scholarly journals Effectiveness of a Planned Teaching Program on the Knowledge of Staff Nurses with Regard to the Nutritional Requirements of Patients with Chronic Kidney Disease

2021 ◽  
Author(s):  
Sarita Telma Fernandes ◽  
Fatima Dsilva ◽  
Sushma Marita Dsouza
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Knowledge Score ◽  
Staff Nurses ◽  
Nutritional Requirements ◽  
Knowledge Level ◽  
Teaching Program ◽  
Before And After ◽  
Level Of Knowledge ◽  
The Mean

Abstract Objective This study was done to evaluate the effectiveness of a planned teaching program on the knowledge of staff nurses with regard to the nutritional requirements of patients with chronic kidney disease. Methods Uncontrolled before-and-after study was conducted among staff nurses of a hospital. Convenient sampling was used to select the participants. Pretest knowledge was assessed using a structured questionnaire among staff nurses. After the pretest, the experimental group was administered a planned teaching program for 60 minutes. On the 7th, 14th, 21st, and 28th day the posttests were conducted by delivering the same tool to determine the posttest level of knowledge after the administration of the planned teaching program. Results The staff nurses’ pretest knowledge scores reveal that the majority (77.5%) had an average knowledge level and 10% had poor knowledge levels. The effectiveness of the planned teaching program showed that the mean pretest knowledge score of the staff nurses (x̄ 1=16.10) was significantly lower than the mean posttest knowledge scores of the participants (x̄ 2 = 20.78, x̄ 3 = 24.35, x̄ 4 = 24.20, and x̄ 5 = 28.75). Conclusion In this study, the planned teaching program was found to be efficient on the knowledge level of staff nurses regarding the nutritional requirements of patients with chronic kidney disease.

Effectiveness of Lecture cum demonstration on Knowledge and practice regarding Intravenous cannulation among staff nurses working in selected hospital

2021 ◽  
pp. 275-282
Author(s):  
Patricia Reddy ◽  
Ancy Ramesh
Keyword(s):  
Work Experience ◽  
Demographic Variable ◽  
Knowledge Score ◽  
Staff Nurses ◽  
Medical Procedure ◽  
Success Rates ◽  
Post Test ◽  
Level Of Knowledge ◽  
The Mean ◽  
Knowledge And Practice

Background: The skill of intravenous cannulation must be practiced regularly to maintain a high level of competency. This is important to gain quick and efficient intravenous access in populations when required. The insertion of intravenous catheters into peripheral veins is probably the most commonly performed invasive medical procedure in hospitals. This procedure could be difficult sometimes requiring several attempts and causing distress to patients. The high success rates of nurses in intravenous cannulation have been due to the frequent performance of intravenous cannulation Objectives: 1. To assess the existing knowledge regarding intravenous cannulation among staff nurses working in selected hospital. 2. To observe the existing practice regarding intravenous cannulation among nurses. 3. To assess the effectiveness of lecture cum demonstration regarding Intravenous cannulation among staff nurses. 4. To observe the practice of staff nurses regarding intravenous cannulation after lecture cum demonstration. 5. To correlate the knowledge and practice of staff nurses regarding intravenous cannulation .Methodology: Pre experimental one group pre test post test design. Material: Structured knowledge questionnaire and Observational checklist adopted as per WHO guidelines.Sample size: 60. Result: Among the 60 samples, according to age, 39(65%)of subjects were of 21-30 years of age, 14(23.33%) were of 31-40 years, 7(11.67%) were of 41-50 years and no subjects were above 50 yearsAccording to the educational qualification, 38(58.33%) of the subjects were with the qualification of general nurse midwives, 12(20%) were B.sc nursing, 13(21.67%) were PB.B.sc Nursing.Majority of the subjects 45% have work experience of less than 2 years, 23.33% have 3-5 years, 20% have 6-8 years and 11.67% of them have work experience of more than 8 years In relation to area of work, 26.67% of the subjects each were from the Medicine ward and surgical ward, 21.66%were from Intensive care unit and 25% of them were from Casualty/Emergency ward. post test majority of the subjects gained Knowledge regarding intravenous cannulation. 34 (56.67%) subjects had good level of Knowledge score and 23(43.33%) subjects had average level of Knowledge. None of the samples have poor level of Knowledge. the post test the findings shows that 57(95%) subjects had satisfactory level of practice whereas only 3(5%) of subjects had unsatisfactory level of practice. The mean pretest knowledge score was 15.28 and post test knowledge score was 26.58. The mean practice score 7.61 and posttest practice score was 13.76. Student’s paired ‘t’ test is applied at 5% level of significance and The calculated‘t’ value for overall knowledge score of subjects was 35.51 and the calculated ‘t’ value for overall practice score of subjects was 23.44 that statistically interpreted that the lecture cum demonstration regarding intravenous cannulation was effective in increasing the Knowledge and practice of subject. There was significant association between selected demographic variable of year of experience with their pretest knowledge, whereas other demographic variables are not significantly associated.The correlation coefficient of post test knowledge and post test practice score was ‘r’ 0.21, which is indicates a positive correlation. Conclusion: The knowledge of the target population was significantly increased, and there was significant improvement in the level of practice after receiving lecture cum demonstration regarding intravenous cannulation. The improvement in knowledge and practice was found in all subjects irrespective of their demographic variable

A Study to Assess the Effectiveness of Structured Teaching Programe on Knowledge regarding Tuberculosis and Dots Therapy among staff nurses workers in selected hospital of Visnagar City

2021 ◽  
pp. 358-360
Author(s):  
Daxaben Patel ◽  
Khushbu Patel
Keyword(s):  
Test Score ◽  
Knowledge Score ◽  
Staff Nurses ◽  
Poor Knowledge ◽  
Short Course ◽  
Structured Teaching ◽  
Post Test ◽  
Directly Observed Treatment ◽  
Level Of Knowledge ◽  
The Mean

Introduction: Tuberculosis is one of the most prominent mycobacterium diseases known to humankind. Increasing cases world-wide led to the World Health Organization (WHO) declaring a global Emergency in April 1993. Despite the availability of „tools‟ for controlling TB, programs have been unable to sustain high cure rate. As a consequence of this, and the increasing problems of drug resistance, the International community, through the WHO, has developed and launched the Directly Observed Treatment Short Course (DOTS) strategy. Directly Observed Treatment, Short course chemotherapy is a strategy to ensure cure by providing the most effective medicine and confirming that it is taken. It is the only strategy which has been documented to be effective Worldwide on a program basis. Design: A quantitative approach using pre-experimental pre-test post-test design with one group. Participants: 50 Staff Nurses were selected using Non-Probability purposive sampling technique in Mehsana District. Interventions: Structured teaching was given to the Staff Nurses. Tool: Self Structured Questionnaire was used to assess the level of Knowledge regarding tuberculosis and dots therapy among staff nurses. Results: The research study shows that in pre test (20%) of sample had a poor knowledge (score 1-10) regarding knowledge about tuberculosis and dots therapy, while average knowledge (score 11-20) was observed in 46% of the sample and (34%) of sample having good (20-41) knowledge score. And in the post test (0%) of sample had a poor knowledge (score 1-10) regarding knowledge about tuberculosis and dots therapy, while average knowledge (score 11-20) was observed in (18%) of the sample and (82%) of sample having good (20-41) knowledge score. And the comparison between pre test and post test observation score regarding knowledge of tuberculosis and dots therapy. The mean pre test observation score was 16.4 and the mean post test score was the 23, and the Standard Deviation was 5.64 in pre test and 7.67 in post test score, also the calculated “t”value was 4.20 was greater than the table value at 0.05 level of significance. The structured teaching was effective in increasing the Knowledge regarding tuberculosis and dots therapy among staff nurses. Chi-square test to associate the level of knowledge and selected demographic variable. Conclusion: The findings of the study indicate that structured teaching programme is effective in increase knowledge regarding tuberculosis and dots therapy among staff nurses.

scholarly journals A Study of Executive Function in Patients with Chronic Kidney Disease before and after a Single Session of Hemodialysis

2020 ◽  
Vol 11 (02) ◽  
pp. 250-255
Author(s):  
Vasantmeghna S. Murthy ◽  
Vedant S. Shukla
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Statistical Tests ◽  
T Test ◽  
Emotional States ◽  
Single Session ◽  
Dialysis Unit ◽  
Before And After ◽  
The Mean ◽  
The Impact

Abstract Background Executive functions (EFs) are critical to daily life and sensitive to our physiological functioning and emotional states. The number of people living with chronic kidney disease (CKD) on hemodialysis (HD) globally is increasing steadily. We aimed to determine the impact of a single session of HD on EFs in patients with CKD receiving maintenance HD (MHD). Methods This was a quasi-experimental study conducted at the department of psychiatry and dialysis unit of a tertiary hospital. Patients undergoing MHD underwent screening to rule out delirium, using the Confusion Assessment Method prior to EF testing. The tests of EF used were the Trail-Making Test—Part B (TMT-B) and Frontal Assessment Battery (FAB), both of which were administered before and after a session of HD. Statistical tests used were Wilcoxon matched pairs signed ranks test, paired t-test, single sample t-test, and correlation analyses. Results The mean time taken on TMT-B before HD was 195.36 seconds and after HD, 171.1 seconds; difference is significant (p = 0.0001). The mean FAB score was 13.19 before HD and 14.83 after HD; the difference is significant (p < 0.0001). Significant differences were observed on similarities (p = 0.003), lexical fluency (p = 0.02), and go–no go (p = 0.003) subtests of FAB. Mean TMT-B scores before and after HD differed significantly from that of a reference study (reference TMT-B 150.69 seconds), p = 0.0002 and 0.04, respectively. Conclusion We conclude that patients with CKD on MHD, in general, have worse executive cognitive functioning compared with healthy populations. A session of HD results in significant improvement in these functions.

scholarly journals TO ASSESS THE IMPACT OF PROPOSED TEACHING PROGRAMME ON POST-OPERATIVE SELF-CARE AMONG CATARACT PATIENTS

2021 ◽  
Vol 10 (3) ◽  
pp. 2997-3000
Author(s):  
Pratiksha Kamdi
Keyword(s):  
Self Care ◽  
Knowledge Score ◽  
Teaching Program ◽  
Maximum Score ◽  
Cataract Patient ◽  
Post Test ◽  
Minimum Score ◽  
Level Of Knowledge ◽  
The Mean ◽  
Cataract Patients

Cataract is a significant cause of preventable blindness and vision impairment worldwide and is expected to pose a growing obstacle to health care systems as the population ages worldwide due to increased life expectancies. The aim of the study is to assess the effectiveness of post-operative self-care among cataract patients. To assess the existing knowledge regarding post-operative self-care among cataract patients. To assess the effectiveness of a planned teaching program on post-operative self-care among cataract patients. To associate post knowledge score with demographic variables. The study was based on a descriptive evaluative research approach. The population was all post-operative cataract patients. The subject consisted of 60. Study shows that in pre-test 27(45%) of subjects are having poor level of knowledge score, 32(53.33%) were having an average level of knowledge score, 1(6.66%) were having good, were having an excellent level of knowledge 0(0%), knowledge regarding post-operative self-care among cataract patient. And the minimum score is 1, the maximum score is 9, the mean score is 5.07±1.755 and mean percentage is 31.6876%. In post-test 0(0%) of subjects are having poor level of knowledge score, 0(0%) were having an average level of knowledge score, 25(41.66%) were having good, were having an excellent level of knowledge 35(58.33%) knowledge regarding post-operative self-care among cataract patient. And the minimum score is 10, the maximum score is 15, the mean score is 12.87±1.321, and the mean percentage is 80.4375%. The shows that there is a significant difference between pre-test and post-test knowledge scores interpreting effective planned teaching on knowledge regarding post-operative self-care among cataract patients. The mean value of the pre-test is 5.07 and post-test is 12.87 and standard deviation values of the pre-test are 1.755 and the post-test is 1.321. The calculated t-value is 31.754 and the tabulated t- value is 2.02 and the p-value is 0.000. the study was concluded that a planned teaching program is an effective method to improve the knowledge among the patients.

scholarly journals Serum Interleukin-17 Alterations in Patients With Chronic Kidney Disease Undergoing Eight Weeks of Aerobic Training

2021 ◽  
Vol 6 (2) ◽  
pp. 69-73
Author(s):  
Arman Jalili ◽  
Ali Asghar Ravasi ◽  
Sirous Choobineh ◽  
Ali Alidadi ◽  
Rahman Suri ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Aerobic Training ◽  
Control Group ◽  
P Value ◽  
Interleukin 17 ◽  
Maximal Heart Rate ◽  
Mean Values ◽  
Before And After ◽  
The Mean

Introduction: Regular physical activities may have effect on the course of chronic kidney disease (CKD). Here, we aimed to ascertain the changes of serum interleukin-17 (IL-17) following eight weeks of aerobic training in CKD patients. Methods: The CKD patients referred to Zahedan Edalat Clinic and Ali-Ibn Abi Talib hospital in Zahedan city (Iran) were enrolled. Sixty patients aged between 30 and 50 years old were chosen by a random method and assigned into the control and intervention groups (each group constituted 30 people). In this study, aerobic exercises were performed at 50%–80% of the maximal heart rate. Peripheral blood was obtained one day before the beginning of exercise and one day after the end of the intervention. Serum IL-17 level was quantified using a commercial specific ELISA kit. Results: The mean values of IL-17 in CKD patients before and after 8 weeks of aerobic exercise were 1.67 ± 0.403 pg/mL and 1.58 ± 0.170 pg/mL in the intervention group (P value= 0.039) whereas the mean values of IL-17 in the control group before and after the intervention were 1.31 ± 0.529 pg/mL and 1.35 ± 0.505 pg/mL (P value= 0.794).Conclusion: Eight weeks of aerobic training can significantly reduce serum IL-17, an inflammatory marker, in CKD patients.

scholarly journals Effectiveness of Planned Teaching Program on Knowledge and Practice Regarding Intravenous Therapy among Paediatric Nurses

2021 ◽  
Author(s):  
Anandhan Divya ◽  
Palani Vijayasamundeeswari ◽  
Dhandapani Geetha
Keyword(s):  
Care Setting ◽  
Knowledge Score ◽  
Staff Nurses ◽  
P Value ◽  
Teaching Program ◽  
Intravenous Therapy ◽  
Post Test ◽  
The Mean ◽  
Knowledge And Practice ◽  
The Difference

Introduction: Peripheral intravenous therapy is one of the most frequently used therapeutic interventions in the acute care setting. Paediatric intravenous cannulation is a fundamental part of medication and practised in almost every health care setting. Intravenous therapy is used to treat a wide variety of paediatric conditions. Although most hospitalised children receive intravenous (i.v.) therapy daily, treatment extends beyond this population to Out Patient (OP) settings, long term care and home care for the infusion of fluids, blood products, and medications. Aim: To assess the effectiveness of planned teaching program on knowledge and practice regarding intravenous therapy among paediatric nurses. Materials and Methods: The present pre-experimental, quantitative, non randomised, one group pre and post test design study was conducted in Paediatric Ward, Paediatric Intensive Care Unit (PICU) and Neonatal Intensive Care Unit (NICU) of ‘G’ block, Sri Ramachandra Hospital (SRH), Porur, Chennai, Tamil Nadu, India from 11th July 2016 to 20th August 2016. Self administered questionnaire and observational checklist was used to collect data about knowledge and practice respectively. Non probability purposive sampling technique was used to select the 30 staff nurses working in the paediatric department with less than one year of experience. Results: The difference between the mean post-test knowledge score (M=16.20, SD=2.041) and pretest knowledge score (M=7.43, SD=2.254) of paediatric staff nurses was highly significant (p-value <0.001) and the computed t-value was t=26.7. The difference between the mean post-test practice score (M=15.13, SD=2.063) and pretest mean practice score (M=10.70, SD=2.380) was also highly significant (p-value <0.001) and the computed t-value was t=8.215. Conclusion: The present study shows that there was a significant difference in the mean scores of knowledge and practice between pretest and post-test after the planned teaching program intervention at the level of paediatric nurses (p<0.001). So planned teaching program was effective on knowledge and practice regarding intravenous therapy among paediatric staff nurses.

Correlation of Serum Sclerostin Levels with Carotid Intima Media Thickness in Chronic Kidney Disease Hemodialysis

2020 ◽  
Vol 6 (1) ◽  
pp. 18-26
Author(s):  
Adhi Permana ◽  
Ian Effendi ◽  
Taufik Indrajaya
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Vascular Calcification ◽  
Ultrasound Examination ◽  
Intima Media Thickness ◽  
Carotid Intima Media Thickness ◽  
Media Thickness ◽  
The Mean ◽  
Sclerostin Level ◽  
Hemodialysis Duration

Chronic kidney disease is associated with a high mortality rate, especially cardiovascular disease associated with mineral and bone disorders. Sclerostin is an inhibitor of Wnt signaling which has the effect of increasing the occurrence of vascular calcification in patients with chronic kidney disease. There are several studies that show different results. Carotid intima media thickness ultrasound examination is a tool to identify atherosclerosis which is part of vascular calcification. The aim of this study is to look at the correlation of sclerostin with carotid intima media thickness (CIMT) in patients with chronic kidney disease undergoing hemodialysis. In this cross section, the concentration of sclerostin was measured by examination of enzymed linked immunosorbent assay. CIMT measurement by ultrasound mode B examination. There were 40 patients in this study. The mean sclerostin level was 256.68 ± 127.76 pg / ml. Sclerostin levels are declared high if above 162 pg / ml there are 30 people. CIMT thickening was present in 11 patients. There was no significant correlation of serum sclerostin with CIMT in patients with chronic kidney disease undergoing hemodialysis (r-0.32 p0,847). In multivariate linear regression, hemodialysis duration is an independent factor that is significantly significant with CIMT. There was no significant correlation of serum sclerostin with CIMT in patients with chronic kidney disease undergoing hemodialysis.

scholarly journals Plasma natriuretic peptide level is an independent determinant of major clinical outcomes in atrial fibrillation patients without heart failure: the Fushimi AF Registry

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
Y Hamatani ◽  
M Iguchi ◽  
Y Aono ◽  
K Ishigami ◽  
S Ikeda ◽  
...  
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Clinical Outcomes ◽  
Prognostic Marker ◽  
Oral Anticoagulants ◽  
Systemic Embolism ◽  
The Mean

Abstract Background Atrial fibrillation (AF) increases the risk of death, stroke/systemic embolism and heart failure (HF). Plasma natriuretic peptide (NP) level is an important prognostic marker in HF patients. However, little is known regarding the prognostic significance of plasma NP level in AF patients without HF. Purpose The aim of this study is to investigate the relationship between plasma NP level and clinical outcomes such as all-cause death, stroke/systemic embolism and HF hospitalization during follow-up period in AF patients without HF. Methods The Fushimi AF Registry is a community-based prospective survey of AF patients in our city. The inclusion criterion of the registry is the documentation of AF at 12-lead electrocardiogram or Holter monitoring at any time, and there are no exclusion criteria. We started to enroll patients from March 2011, and follow-up data were available for 4,466 patients by the end of November 2019. From the registry, we excluded 1,220 patients without a pre-existing HF (defined as having one of the following; prior hospitalization for HF, New York Heart Association class ≥2, or left ventricular ejection fraction &lt;40%). Among 3,246 AF patients without HF, we investigated 1,189 patients with the data of plasma BNP (n=401) or N-terminal pro-BNP (n=788) level at the enrollment. We divided the patients according to the quartile of each plasma BNP or NT-pro BNP level and compared the backgrounds and outcomes between these 4 groups stratified by plasma NP level. Results Of 1,189 patients, the mean age was 72.1±10.2 years, 454 (38%) were female and 684 (58%) were paroxysmal AF. The mean CHADS2 and CHA2DS2-VASc score were 1.6±1.1 and 2.9±1.5, respectively. Oral anticoagulants were prescribed in 671 (56%) at baseline. The median (interquartile range) BNP and N-terminal pro-BNP level were 84 (38, 176) and 500 (155, 984) pg/ml, respectively. Patients with high plasma NP level were older, and demonstrated lower prevalence of paroxysmal AF, higher CHADS2 and CHA2DS2-VASc scores and higher prevalence of chronic kidney disease and oral anticoagulants prescription (all P&lt;0.01). A total of 165 all-cause death, 114 stroke/systemic embolism and 103 HF hospitalization occurred during the median follow-up period of 5.0 years. Kaplan-Meier curves demonstrated that higher plasma NP level was significantly associated with the incidences of all-cause death, stroke/systemic embolism and HF hospitalization in AF patients without HF (Figure 1A). Multivariable Cox regression analysis revealed that plasma NP level could stratify the risk of clinical outcomes even after adjustment by type of AF, CHA2DS2-VASc score, chronic kidney disease and oral anticoagulant prescription (Figure 1B). Conclusion Plasma NP level is a significant prognostic marker for all-cause death, stroke/systemic embolism and HF hospitalization in AF patients without HF, suggesting the importance of measuring plasma NP level in AF patients even without HF. Figure 1 Funding Acknowledgement Type of funding source: None

scholarly journals Associations among Heavy Metals and Proteinuria and Chronic Kidney Disease

Diagnostics ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 282
Author(s):  
Hui-Ju Tsai ◽  
Chih-Hsing Hung ◽  
Chih-Wen Wang ◽  
Hung-Pin Tu ◽  
Chiu-Hui Li ◽  
...  
Keyword(s):  
Heavy Metals ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
General Population ◽  
Estimated Glomerular Filtration Rate ◽  
Synergistic Effects ◽  
Blood Lead ◽  
Southern Taiwan ◽  
The Mean ◽  
Traditional Risk Factors

Background: The prevalence of chronic kidney disease (CKD) is increasing annually in Taiwan. In addition to traditional risk factors, heavy metals contribute to the development of CKD. The aim of this study was to investigate associations among heavy metals and proteinuria and CKD in the general population in Southern Taiwan. We also explored the interaction and synergetic effects among heavy metals on proteinuria. Methods: We conducted a health survey in the general population living in Southern Taiwan between June 2016 and September 2018. Seven heavy metals were measured: blood lead (Pb) and urine nickel (Ni), chromium (Cr), manganese (Mn), arsenic (As), copper (Cu), and cadmium (Cd). Proteinuria was measured using reagent strips. CKD was defined as an estimated glomerular filtration rate (eGFR) of <60 mL/min/1.73 m2. Results: The mean age of the 2447 participants was 55.1 ± 13.2 years and included 977 males and 1470 females. Participants with high blood Pb and high urine Ni, Mn, Cu, and Cd were significantly associated with proteinuria. Interactions between blood Pb and urine Cr, and between urine Cd and Cu, had significant effects on proteinuria. The participants with high blood Pb and high urine Cu were significantly associated with an eGFR of <60 mL/min/1.73 m2. Conclusion: High blood Pb and high urine Cu may be associated with proteinuria and an eGFR of <60 mL/min/1.73 m2. High urine Ni, Mn, and Cd were significantly associated with proteinuria. Co-exposure to Cd and Cu, and Pb and Cr, may have synergistic effects on proteinuria.

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