Indian Journal of Surgical Nursing

Aim: A study to assess the effectiveness of structured teaching programme on knowledge regarding the management of haemophilia among mothers of children with haemophilia.

Objectives: The objective of the study to identify the knowledge of mothers. Mothers regarding the management of haemophilia. To determine the association between post-test knowledge score and demographic variables.

Method: The research approach used for the study was one group pre-test post-tests design. The setting was Alkai hospital and Ashwini hospital .Sample for the major study included 50 mothers on the basis of convenient sampling technique method. A structured questionnaire was used to evaluate the knowledge of mothers of children with haemophilia. The reliability of the tool was established by split half technique and the reliability co-effcient were calculated to be 0.95.

Result: The fndings revealed that knowledge scores of mothers were inadequate before the administration of STP on management of haemophilia among mothers of children with haemophilia. i.e. mean percentage of pre-test was 39%. The STP helped them to update their knowledge on management of haemophilia among mothers of children with haemophilia. The mean percentage of post-test knowledge of sample signifcantly increased about nearly 79.95% after administration of STP. The data was analysed by applying Descriptive and Inferential statistics. The results of the study indicated that mothers do not have adequate knowledge regarding management of haemophilia.

Conclusion: The conclusion drawn on the basis of following fndings of the study. assessment project has helped the investigator to develop an STP to improve the knowledge on management of haemophilia among mothers of children with haemophilia. The results have also shown that various demographic variable have signifcant association with respect to the knowledge of mothers regarding management of haemophilia.

Introduction: Diabetes is a group of metabolic disease in which there are high blood sugars for a prolonged period, if untreated leads to many life-threatening complications. Diabetes is due to either the pancreas not producing enough insulin or the cells of the body not responding properly to insulin.

Defnition: Diabetes is a chronic metabolic disease characterized by elevated levels of blood glucose which leads over time to serious damage to heart, blood vessels, eyes, kidney and nerves.

Incidence:

• IDF Global Diabetes Atlas provides estimated and projected prevalence rate of diabetes around the world. Its most recent data from 2021 shows that China has the largest number of adults with diabetes aged 20-79 years followed by India and Pakistan.

•463 million people globally are diagnosed with diabetes. In that 88 million are from south east Asia, out of that 88 million, 77 million are from India.

• The most affected rate in India is the economically and epidemiologically advanced states that is Kerala and Tamil Nadu. Kerala is the diabetic capital of India.

•In Telangana 26% above 30 years are diagnosed and are at high risk. Total 8% of the people of whole Telangana are diabetics.

• The incidence of diabetes has been increasing signifcantly on a global level. According to the latest statistics issued by the International Diabetes Federation, the number of adult diabetes cases reached 463 million worldwide in 2019, and it is anticipated to rise to 700 million cases by 2045. With the growing prevalence of diabetes, the economic cost has become burden some. The total cost of US diagnosed diabetes in 2017 was estimated by the American Diabetes Association to be $327 billion, with an average individual expense of $16,752 er year. These fgures demonstrate the signifcance of diabetes and encourage scientists and researchers to develop innovative solutions to make the lives of diabetics easier.

Negative pressure wound therapy has revolutionised the way in which acute and chronic wounds are treated. The incision site is usually covered with an occlusive or semi occlusive covering after primary wound closure. It is thought that using closed incisional negative pressure wound therapy on surgical wounds improves wound healing by better distribution of shear stresses on wound edges and promoting the evacuation of wound fluids such as subcutaneous seroma and hematoma.

Introduction: Adolescence represents a critical phase of development and is characterized by major changes in all areas of human life; physical, emotional, spiritual, cognitive and moral. Depression has been found to be the most common psychiatric disorder among adolescents.

Methods and materials: A survey approach with a school based cross-sectional design was adopted. Convenient sampling was used to select the main setting (Udupi block); random sampling was used to select the schools, PUCs, & students. The data collection tools used comprised of demographic proforma, Beck Depression Inventory-I, Factors contributing to adolescent depression questionnaire and scale, Rosenberg’s self-esteem scale. Statistical analysis: Data collected were analyzed using SPSS version 16 by computing the descriptive and inferential statistics.

Results: The main fndings of the study show overall prevalence of adolescent depression was 44%. Depression was found to be signifcantly associated with gender (r=4.69, p=0.030), family history of depression or any mood disorders (r=30.81, p<0.001), presence of any illness (r= 23.692, =p<0.001), stressful life events (r=80.183, p<0.001), loss of someone close (r=1.107, p<0.001) and failure in fnal examinations (r=41.906, p<0.001). There was no association of adolescent depression with age. Depression was found to be negatively correlated with self-esteem (r=-0.794, p<0.001), anxiety (r=-0.729, p<0.001) and confdence (r=-0.760, p<0.001). Depression was found to have a signifcant negative correlation with family relationships (r=-0.700, p<0.001), peer relationship (r=- 0.575, p<0.001) and relationship with teachers (r=-0.589, p<0.001). Depression was found to be independent of the selected demographic variables as class of study, age, religion, type of family, parental marital status, parental occupation, and annual income. However, there was a signifcant association between depression and father’s education (r=57.21, p<0.001), and mother’s education (r=23.62, p=0.003).

Conclusion: The community health department may extend their services to the school by planning adolescent health education on prevention and identifcation of depression. Further exploration of factors contributing to adolescent depression may be conducted through qualitative research.