Nursing & Midwifery Research Journal最新文献

{"title":"Evaluation of the Active Nursing Management on the Nonreactive Nonstress Test of Antenatal Mothers Above 32 Weeks of Gestation","authors":"L. Ngahneilam, S. Kaur, K. Das, P. K. Saha","doi":"10.1177/0974150X221085319","DOIUrl":"https://doi.org/10.1177/0974150X221085319","url":null,"abstract":"Introduction: Nonstress test (NST) is a part of routine monitoring of pregnant women before delivery. It is the most common and significant test performed for assessing the well-being of the fetus by observing the fetal heart rate and its acceleration in response to fetal movement. Objective: To evaluate the active nursing management on the nonreactive NST of antenatal mothers above 32 weeks of gestation. Material and Methodology: A descriptive study was conducted at an obstetrics and gynecology OPD of a tertiary care teaching hospital in Chandigarh, India, for a period from October to December 2020. Ethical approval was obtained from the Institute Ethics Committee, PGIMER, Chandigarh. The total sample for the study includes 60 antenatal mothers above 32 weeks of gestation, who were enrolled by enumeration sampling technique. The tools used for collecting the data were as follows: (1) interview schedule that comprised of (a) sociodemographic profile and (b) obstetric profile, and (2) NST graph and pro forma to record the result of NST. The NST was performed in the left lateral position for 20 min and extended to 40 min if desired results were not obtained. Antenatal mothers with nonreactive NST were given active nursing management, such as having breakfast/juice and ambulation/walking around. Again, a half-hour later, NST was repeated. A Philips Avalon FM 30 fetal monitor was used to record all the NST tracings. The results obtained were evaluated by the same obstetrician and gynecologist. Data were analyzed using IBM SPSS version 20. Result: Findings revealed that the majority (85%) of the antenatal mothers had a reactive NST, whereas 10% of antenatal mothers had a nonreactive NST. Out of the 6 (10%) antenatal mothers who were nonreactive, five antenatal mothers were changed into reactive NST after the active nursing management, i.e., maternal ambulation, having breakfast/juice for hydration after half-hour elapsed, whereas one antenatal mother who remained nonreactive NST was referred to a clean labor room after an abnormal ultrasound biophysical profile result by the obstetrician and gynecologist for induction of labor. Conclusion: It is concluded that NST is a significant test to prevent stillbirth. Active nursing management, such as maternal ambulation, well-fed, and well hydration, of the antenatal mothers can change the nonreactive NST to a reactive NST result.","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131306408","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":"Concerns of the Patients with Lower Limb Amputation During Transition from Hospital to Home: A Qualitative Study","authors":"Rashi Sharma, Shruti, S. Kaur, U. Saini, J. Kaur","doi":"10.1177/0974150X221085322","DOIUrl":"https://doi.org/10.1177/0974150X221085322","url":null,"abstract":"Background: Amputation of the lower limb leads to marked physical disability and brings a significant and dramatic alteration to the patient’s life. Life with a sudden disability after discharge at home is not easy for a patient who had undergone amputation both physically as well as psychologically. But how the patients perceive the period of discharge is still an untouched area in literature. Objective: To explore the concerns of the patients with lower limb amputation during transition from hospital to home. Methods: A phenomenological research study was conducted in the amputation clinic of a tertiary care center in North India. Participants were the patients who had undergone lower limb amputation after sudden trauma. The tool used was an interview schedule, which comprised of(a) personal profile of the patients and (b) in-depth interview topic guide. In-depth interviews were conducted until data saturation. After 14 interviews, no fresh responses were received, and therefore, data collection was stopped after 16 interviews. Data were analyzed using Colaizzi’s method of data analysis. Results: Based on the participants’ verbatim, a total of three themes and eight subthemes were extracted after data analysis. The main theme that emerged was different emotions at the time of discharge, and the subthemes extracted under this theme were “want to leave stressful environment of hospital,” “feeling more secure at hospital,” and “not willing for discharge—anxiety of facing society.” The second theme was “unexpected hardships in the home after discharge,” and subthemes extracted under this theme were “reactions of closed ones,” “facing reality of practical life-unimagined difficulties,” and “immediate comparison to previous healthy life.” The third theme that emerged was “the bright side of amputation,” and subthemes extracted under this theme were “understood the uncertainty of life” and “positive transformation in life.” Conclusion: The study findings highlighted that experience of each individual is unique. Therefore, an individualized and patient-tailored approach must be used while handling such patients. Furthermore, the life at home after amputation comes with multifaceted challenges. Hence, there is a need of rendering detailed discharge information and need-based counseling at the time of discharge.","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"12 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120822902","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":"“HASSLES” in Caring a Child Suffering from Anorectal Malformation with Colostomy: A Phenomenological Study","authors":"A. Sugesh, S. Kaur, Sunita Sharma, R. Samujh","doi":"10.1177/0974150X211057963","DOIUrl":"https://doi.org/10.1177/0974150X211057963","url":null,"abstract":"Introduction: Anorectal malformations (ARM) are the birth defects, in which anus and rectum mature inappropriately, which include a wide spectrum of diseases ranging from simple imperforate anus to cloaca. Children with ARM and the caregivers have to undergo a lot of struggles/hassles to maintain a near-normal daily living. The impact of the disease is profound, as it affects the child’s entire life and the whole family dynamics. Objective: To explore the hassles of caregivers of children suffering from ARM and having a colostomy. Materials and Methods: A phenomenological research were conducted. A purposive sampling technique was used to conduct in-depth interview of caregivers of children suffering from ARM, who met the inclusion criteria. In-depth interviews were conducted telephonically using an interview guide. Fifteen caregivers were interviewed and all the interviews were recorded and verbatims were prepared. Analysis of data was done by Colaizzi’s analysis steps and formulated themes and subthemes. Result: The study results showed the difficulty of caregivers in caring for a child suffering from ARM and colostomy. The theme emerged was “Hassles in caring for the child with ARM and colostomy.” The subthemes were balancing home management and child care, lack of support system, lack of specialized training, fear in doing care, problems in feeding, readmissions because of health issues and troubles in hospital stay. Conclusion: The caregivers face a lot of hassles while caring for a child with ARM and colostomy. The study revealed the difficulties experienced by the caregivers in caring for the child suffering from ARM and having colostomy. The study will be helpful for students, nurses, doctors, and other health care providers to identify the various problems faced by caregivers and to take certain initiatives to lessen their strain of caregiving process.","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125579639","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":"Effect of Support Group Approach on Behavior, Stress, and Coping Factors Among the Family Caregivers of Head Injury Survivors","authors":"Haneet Kaur, Monaliza, S. Kaur, P. Salunke, A. Aggarwal","doi":"10.1177/0974150X211058189","DOIUrl":"https://doi.org/10.1177/0974150X211058189","url":null,"abstract":"Background: Head injuries may lead to permanent disabilities or death. Long-term complications and health problems of the patients may impact the physical and mental health of the family caregivers. Support group approach helps the caregivers to deal with the circumstances that may arise during the care of their survivors. Objective: This study aimed to assess the effectiveness of support group approach on risk of development of health and behavior problems, level of stress, and coping level among the caregivers of the head injury survivors. Materials and Methods: A quasiexperimental study was conducted in Neurosurgery Units, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh. A total of 60 caregivers (30 each in control and experimental groups) were enrolled by total enumeration technique. Data were collected using an interviewing schedule consisting (a) sociodemographic profile of the caregivers, (b) caregiver self-assessment questionnaire, (c) the Kingston caregiver stress scale, and (d) coping scale. The caregivers in the control group received routine care. In the experimental group, they were involved in group discussions during support group meetings. Various methods of dealing with stress, risk for development of health and/or behavior problems, coping strategies were discussed in the support group meetings where the teachings and demonstrations were given to the caregivers. In support group meetings, the caregivers discussed their problems and expressed their ideas and coping strategies to solve their problems. An information booklet on the same was also given to them. The follow-up was carried out at 15 days and 1.5 months of the enrollment of the patients. Results: The risk of development of health and behavior problems decreased in both the experimental and control groups. Median values of caregiver’s stress score was significantly less in the experimental group (P < .01) as compared to the control group. All the caregivers in the experimental group and only 10.0% in the control group had above average coping to deal with the problems in their day-to-day activities. Conclusion: “Support group approach” for the caregivers of head injury caregivers was found to be effective in terms of decreasing the risk of development of health and behavior problems, improving coping, and reducing stress among the caregivers. Therefore, support group approach can be encouraged in order to enhance the knowledge and confidence of the caregivers to deal with the problems of the patients.","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129656238","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":"Pain, Drug Leakage and Inflammation Associated with Intramuscular Injections of Magnesium Sulfate in Preeclamptic Women: A Descriptive Study","authors":"Jayanthy J. Babu, V. Venkadalakshmi, M. Dhandapani, S. Chopra","doi":"10.1177/0974150X211057961","DOIUrl":"https://doi.org/10.1177/0974150X211057961","url":null,"abstract":"Introduction: Magnesium sulfate (MgSO4) is the drug of choice for preventing and treating convulsions in severe preeclampsia and eclampsia by intramuscular (IM) and IV (IV) regimen. Repeated IM injections of MgSO4 at the same site causes pain, drug leakage, and injection site inflammation. To manage IM injection-related complications, it is important to have an estimation of these adverse effects. Objective: To evaluate the pain, drug leakage, and inflammation associated with IM injections of MgSO4. Material and Methods: A longitudinal descriptive study was carried out in the labor room, PGIMER, Chandigarh. Thirty study participants diagnosed and admitted with preeclampsia were recruited by the total enumeration sampling technique. Each patient received eight IM injections of MgSO4 on the dorsogluteal site as prescribed by the obstetrician. Identification details, clinical, and biophysical characteristics were collected. The pain was assessed by a numerical rating scale (NRS). Sterile blotting paper was used to assess the drug leakage by measuring the wet area of the blotting paper and recording in cm2. A gridded transparent sheet was used for measuring inflammation. The area of the swelling marked and measured by placing the gridded transparent sheet over the swelling and recording in cm2. Results: Pain and drug leakage was significantly increased from the first injection to the eighth injection (P < .05) and inflammation of 100.60 ± 21.23 (Right), 102.07 ± 21.23 (left) cm2 recorded over the buttocks. Conclusion: Significant increase in pain, drug leakage, and inflammation were recorded during the IM administration of MgSO4. For reducing the pain, drug leakage, and inflammation, nonpharmacological interventions and different techniques of IM injections are recommended.","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122647129","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 Conventional Mirror Therapy on Functional Improvement of Upper Extremities in Patients with Stroke: A Prospective Interventional Study","authors":"Lekshmy D., M. Dhandapani, S. Gupta, D. Khurana","doi":"10.1177/0974150X211057960","DOIUrl":"https://doi.org/10.1177/0974150X211057960","url":null,"abstract":"Background Stroke is the one of leading causes of death, and paralytic upper extremity (hemiparesis) is a common effect of stroke. The mirror therapy is considered to be an effective therapy to improve muscle strength of upper extremities and activity of daily living of patients with hemiparesis in stroke. Objective To assess the effectiveness of conventional mirror therapy on muscle strength and the activities of daily living in patients of stroke with hemiparesis. Methodology Using total enumeration sampling technique, a prospective interventional study was conducted on 40 patients of stroke receiving conventional mirror therapy in Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh from July to September 2019. Ethical clearance was obtained, and informed written consent was taken from patients. Data was collected by using interview schedule, which comprised of two parts, (a) socio demographic profile and (b) clinical profile, which were collected at the time of enrollment. Functional outcome, that is, muscle strength was assessed by using Wolf Motor Function Scale and Box and Block Test, and activities of daily living were assessed by using Functional Independent Measure at the time of enrolment (baseline). After enrollment of the patients mirror therapy demonstration, pamphlets were given to the patients and follow-ups were done on the first month and third month after interventions. Results There was significant improvement in muscle strength based on Wolf Motor Function Scale (P < .001) and Box and Block Test (P < .001), and in activity of daily living based on Functional Independent Measure (P < .001) from baseline to third month after discharge. Conclusion Conventional mirror therapy is one of the most effective therapies for improving the muscle strength and activity of daily living after stroke in case of hemiparesis.","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126319469","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 ‘Relapse Prevention Therapy’ on High-Risk Situations for Alcohol Use Among Alcohol Dependents","authors":"Anu Sharma, K. Das, Sunita Sharma, Abhishek Ghosh","doi":"10.1177/0974150X211057957","DOIUrl":"https://doi.org/10.1177/0974150X211057957","url":null,"abstract":"Introduction: Alcohol dependence is a major health concern. It is a progressive and fatal condition influenced by various factors such as heredity, psychology, and environment. There are intrapersonal, interpersonal, and social high-risk situations associated with relapse. Aim: To assess the effectiveness of “relapse prevention therapy” on high-risk situations for alcohol use among alcohol dependents. Methods: A preexperimental design was used. The study was registered with Central Trial Registry of India (CTRI). Total 32 patients from Drug De-addiction and Treatment Centre Out Patient Department (OPD), Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, were selected by using the purposive sampling technique. The tools used for data collection were sociodemographic datasheet cum clinical datasheet of the patient and inventory of drug-taking situations (IDTS-8). Patients received three sessions of relapse prevention therapy. Follow-up was done after eight weeks of relapse prevention therapy. Data was analyzed by both per-protocol analysis and worst-case analysis. Results: All three sessions were completed by 71.9% participants. Participants reported unpleasant emotions as the most frequent cause of their drinking. It was found that there was a significant reduction in alcohol consumption because of high-risk situations (P =< .05) in both the analysis. Conclusion: Relapse prevention therapy was effective in dealing with high-risk situations for alcohol use.","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130131197","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":"A Correlational Study to assess Selfie Addiction and Self-Esteem among Nursing students","authors":"M. Kaur, Monika Dogra, Sumit Kumar","doi":"10.33698/NRF0339","DOIUrl":"https://doi.org/10.33698/NRF0339","url":null,"abstract":"","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"1 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":"116343459","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":"Assessment of the intake of Nutritional Supplements Among Pregnant Women attending Antenatal Clinic","authors":"Aditi Chaudhary, Monaliza, V. Venkadalashmi, S. Siwatch","doi":"10.33698/NRF0342","DOIUrl":"https://doi.org/10.33698/NRF0342","url":null,"abstract":"","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"57 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":"124078736","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":"Assessment of documentation practices of maternal Assessment and care by Nursing Personnel working in Tertiary Care Hospital","authors":"M. Kaur, K. Narang, A. Rana, Neelam Aggarwal, S. Ghai","doi":"10.1177/0974150x20210304","DOIUrl":"https://doi.org/10.1177/0974150x20210304","url":null,"abstract":"","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"33 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":"114525654","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}