International Journal of Pediatric Nursing

Delirium, a syndrome of acute brain failure caused by medical illness, is becoming increasingly recognized in children. Although research in this field remains limited, early studies indicate that it is common, likely has negative long-term squeal, and is treatable with both non-pharmacologic
and pharmacologic approaches. The present study reviews the incidence and risk factors associated with delirium among critically ill children admitted in intensive care unit.
Keywords: Delirium; Incidence; Prevalence; Risk Factors; Intensive Care unit.
 

Endotracheal suctioning is one of the most common advanced procedure carried out in pediatric intensive care. Despite this, there are not many evidences to support different techniques for endotracheal suctioning in pediatric patients as compared to preterm infants and adults. This paper enlightens different techniques used for endotracheal suctioning in pediatric intensive care unit and also its impact on pediatric patients.
Keywords: Endotracheal Suctioning; Neonates; Children; Pediatric Intensive care units.
 

Context: The Protease inhibitors in Potato juice have anti-inflammatory effect which are help to reduce the pathological changes of tissue caused by phlebitis in sick children. Aims: The study aims to compare the effectiveness of MgSO4 fomentation vs potato juice application on phlebitis. Setting and Design: Paediatric Medicine ward in Burdwan Medical College and Hospital, Burdwan. Quasi-experimental equivalent time series design was used for the study. Material and Methods: Non –probability purposive sampling was used the sample comprised of 50 sick children 1-3 years of age were getting intravenous medication and develope phlebitis. Pretested reliable tool had introduced. Data were collected through interview schedule, observation and assessment method. Statistical analysis used: Collected data were tabulated, analyzed and statistically calculated by descriptive and inferential statistics .Inferential statistics had used both dependent and independent t test by using ANOVA. Results: In total. Out of 50 children, the incidence of grade II Phlebitis was 40% and grade III Phlebitis was 60%. The mean reduction score was less in experimental group II was treated with potatao juice (.22,0) than experimental group I treated with MgSO4 fomentation (1.3 and 0.04 ) in subsequent 12th, 24th, 36th, 48th and 60th hour with mean difference 1.8 and 0.04, which statistically significant at .05 level with df 48 as seen by t value 2.01. Conclusions: The study result shows that potato juice was better than 50% magnesium sulphate fomentation in reduction of phlebitis in less time and also effective for tissue regeneration. Keywords: Effectiveness; Sick children; Magnesium Sulphate Formentation; Potato juice application; Phlebitis; Pain.

A quasi experimental study to assess the effect of facilitated tucking position on pain among infants receiving intramuscular immunization at selected hospital, Thrissur. The objective of the study was to assess the pain score among infants receiving intramuscular immunization in comparison and experimental group, evaluate the effect of facilitated tucking position on pain score among infants receiving intramuscular immunization in experimental group and associate the pain score among infants receiving intramuscular immunization with their selected demographic variables. The conceptual framework utilized in this study was kolkaba’s theory of comfort. Nonprobability purposive sampling technique was used to select the samples. Post-test only design was adopted to assess the effect of facilitated tucking position on pain score among 60 infants (30 in experimental and 30 in comparison group) undergoing intramuscular immunization who fulfilled the inclusion and exclusion criteria at Government General Hospital, Thrissur. The tool consists of semi structured questionnaire to assess the demographic variables of infants, includes age, gender, weight, height and time of last feed. Face Leg Anger Cry and Consolability (FLACC) Scale was used to assess the pain score of infants in experimental and comparison group. Reliability and validity of the tool was established. The pilot study was done for 6 subjects and found to be feasible. The main study was conducted from 2nd February to 3rd March 2019. Facilitated tucking was performed on the infants during intramuscular immunization and the pain score was assessed after the procedure and interpreted using FLACC Scale. The study findings revealed that Comparison of pain score in both groups that the calculated ‘t’ value was 7.22, where the table value was 2.390 at 0.001 level of significance. Thus, it was concluded that the facilitated tucking was effective in reducing pain during intramuscular immunization. There was no xii statistically significant association between the pain score among infants receiving intramuscular immunization with their selected demographic variables. Nurses can practice facilitated tucking as a part of routine nursing care of infants during painful procedures. Keywords: Facilitated Tucking Position; Pain Score; Infants; FLACC scale.

Introduction: The COVID-19 pandemic had a major impact on the health-care system that significantly reduced the capacity to continue delivery of health-care services to common people. Objectives: The study aimed to understand knowledge, anxiety and wiliness about COVID-19 vaccine among frontline health-care workers. Methods: This non-experimental cross-sectional online survey was conducted among frontline health-care workers in India. Snowball sampling technique was used to recruit participants for the study and data were collected through online social media platforms. Independent paired ttest was used to compare between anxiety with exposed to COVID-19, diagnosed with COVID- 19, willingness, and knowledge. Multiple logistic regression model was used to assess the potential effects between the anxiety and other independent variables. Results: Out of 884 responses, 844 respondents were included after removing incomplete and duplicate responses. An association was found between anxiety with age, education, income, and occupation. Except for those diagnosed with COVID-19, other parameters were found significant with anxiety. Similarly on comparison between willingness and not willingness with independent parameter, except for anxiety, all other variables were found significant (P=0.05). Anxiety was found potentially significant with independent variables. Higher anxiety i.e. 0.6 times higher anxiety was found among those exposed to COVID-19, 2.2 times higher anxiety found among those willing to vaccinate, 0.7 times higher anxiety found among those with income less than 10,000, and 0.8 times higher anxiety among those who were student by occupation (p<0.05). Conclusion: Though the vaccinecan boost our immune system and would significantly reduce the strain on the health-care system, It’s important to find ways to keep the stress at bay—not only for emotional wellbeing, but also to make sure to get the full benefits of the vaccine.   Background: The Sever acute respiratory syndrome coronavirus 2(SAR-CoV-2) is the prime causative virus for the COVID-19 on going pandemic. It was reported in December 2019 in Wuhan, China for first time, later spread through the world. The COVID-19 pandemic result in a devasting effect on normal life of human being and it has been claimed millions of lives. Health authorities from the city of Wuhan, China, informed World Health Organization (WHO) about an increase in pneumonia cases of unknown origin on December 31, 2019. Health authorities in China detected novel coronavirus as the causative agent for the pneumonia cases and the virus was initially named “2019-nCoV”, which was later renamed as coronavirus disease 2019 (COVID-19). Owing to the virus virulency and its contagious nature, WHO declared novel coronavirus outbreak a public health emergency of international concern. With the steep rise in number of people infected with the virus outside China, WHO stated the eruption as a pandemic on March 11, 20201. Combating a pandemic would require inter-sectoral co-ordination and vaccine hold one among the key’s to resolve the pandemic crisis. In 2015, the World Health Organization (WHO) Strategic Advisory Group of Experts on Immunization outlined vaccine hesitance as a ’time lag in credence or turn down of vaccination despite handiness of vaccination services2 that varies in form and intensiveness based on from where and when it occurs and what vaccine is involved with, as reported in various studies.3, 4 Keywords: COVID-19; Vaccine; Anxiety; Depression; Willingness.