{"title":"Effectiveness of structured pre operative education on anxiety level of patients undergoing elective orthopaedic surgery","authors":"T. Christal Vimala, R. Martin, Anbu Rao, M. Joy","doi":"10.4103/ijcn.ijcn_110_20","DOIUrl":"https://doi.org/10.4103/ijcn.ijcn_110_20","url":null,"abstract":"The prevention of anxiety is of prime importance for patients undergoing surgeries. This experimental study was designed to find out the effectiveness of preoperative education on anxiety of patients undergoing orthopaedic surgeries. In this study, 46 patients who fulfilled the inclusion criteria were recruited and randomly allocated to experimental and control groups. On the previous day of surgery, the demographic and clinical data were collected with a specially designed pro forma, the pre- and post-operative anxiety level was assessed by using the state-trait anxiety inventory form Y-1 questionnaire and factors influencing anxiety were assessed by a self-developed questionnaire. The mean change in the level of anxiety from pre-operative to the post-operative period in the control group was 8.10 (standard deviation [SD] = 11.12). Whereas in the experimental group this was 9.08 (SD = 15.28). The difference in change of anxiety level from control to experimental group is −0.98 (95% confidence interval:-8.94, 6.98), which is not statistically significant (P = 0.805). There is no significant association between the level of anxiety and demographic variables. The fear about post-operative pain was the factor experienced by most of the patients (78.3%) both in the control and experimental group to cause anxiety. The study concluded that almost all the patients had one or more reasons for anxiety in the pre-operative period. Both control and experimental groups had reduction in anxiety level from pre-intervention to post-intervention. However, the difference in mean anxiety scores was not significant between control and experimental group. Most of the patients in both groups gave positive feedback on teaching, which made them feel at ease and was helpful in overcoming anxiety. The structured education did not produce any unique impact on the post-operative anxiety in patients undergoing orthopaedic surgery. Other factors related to perioperative anxiety warrants exploration.","PeriodicalId":186624,"journal":{"name":"Indian Journal of Continuing Nursing Education","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130787982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prevalence and risk factors of non-communicable disease and healthcare-seeking behaviour amongst the adults residing in a selected Village, Mao, Manipur","authors":"Mosozuni Poftte, A. Rani","doi":"10.4103/ijcn.ijcn_132_20","DOIUrl":"https://doi.org/10.4103/ijcn.ijcn_132_20","url":null,"abstract":"Non-communicable diseases (NCDs) are increasingly becoming the leading cause of morbidity and mortality worldwide. The objectives of the study were to identify the prevalence of NCDs, risk factors of NCDs and healthcare-seeking behaviour of the persons suffering from NCDs. Two hundred adults were selected by non-probability purposive sampling technique. After assessing the prevalence of NCDs through a structured questionnaire, healthcare-seeking behaviour was assessed for those adults suffering from NCDs. The tools were pre-tested and validated before data collection. The findings of the study revealed that 14.50% (95% confidence interval: 9.5–19.5) of the adults were suffering from NCDs. The most important risk factor, hypertension, was highly prevalent (56.5%). The study findings revealed a high prevalence of behavioural and clinical risk factors of NCDs. This study also revealed that only family history of NCDs was significantly associated with the occurrence of NCDs. In this study, 61.9% of the adults suffering from a NCD sought healthcare, and amongst them, 90.5% availed treatment from allopathy. Intervention programmes and creating community awareness are needed to modify risk factors.","PeriodicalId":186624,"journal":{"name":"Indian Journal of Continuing Nursing Education","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130622959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evidence Based Guidelines","authors":"","doi":"10.4103/2230-7354.336902","DOIUrl":"https://doi.org/10.4103/2230-7354.336902","url":null,"abstract":"","PeriodicalId":186624,"journal":{"name":"Indian Journal of Continuing Nursing Education","volume":"174 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114976578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Agaya, Aishwariya Philip, A. Joy, Aleesha Tom, A. Babu, Pramila D’souza
{"title":"Assessment of knowledge regarding birth spacing method among married women visiting outpatient department in selected hospital at Mangaluru","authors":"S. Agaya, Aishwariya Philip, A. Joy, Aleesha Tom, A. Babu, Pramila D’souza","doi":"10.4103/ijcn.ijcn_34_21","DOIUrl":"https://doi.org/10.4103/ijcn.ijcn_34_21","url":null,"abstract":"Decisions regarding family planning cannot be forced but need to adopted willingly. Countries with many customs and traditions prefer interval method than sterilisation as a method of family planning. Awareness on benefits and ways of family planning will help to control overpopulation, increase life expectancy and reduce the maternal and neonatal mortality. The aim of the study was to identify the knowledge of married women on birth spacing methods visiting the outpatient department of tertiary hospital at Mangaluru. Non-probability sampling technique was used to select 323 married women. The baseline characteristics showed that 36.6% of subjects were in the age group of 32–38 years, 41.9% were Hindus and 65.6% were educated up to SSLC. About 42.9% of the subjects were multigravida and 37.5% subjects were married for <5 years. The findings also revealed that majority of the subjects (78%) were not using birth spacing method at the time the data collection was done for this study and 59.4% did not have previous information on birth spacing methods. About 22% of the subjects had an average knowledge, whereas 78% had good knowledge about birth spacing method. Although many subjects had good knowledge on birth spacing, majority were not using any birth spacing methods. Spreading awareness on birth spacing as well as encouraging them to choose any one method prevents unplanned and untimely as well as high-risk pregnancies.","PeriodicalId":186624,"journal":{"name":"Indian Journal of Continuing Nursing Education","volume":"332 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123128947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effectiveness of four-square breathing exercise on after-labour pain among post-natal mothers","authors":"J. Vasava, S. Patel, A. Tiwari","doi":"10.4103/IJCN.IJCN_16_19","DOIUrl":"https://doi.org/10.4103/IJCN.IJCN_16_19","url":null,"abstract":"Post-natal period is a joyous yet a challenging period for all mothers. Minor ailments which are physiologically rooted may cause some disruption in the normal routines of motherhood. After-labour pain is one such ailment which often goes unrecognised. The objectives of this study were to assess the level of after-labour pain in post-natal mothers and evaluate the effectiveness of four-square breathing exercise on reducing this pain. This study was conducted on 80 multiparous women recruited from four different maternity hospitals and randomly assigned to experimental and control groups. Experimental group mothers were taught and performed four-square breathing exercise and the control group had standard care. Pre assessment was done at baseline and post-assessment was done on each of the 2 days the exercise or standard care was provided in both control and experimental groups. A visual analogue numerical pain rating scale was used to measure pain. The findings of the study revealed that both control and experimental groups reported significant reduction in pain on post-assessment on 2nd day. The difference in median pain score between control and experimental groups was significant in the post-assessment on the 2nd day. It is concluded that after-labour pain reduces naturally overtime. However, four-square breathing exercise can help in reducing the pain further.","PeriodicalId":186624,"journal":{"name":"Indian Journal of Continuing Nursing Education","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129503598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B. Varghese, P. Ezhilarasu, A. Rajan, M. Jesudason, V. Jeyaseelan
{"title":"Venous thromboembolism risk and adequacy of thromboprophylaxis in surgical patients","authors":"B. Varghese, P. Ezhilarasu, A. Rajan, M. Jesudason, V. Jeyaseelan","doi":"10.4103/ijcn.ijcn_33_21","DOIUrl":"https://doi.org/10.4103/ijcn.ijcn_33_21","url":null,"abstract":"Venous thromboembolism (VTE) is the most prevalent potentially preventable complication amongst surgical patients. Appropriate prophylaxis is quite effective in its prevention. Mechanical and pharmacological thromboprophylaxis can be instituted based on risk categorisation. This study was undertaken to assess the risk for development of VTE in surgical patients and to assess the adequacy of thromboprophylaxis. A descriptive research design was used and was conducted in the general surgical wards of a tertiary hospital in South India. All 385 patients who were admitted in the surgical wards during the data collection period were included in the study, and the VTE Risk Assessment Tool by the Department of Health (2008b), UK, was used to assess the VTE risk in these patients. Eighty per cent of the patients were at high risk for developing VTE, and majority (62.7%) of them were not on any method of thromboprophylaxis. Only a minority (11.7%) of those who belonged to moderate or low risk were found to be on thromboprophylaxis. Majority of the patients who were found to be at high risk and were on prophylaxis for VTE were on anti-embolism stockings. More than half of the patients who were at low or moderate risk for VTE were found to be on injection heparin administered subcutaneously. There was a statistically significant association between age, type of occupation, the number of days of hospital stay, type of surgery, mobility level of patients and the VTE risk. Implementation of VTE risk assessment tool and a protocol for thromboprophylaxis helps in prevention of VTE and the complications associated with thromboprophylaxis. Incorporating this topic as a regular in-service education can ensure its mandatory learning and practice by nurses – the front line caregivers.","PeriodicalId":186624,"journal":{"name":"Indian Journal of Continuing Nursing Education","volume":"235 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116204978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Sasidharan, H. Dhillon, Shalendra Singh, M. Babitha, G. Dhillon
{"title":"Susceptibility and immunity: Race or racism?","authors":"S. Sasidharan, H. Dhillon, Shalendra Singh, M. Babitha, G. Dhillon","doi":"10.4103/ijcn.ijcn_6_21","DOIUrl":"https://doi.org/10.4103/ijcn.ijcn_6_21","url":null,"abstract":"As the world navigates through this unprecedented time of the COVID-19 pandemic, everything has been pushed to a staggering halt. What catapulted is the health-care services as increasing number of patients flocked for medical care after being diseased by the virus. Even in the eye of such a peril, there have been major misconceptions and misunderstandings about racial disparities and the illness. Black people immunity is one such. This article tries the unravel the history, understanding and science of black immunity for the benefit of health-care providers to iron out the ethical dilemma and bias that impacts the quality of care.","PeriodicalId":186624,"journal":{"name":"Indian Journal of Continuing Nursing Education","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114740222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Preterm infant with COVID-19 - A case presentation","authors":"Leena Dorairaj, Preethi Precilla, M. Sankar","doi":"10.4103/ijcn.ijcn_32_21","DOIUrl":"https://doi.org/10.4103/ijcn.ijcn_32_21","url":null,"abstract":"The coronavirus disease-2019 (COVID-19) emerged as a pandemic in December 2019. Pre-natal, post-natal and early newborn periods are considered to be highly susceptible periods in terms of the COVID-19 infection. Although there is little evidence on vertical transmission from mother to her newborn, an infection can occur after birth. This case report highlights coronavirus infection in a newborn born to COVID positive mother.","PeriodicalId":186624,"journal":{"name":"Indian Journal of Continuing Nursing Education","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130934359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acute intermittent porphyria - A case presentation","authors":"Sasikala Umesh","doi":"10.4103/IJCN.IJCN_36_20","DOIUrl":"https://doi.org/10.4103/IJCN.IJCN_36_20","url":null,"abstract":"Acute intermittent porphyria (AIP) is a rare autosomal dominant metabolic disorder affecting the production of haem, resulting from deficiency of porphobilinogen (PBG) deaminase. It is the most common form of acute porphyrias. The major symptom of an acute attack is abdominal pain, often accompanied by vomiting, hypertension and tachycardia. Attacks are most common in young women but rare before puberty or after menopause. Severe acute attacks may require hospitalisation. The most common triggers for acute attack are medications, weight loss, diet and surgery. Elevated urine PBG confirms the diagnosis of AIP. The treatment for acute porphyria includes administering intravenous haemin or glucose. This article outlines the disease process and its management. A case report is presented focusing on the nursing management of a patient with AIP using nursing process approach.","PeriodicalId":186624,"journal":{"name":"Indian Journal of Continuing Nursing Education","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131047747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Designing the literature review: Historical, narrative, theoretical, integrative, and scoping reviews","authors":"S. Durai","doi":"10.4103/ijcn.ijcn_51_21","DOIUrl":"https://doi.org/10.4103/ijcn.ijcn_51_21","url":null,"abstract":"The design of a literature review can be considered as the blueprint of the review which can determine the quality of the review. The need for bringing together different pieces of information and research results together in one place gave rise to the concept of literature review. Over the years, different designs of literature review developed based on various factors. These factors which determine the design of review are the goal of the review, the comprehensiveness required and the rigor involved in the review. This article describes five of the reviews, namely historical, narrative, theoretical, integrative and scoping reviews. An attempt is made to summarise the purposes, the steps in the process of reviewing, the limitations as well as methods, if any, to overcome those limitations. It is hoped that an understanding regarding these designs will enable the nursing scholar to choose the design best suited to the aim of the literature review.","PeriodicalId":186624,"journal":{"name":"Indian Journal of Continuing Nursing Education","volume":"114 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133929306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}