Indian Journal of Surgical Nursing

Hematohidrosis is a condition which is very rare and in which aperson sweats blood. During examination, it disappeared that as soon as it was being wiped, it does not leave behind any sign of trauma. This confirms that it was sweating of blood and not bleeding Various causative factors have been suggested like component of skin disease, vicarious menstruation, excessive exhaustion, psychological disorders, and some unknown causes. It may also occur in bleeding disorders. We here report a case where bloody sweat was discharged from the forehead and nose, episodically more commonly in summer season in a 15-year-old healthy boy with no bleeding disorder or any other underlying cause. All the investigations done were within normal limits.

Keyword: Hematohidrosis; Sweating blood; Teenage boy.

Background: Nutrition is the science of food and has relationship to health. For every human being eating food is an enjoyment, which is the God’s gift. Good nutrition means “maintaining good nutritional status that enables us to grow well and enjoy good health.”1 Objectives of this study: (i) To assess the existing knowledge & practice regarding nasogastric tube feeding among staff nurses. (ii) To evaluate the knowledge & practice regarding nasogastric tube feeding among staff nurses after planned teaching. (iii) To find out the association of knowledge and practice regarding nasogastric tube feeding among staff nurses with selected demographic variables. Research design: Pre experimental one group pre-test, post- test research design was utilized. 60 staff nurses selected as subjects from both genders, with different ages, educational levels and years of experience was selected by convenient sampling technique for this study. Data were obtained through two main tools; structured knowledge questionnaire & observational checklist. Results: Study results showed that there was significance difference between pre-test post-test knowledge score; pre-test mean score was 12.88 with standard deviation 3.34, whereas in post test it was 19.21 with standard deviation 3.28. In practice score there was significant difference between pre- test post-test practice score; pre-test mean score was 10.60 with standard deviation 2.06, whereas in post test it was 16.96 with standard deviation 2.16. In knowledge & practice score there was no significant association found with age, gender, total work experience only association found with educational qualification in relation to knowledge score. Study concluded that planned teaching program for nasogastric tube feeding made differences in nurse's knowledge and practices.

Keywords: Nasogastric tube; Evidence based practice; Knowledge; Staff nurses.

Introduction: Chemical phlebitis is caused by drug or fluid being infused through IV cannula. Factors such as pH and osmolarity of substances have a significant effect on the incidence of phlebitis. If left untreated, it can lead to infection or thrombus formation. Hence it is essential for the nurses to prevent and treat the phlebitis promptly with cost effective way, thus preventing occurrence of phlebitis during chemotherapy treatment. Material and method: Quasi experimental two groups post-test only design was selected for the study with a sample size 50 in each group. Nonprobability purposive sampling technique was used, patient selected for both groups with lottery method. Inclusion criteria were patient who were receiving chemotherapy, conscious and oriented to time place and person. Exclusion criteria were patient already developed phlebitis at IV infusion site, suffering with peripheral vascular disorder, receiving chemotherapy through central venous catheter or Port A catheters. The control group received hospital existing intervention for the prevention of phlebitis at infusion site, while experimental group received nursing interventions comprised of NS flush, MGSO4 local application and cold application for three days (table no.1, 2). Visual infusion phlebitis scale was used to assess the occurrence of phlebitis. Baseline data was collected from patient. Unpaired t test was used to compare the effectiveness between two groups. Result: In control group the mean score of post-test (0.48) and in Experimental group the mean score of post-test (1.2). Unpaired‘t’ test calculated value for this present study was 2.68 while tabulated’ value was 2.0086 with 98 degrees of freedom (table no.3). There was significant association found between prevention of phlebitis with type of family (7.13), income (4.67), type of cancer (4.28) and systemic disease (6.62). So the null hypothesis was rejected at 0.05 level of significant. Conclusion: The study findings revealed that use of nursing intervention for patient receiving chemotherapy is more effective than the hospital existing practice for the prevention of phlebitis.

Keywords: Nursing intervention; Phlebitis; Chemotherapy.

Background: A diagnosis of cancer can challenge every dimension of the individual physical emotional and spiritual. Even if the prognosis is hopeful, the patient often faces dilemmas concerning the quality and meaning of life. Breast cancer-poses unique concerns for women in that they must face not only issues of pain and suffering but issues of sexual identity and female attractiveness as well.1 Aims and Objectives: A Present descriptive survey approach was conducted to assess psychosocial stress factors in relationship with quality of life among 30 womens with breast cancer at Dr. Vikhe Patil Memorial hospital, Ahmednagar. The data was collected by self-prepared and structured interview schedule. The results were analyzed and interpreted using descriptive and inferential statistics. Results: There was significant association was found between the psychosocial stress factor and age: quality of life with per capita monthly income (P≤0.05 level). There was significant positive relationship were found between psychosocial stress and quality of life. Conclusion: It is essential to raise awareness on cancer treatment and its impact on health; and develop health seeking behaviors among the patients and caregivers to provide better cancer care and improve the quality of life.

Keywords: Psychosocial stress; Factor and quality of life (QOL).

Introduction: The clinical learning environment is an interactive network of forces influencing student learning outcomes in the clinical setting. This study examined the clinical challenges faced by the nursing students in the clinical environment and to develop the solutions to overcome the barrier. Material and Methods: The research approach used for this study was quantitative approach and the design selected was descriptive study design. By using convenient sampling technique200 samples of nursing students were selected for this study. Results: This study results shows that among 200 samples 53.25% of the students facing psychological problem in the clinical environment and 52% of the students facing physiological problem in the clinical environment and 47.37% of the students are facing professional related problem and 55.8% of the students are facing other problems in clinical environment. Conclusion: This study shows that there were majority of the students had face difficulties in the clinical environment with the selected demographic variables such as age ,religion, residence, family income, type of family, and interest in nursing.

Keywords: Clinical environment; Challenges.