American Journal of Health, Medicine and Nursing Practice最新文献

{"title":"Effects of Occupational Stress on the Mental Health of Nurses in the Limbe and Buea Regional Hospitals, Cameroon","authors":"Binwi Florence, Mezatio Tsopbeng Maina","doi":"10.47672/ajhmn.1880","DOIUrl":"https://doi.org/10.47672/ajhmn.1880","url":null,"abstract":"Purpose: Nursing is an extremely stressful job, and high levels of occupational stress are believed to have negative effects on nurses. The aim of this study was to evaluate the prevalence of occupational stress, factors contributing to occupational stress on nurses and effects of occupational stress on nurses’ mental health. A cross-sectional study design was used. The study duration was five months. A sample of 102 nurses was purposively selected to take part in the study from the Limbe and Buea Regional Hospitals, Cameroon and distributed by probability proportionate to size. Data was collected using a well structured questionnaire and entered into an excel spreadsheet then analyzed using the Weiman Occupational Stress Scale(WOSS). \u0000Materials and Methods: Data was presented using tables. A cut off point of 43.6 was used to determine the level of stress. Anyone above 43.6 had severe and anyone below 43.6 had mild effects. \u0000Findings: The study found out that nurses of the hospital were found to experience above average levels of occupational stress with the mean score and individual average score of 59.93 and 3.40 indicating a 51% higher than the established Weiman Occupational Stress Scale mean score of 33.75 and individual average of 2.25. The study found out that 61% of the nurses had severe stress while 39% had mild stress. The study also found that the most common stressors were Long work hours, handling a large number of patients alone and insufficient salary whilst the effects of occupational stress on mental health include: poor appetite, insomnia, depressive mood, trouble falling asleep, staying asleep or sleeping not too much, forgetfulness. \u0000Implications to Theory, Practice and Policy: Nurses should identify and use mechanisms that help them to better cope with stress.","PeriodicalId":503528,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140236533","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 Chest Physiotherapy in Broncho Pulmonary Clearance in Respiratory Distress Neonates","authors":"Sana Farooq, Syed Amjad Hussain, Nida Rizvi, Syed Hasan Abbas Rizvi","doi":"10.47672/ajhmn.1767","DOIUrl":"https://doi.org/10.47672/ajhmn.1767","url":null,"abstract":"Purpose: Globally, the mortality rate of respiratory distress has been quite high due to unability to maintain oxygenation and overcome abnormal work of breathing. Chest Physical therapy, apart from providing advantageous outcomes to the adults, chest physical therapy is pivotal for newborns too but differs in terms of physiology and anatomy. Various chest physiotherapy techniques including percussions, vibrations, and compressions are quite effective in reducing mortality rate in neonates.Many studies has been conducted worldwidely, but still there has been limited data in Pakistan about the effect of bronchopulmonary clearance in neonatal intensive care unit, so this study was conducted to find the effectiveness of chest physiotherapy in neonatal intensive care unit \u0000Materials and Methods: This was the non-randomized controlled trial study conducted in tertiary care hospital of karachi , Pakistan. Total 40 samples collected through convenient based sampling were included in this study . The inclusion criteria including gestational age more than 37 weeks with atelactasis, mucous plugging, airway compromised, intubated or extubated, hospital admission, and chest complications where as exclusion criteria included cardiopulmonary instability, post surgery, pre term, intra ventricular hemmorage, fits or epilepsy, failure to thrive, and on consistent feed. Bronchopulmonary Clearance techniques such as Percussions , Compressions, and Vibrations along with suctioning and postural drainage were performed routinely twice daily session one in morning and one in evening was performed for total 14 days which means total 28 sessions of chest physiotherapy was implemented and chest xray, sp02, Heart rate, and respiratory rate was measured pre and post the sessions. \u0000Findings: The mean age of the participants were 37.050±5.57, out of which 20(52.5%) were females and 19(47.5%) were males. Result showed that post chest xray after chest physiotherapy was .2500±.49355 and post session spo2 was 2. .075 ± 4.56513. The chest physiotherapy was statistically significant in mucociliary clearance, lung expansion, preventing atelectasis, airway clearance, and other chest complications (0.008). \u0000Implications to Theory, Practice and Policy: Limitations of this study were that small sample size was taken, and data was collected from one tertiary care hospital of Karachi so it doesn’t showed generalization. Further studies in terms of large sample size are required for validity and reliability of this research.","PeriodicalId":503528,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139790277","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 Chest Physiotherapy in Broncho Pulmonary Clearance in Respiratory Distress Neonates","authors":"Sana Farooq, Syed Amjad Hussain, Nida Rizvi, Syed Hasan Abbas Rizvi","doi":"10.47672/ajhmn.1767","DOIUrl":"https://doi.org/10.47672/ajhmn.1767","url":null,"abstract":"Purpose: Globally, the mortality rate of respiratory distress has been quite high due to unability to maintain oxygenation and overcome abnormal work of breathing. Chest Physical therapy, apart from providing advantageous outcomes to the adults, chest physical therapy is pivotal for newborns too but differs in terms of physiology and anatomy. Various chest physiotherapy techniques including percussions, vibrations, and compressions are quite effective in reducing mortality rate in neonates.Many studies has been conducted worldwidely, but still there has been limited data in Pakistan about the effect of bronchopulmonary clearance in neonatal intensive care unit, so this study was conducted to find the effectiveness of chest physiotherapy in neonatal intensive care unit \u0000Materials and Methods: This was the non-randomized controlled trial study conducted in tertiary care hospital of karachi , Pakistan. Total 40 samples collected through convenient based sampling were included in this study . The inclusion criteria including gestational age more than 37 weeks with atelactasis, mucous plugging, airway compromised, intubated or extubated, hospital admission, and chest complications where as exclusion criteria included cardiopulmonary instability, post surgery, pre term, intra ventricular hemmorage, fits or epilepsy, failure to thrive, and on consistent feed. Bronchopulmonary Clearance techniques such as Percussions , Compressions, and Vibrations along with suctioning and postural drainage were performed routinely twice daily session one in morning and one in evening was performed for total 14 days which means total 28 sessions of chest physiotherapy was implemented and chest xray, sp02, Heart rate, and respiratory rate was measured pre and post the sessions. \u0000Findings: The mean age of the participants were 37.050±5.57, out of which 20(52.5%) were females and 19(47.5%) were males. Result showed that post chest xray after chest physiotherapy was .2500±.49355 and post session spo2 was 2. .075 ± 4.56513. The chest physiotherapy was statistically significant in mucociliary clearance, lung expansion, preventing atelectasis, airway clearance, and other chest complications (0.008). \u0000Implications to Theory, Practice and Policy: Limitations of this study were that small sample size was taken, and data was collected from one tertiary care hospital of Karachi so it doesn’t showed generalization. Further studies in terms of large sample size are required for validity and reliability of this research.","PeriodicalId":503528,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139850100","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}