant role in reducing the magnitude of problems and longevity of life. The aim of present study was to determine effectiveness of simulated demonstration on knowledge and skill regarding cardiac defibrillation among nursing personnel’s.

Material and Methods: A quasi experimental study, pre and post test design was undertaken among nurses of Pravara Rural Hospital, Loni (Bk). A total of 30 nurses were selected by simple random sampling technique who fulfills the inclusion criteria’s. Pre tested structured questionnaire [for knowledge] and observation check list [for skill] was used to collect data. Study was approved by IEC/IRC and informed consent was obtained from all the participants. After pre testing simulated demonstration was implemented in group and post test was conducted after fifteen days of intervention. The descriptive and inferential statistics were applied wherever was required.

Results: The result highlights that simulated demonstration was effective in improving the knowledge as well as enhancing skill on cardiac defibrillation and the difference was found statistically significant. It was noted that knowledge and skill had positive correlation; wherein knowledge had significant association with demographic variable like age (x2 = 4.02), and skill had associated with previous source of information (x2 = 4.65) at p<0.05 level.

Conclusion: Study outcome revealed that simulated demonstration was found effective, and played significant role in improving knowledge and skill on cardiac defibrillation among nursing professionals. Regular the interactive session with simulation better the updates, confidence and aptitude on cardiac defibrillation procedure.

Keywords: Effectiveness; Simulated Demonstration; Knowledge; Skill; Nursing Professionals.

Background: Organophosphorus poisoning is a significant health burden worldwide, developing countries and especially so in India. Management of organophosphorus poisoning needs multidisciplinary approach includes emergency medical care and support services for victims and care givers or family. The present study was planned to carry out with objective of assessing clinical profile and outcome of patients with organophosphorus poisoning.

Material and Methods: A descriptive study with cross sectional survey approach was conducted among 30 patients with organophosphorus poisoning admitted at Pravara Rural Hospital, Loni (Bk). The patients who are 18 years or older were selected with purposive sampling method. A pre tested structured proforma was used to collect the data by observation method. The collected data was tabulated and analyzed using appropriate statistical methods wherever required.

Results: The results revealed that majority of organophosphorus poisoning patients were males and source of poisoning was agriculture work related. A significant number of patients had wide range of health problems like respiratory distress, nausea, vomiting, increased salivation, abdominal pain, diarrhea, excessive sweating, altered level of consciousness, altered emotional status, altered in motor system and changes in reflexes
etc wherein they were managed with comprehensive health care, and shown good recovery.

Conclusion: This study demonstrated that the organophosphorus poisoning was common among young adults with male predominance, and patients had variety of physical and psychological health problems, and managed to have good recovery.

Keywords: Clinical Profile; Outcome; Patients with Organophosphorus Poison.