{"title":"Restraints Practices on Patients of the Psychiatric Wards in a Selected Hospital, Mangalore","authors":"C. Jayaprakash, S. Sequera, Chanu Battacharya","doi":"10.1055/s-0043-1769580","DOIUrl":"https://doi.org/10.1055/s-0043-1769580","url":null,"abstract":"Abstract Background Restraints are one of the common procedures performed in various medical settings, especially intensive care units, and psychiatric wards. There are various forms of restraints, including chemical, physical, and mixed restraints. The primary reasons for using restraints are to prevent injury to the patient and others, and to reduce violent behavior in psychotic patients. Objectives The aim of this article was to identify the types of restraints used for psychiatric patients and current restraint practices for patients in psychiatric wards of selected mental health facilities. Methods This was a descriptive cross-sectional study conducted among 100 psychiatric patients selected using purposive sampling techniques. An observational checklist was used to assess restraint practice in patients who met study criteria. Results The majority of patients (44%) received chemical restraints, some (28%) received physical restraints, but a minority (28%) used mixed restraints. In terms of practice, most patients (91%) received reasonably safe restraint care. An association was found between practice of restraints and restraints type with a p -value (0.001) less than 0.05 at a significance level of 0.05. Conclusions The development of mandatory practice protocols is critical for better nursing care.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49304712","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":"Efficacy of Communication Skill Training on Knowledge and Skill of Nursing Students in Conveying Diagnosis to Patients with Cancer: A Pilot Study Approach","authors":"Viji Prasad, P. Naik, Alphonsa Ancheril","doi":"10.1055/s-0043-1769581","DOIUrl":"https://doi.org/10.1055/s-0043-1769581","url":null,"abstract":"Abstract Introduction Procuring communication skills that enable nurses to be effective yet person-centeredness is increasingly a hallmark of quality cancer care. The growing importance of patient outcomes and experiences in health care may mean that communication skill training is finally getting the attention it so clearly deserves. Objectives The main objectives of the study were to assess the efficacy of communication skill training on knowledge and skills of nursing students in conveying diagnosis to patients with cancer. Materials and Methods Quasi-experimental pretest–posttest with control group research design was adopted for the study. A total of 32 third-year BSc nursing students (intervention group, 16; control group, 16) were selected by nonprobability purposive sampling technique from two selected colleges at Mangaluru. Baseline proforma, self-administered knowledge questionnaire, and breaking bad news assessment schedule were used for data collection. Tools were validated by 11 subject experts. Communication skill training was provided for 8 hours (2 hours of theory and 6 hours of skill training on conveying diagnosis). A blinding method was adopted to assess the skill of the students that enable to avoid subjectivity. Results The mean age of participants in the intervention group was 20.56 and of participants in the control group was 20.94. All participants (100%) of both the intervention and control groups were females. The results showed there was a significant difference found in knowledge scores ( t = 8.52, p = 0.000) between the intervention and control groups after the intervention. There was a significant improvement found in conveying diagnosis skills among students between the intervention and control groups in different time periods. There was a slight positive correlation found between pretest knowledge scores and eliciting concerns domain of conveying diagnosis skill ( r = 0.57, p = 0.023). Conclusion The study results revealed that communication skill training session was very effective for improving the knowledge and skills of students, and it enables them in providing quality care to patients with cancer through effective communication.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45724338","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 Multimodal Intervention on Cancer-Related Fatigue and Quality of Life among Patients Undergoing Cancer Treatment—Pilot Study (Part 1)","authors":"Shambhavi Shambhavi, D. Lobo","doi":"10.1055/s-0043-1768592","DOIUrl":"https://doi.org/10.1055/s-0043-1768592","url":null,"abstract":"Abstract Background Cancer-related fatigue (CRF) is the most common and devastating problem in cancer patients even after successful treatment. CRF has a severe impact on daily activities, social relationships, reintegration, and overall quality of life (QOL). Objective This study was done to evaluate the effect of multimodal intervention (MMI) on CRF and QOL among cancer patients undergoing cancer treatment. Materials and Methods One group before-and-after study (pre-experimental design) was conducted among cancer patients undergoing cancer treatment who met inclusion criteria and were selected using a purposive sampling technique, in selected hospitals. MMI consisted of exercise program, acupressure, and home care management guide. Pre-test CRF and QOL were assessed on first day using a FACIT-F scale (Functional Assessment of Chronic Illness Therapy: Fatigue) and Functional Assessment of Cancer Therapy: Fatigue (FACT-G) Version 4, respectively. Post- test for CRF was further determined after 7 days, 21 days, and 3months and QOL was determined after 21 days and 3 months. Statistical Analysis Demographic and clinical characteristics of the participants are presented as frequency and percentage. Comparison of pre- test and post-test means of CRF and QOL is done by repeated measures analysis of variance (ANOVA). Correlation between fatigue and QOL of cancer patients was found by using Pearson correlation test. Results The mean pre-test fatigue score of the cancer patients (pre-test mean= 25.21) was lower than their mean post-test fatigue scores (post-test 1 =25.83, post-test 2 = 28.28, and post-test 3 = 34.72). There was a significant difference in CRF and QOL scores between before and after the MMI. In the repeated measures ANOVA, p -value is less than 0.05 (level of significance p < 0.05). Conclusion Regardless of mechanism of occurrence of fatigue, most patients living with cancer suffer with persistent CRF. Yet it is often not assessed, has limited treatment options, there is a need to assess the state of fatigue in cancer patients. They do need intervention to reduce the fatigue and to improve the QOL. Nonpharmacological therapies are the best strategies to manage the fatigue among cancer patients without any safety issue.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46763304","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":"Quality of Life and Expressed Emotion in Caregivers of Patients with Psychiatric Disorders","authors":"Sabeena Mtp, Agnes Ej, Lavina Rodrigues","doi":"10.1055/s-0043-1769578","DOIUrl":"https://doi.org/10.1055/s-0043-1769578","url":null,"abstract":"Abstract Background Caregivers form an integral part of the psychosocial management of patients with psychiatric conditions. Caregivers of patients with major psychiatric disorders feel burdened, as these disorders are unpredictable and long lasting. The study was aimed to assess the quality of life (QOL) and expressed emotion among caregivers of patient's with psychiatric disorders. Materials and Methods A cross-sectional descriptive design was adopted for the study. The sample consisted of 300 caregivers of psychiatric patients who visited psychiatric outpatient department and inpatient department of selected hospital. The caregivers were selected by using convenient sampling technique. Baseline proforma, the World Health Organization Quality of Life Scale (WHO QOL BREF), and Family Attitude Scale were used to collect the data. Results Descriptive and inferential statistics were used to analyze the data. The analysis revealed that there was a weak negative correlation between QOL and expressed emotions. The obtained “ r” value (−0.14) was statistically not significant at 0.05 level of significance. Hence, the research hypothesis was rejected and the null hypothesis was accepted. Conclusion The study concluded that there was a low negative correlation between QOL and expressed emotions. The obtained “ r ” value (−0.14) is statistically not significant at 0.05 level of significance. But there was association between QOL and income and occupation of the caregiver.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42181390","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":"Nephroprotective Potential of Sphaeranthus indicus Linn Extract against Hyperglycemia and Dyslipidemia in Streptozotocin-Induced Diabetic Nephropathy","authors":"Vishalaxi Jadhav, J. Vaghela","doi":"10.1055/s-0043-1769511","DOIUrl":"https://doi.org/10.1055/s-0043-1769511","url":null,"abstract":"Abstract Objective This study was aimed at determining the nephroprotective potential of Sphaeranthus indicus Linn methanol extract (SME) against hyperglycemia and dyslipidemia in streptozotocin (STZ)-induced diabetic nephropathy (DNP) in adult Wistar albino rats. Materials and Methods Following STZ-induced diabetes, adult albino Wistar rats of either sex with serum glucose level more than 250 mg/dL were chosen and randomized into six groups ( n = 6 rats per group) and received the treatment as follows: Group I: Normal nondiabetic (ND) rats received a single intraperitoneal dose of citrate buffer in the same volume as STZ and 1% (w/v) carboxymethyl cellulose (CMC) per os (po), group II: diabetic (STZ) control rats received oral dosage of 1% (w/v) CMC, group III, IV and V: STZ + SME treated rats received a suspension of SME (100, 200, and 400 mg/kg, po) in 1% (w/v) CMC, and group VI: STZ + MET treated rats received metformin (500 mg/kg, po) as suspension in 1% (w/v) CMC. From 28th day to the 56th day of STZ injection, SME and MET were given for 28 days in the form of freshly prepared suspension. The impact of STZ-induced DNP was analyzed through the estimation of body weight, serum glucose, and hemoglobin A1c levels, renal functional parameters, the serum lipid profile, oxidative stress markers, and analysis of renal histoarchitecture. Result Diabetic (STZ) control rats showed significant alterations in body weight, serum glucose and hemoglobin A1c levels, renal functional parameters, the serum lipid profile, oxidative stress markers, and renal histoarchitecture in contrast to normal ND rats. SME and MET treatment significantly reduced hyperglycemia-induced enhanced lipid profile and oxidative stress, normalized renal functional parameters, and restored renal histoarchitecture by reducing vacuolar degeneration of renal tubules in contrast to diabetic (STZ) control rats. These findings were attributed to SME's efficacy in DNP. Conclusion In STZ-sensitized diabetic rats, SME retarded the progress of nephropathy. The observed nephroprotective potential of SME is ascribed to its hypoglycemic, hypolipidemic, and antioxidant activities.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57981204","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":"The Rise and Efficiency of Low Field Portable MRI Scanners","authors":"T. Pires, Jaseemudheen M.M","doi":"10.1055/s-0043-1769759","DOIUrl":"https://doi.org/10.1055/s-0043-1769759","url":null,"abstract":"Abstract Since the discovery of magnetic resonance imaging (MRI) as an imaging modality, it has evolved immensely and is still doing so. Most imaging modalities have made bedside or emergency imaging possible due to their portability. This aspect is yet to be fully evaluated and established in the case of MRI as its high-field strength requires specialized infrastructure and its time-consuming nature makes its portability questionable. The goal of this review is to access the efficiency and feasibility of low-field portable MRI (pMRI) systems in a wide array of health care applications. Articles from indexed journals, on PubMed, Springer, Elsevier, etc. databases, relevant to this study were searched and reviewed. This review provides an atypical design that could be used in making a pMRI unit that could find its potential in diagnosing a wide variety of pathologies with an added advantage of imaging critical patients in the intensive care unit or patients in isolation due to its portability, imaging patients with implants or prosthesis effectively due to its low field, pediatric imaging due to its high speed, for guided interventions, imaging obese and claustrophobic patients due to its open nature, in dental imaging, extremity scanning, etc. With its vast spectrum of applications in the health care system, the future of low-field pMRI units seems to be bright.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42831820","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":"The Relationship between Emotional Intelligence, Self-Esteem, and Empathy among Nursing Students—A Pilot Study (Part 1)","authors":"P. S. Castelino, T. Mendonca","doi":"10.1055/s-0043-1769584","DOIUrl":"https://doi.org/10.1055/s-0043-1769584","url":null,"abstract":"Abstract Objectives The aim of this study was to determine the relationship between emotional intelligence, self-esteem, and empathy of nursing students undergoing clinical experience in pediatric units. Materials and Methods A cross-sectional survey was conducted and data were gathered from 60 BSc nursing students undergoing clinical experience in pediatric units. Self-report questionnaires assessing emotional intelligence, self-esteem, and empathy were used and information about demographic details was collected. Statistical Analysis Pearson's correlation was used to find relationship between the constructs. Results Nursing students had moderately high level of emotional intelligence. Nursing students had below average level of empathy. There was no significant relationship between emotional intelligence and empathy of nursing students. There was a significant positive relationship between emotional intelligence and self-esteem of nursing students. There was no significant relationship between empathy and self-esteem of nursing students. Conclusion More research needs to be conducted to find the relationship between emotional intelligence, self-esteem, and empathy of nursing students so that proper training measures can be adopted to enhance these qualities which are crucial in providing quality care to the patients.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42857108","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":"Maternal Participation in Sensory Care of Preemies: A Pilot Study Examining the Effect on Neonatal Outcome in NICU","authors":"R. Lobo, T. Mendonca","doi":"10.1055/s-0043-1769579","DOIUrl":"https://doi.org/10.1055/s-0043-1769579","url":null,"abstract":"Abstract Background Hospitalization with specialized medical care and equipment in neonatal intensive care unit (NICU) can help preterm infants survive and thrive; negatively it can lead to separation from the mother with an impact on their growth and behavior. It is critical to assess the interventions that are more beneficial for their development at this particular period. The study's objective was to examine the effectiveness of maternal-directed multisensory stimulation in premature neonates admitted to NICU on neonatal outcomes. Methods A pilot, quasi-experimental research was designed where 31mother-preterm newborn dyads were enrolled in the intervention and control group, respectively, using a purposive sampling technique. The study included medically stable preterm neonates admitted to NICU between 30 and 36 weeks of gestation weighing 1 to 2.5kg. The preterm in the study group was given ATVV (Auditory, Tactile, Vestibular, and Visual) stimulation for 10 days by the mother, whereas the preterm in the comparison group received the standard treatment. The neonatal outcomes evaluated were weight, physiological parameters, and behavioral assessment of preterm neonates. Results Preterm newborns who received the intervention scored significantly better than the comparison group on the parameters of heart and respiratory rate, blood oxygen levels, weight, and preterm assessment behavior between the 7th and 10th day of the intervention that suggests the effectiveness of the intervention in improving these parameters of preterm newborns. Conclusion Maternal guidance and participation in the care of a preterm newborn have a beneficial neonatal outcome in stabilizing the physiological parameters, and improving the weight and preterm infant behavioral characteristics.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46830443","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":"Extensive Rehabilitation of a Medically Compromised Patient with Vitamin-D Deficiency Using Dental Implants: A Case Report","authors":"M. K. Parakh, M. Shetty, R. Hegde, Athma Shetty","doi":"10.1055/s-0043-1768595","DOIUrl":"https://doi.org/10.1055/s-0043-1768595","url":null,"abstract":"Abstract Patients often report to dental practice with a wide range of chief complaints. At times, young adult patients, seemingly fit clinically, report extensively damaged dentition. It is important that such patients be evaluated more extensively and the etiology if any, for such debilitated dentition, must be assessed. Dental implants are a successful treatment modality that helps to restore the function and esthetics of a patient. Early dental implant failure refers to the dental implant's failure to osseointegrate with the native bone during the phase of healing. This article describes one such young adult patient of 34 years, who presented with a history of dental implant failures without any underlying systemic comorbidities. The patient's elaborate history was taken and it was found that the patient had a severe vitamin D deficiency. Following treatment of the deficiency, the case was managed effectively with the help of a maxillary cement-retained implant-supported full-arch fixed prosthesis and, an implant and tooth-supported mandibular cast partial denture.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42269542","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":"Depression, Anxiety, and Stress with and without COVID-19 Infection","authors":"Snigdha Sinha, Alphonsa Jose K, S. Baboo","doi":"10.1055/s-0043-1768589","DOIUrl":"https://doi.org/10.1055/s-0043-1768589","url":null,"abstract":"Abstract Objectives Coronavirus disease 2019 (COVID-19) affects the respiratory system predominantly. However, post-COVID recovery, many manifested neurological and psychological symptoms, unrelated to the respiratory system. We aimed to estimate psychological impairment in individuals who were infected with COVID-19 in comparison with two uninfected control groups, and between different age cohorts. Materials and Methods We compared three groups with respect to COVID-19—those infected, those not infected but witness to someone infected, and those neither infected nor witness to anyone infected, along with age cohort comparison. The standard Depression, Anxiety and Stress Scale - 42 items (DASS 42) questionnaire, with additional questions were answered by 301 participants. Statistical Analysis SPSS was used for analyses, with Mann–Whitney U test, Kruskal–Wallis test, and Tukey's post hoc test. Results Significantly higher levels of depression, anxiety, and stress were found in the infected group than in the uninfected groups, and significant difference was found between the older age cohorts (50 and above) of each group. The percentages of the infected group with severe to very severe depression, anxiety, and stress were higher than the other groups. Conclusion There is greater psychological impairment in individuals post-COVID recovery, and there is higher impairment in the older age cohort that is recovered, compared to controls.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41513421","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}