scholarly journals Fatigue, depression and anxiety among nurses working in shift in a tertiary care hospital in South India

2019 ◽  
Vol 7 (7) ◽  
pp. 2655
Author(s):  
Deepalakshmi Kaliyaperumal ◽  
Yaal Elango ◽  
Iswarya Santhanakrishnan
Keyword(s):  
Sleep Deprivation ◽  
Shift Work ◽  
Rating Scale ◽  
Tertiary Care ◽  
Night Shift ◽  
Severe Depression ◽  
Working Hours ◽  
Care Hospital ◽  
Depression And Anxiety ◽  
Cross Sectional

Background: Shift work has become a social and economic necessity, as most sectors like the healthcare require round the clock operation. Extended and variable working hours leads to desynchronization of the body’s circadian rhythm. Thus, shift work is commonly associated with various physical and mental disorders like insomnia, fatigue, depression, anxiety, cognitive impairment, etc. The aim of the study was to assess the prevalence of sleep deprivation and hence, the levels of fatigue, depression and anxiety among shift working nurses.Methods: This cross-sectional study was conducted among shift working nurses. Sleep deprivation among 97 female and 3 male healthy nurses of age 20-50 years was assessed by Epworth Sleepiness Scale (ESS). Fatigue Severity Scale, Patient Health Questionnaire (PHQ-9) and Hamilton Anxiety Rating Scale (HAM-A) were used for assessing fatigue, depression and anxiety respectively. Level of Sleep deprivation, Depression and Anxiety were expressed in Proportion. Difference in fatigue levels during day and night shift was analyzed using Wilcoxon Signed-Ranks Test.Results: Analysis of ESS, showed, 69% of shift working nurses had poorer sleep quality. The level of fatigue experienced following a night shift work was significantly higher than that following day shift work (Z= 3.34, p = 0.0008). Moderate to severe depression and anxiety was observed in 15% and 16% of the nurses working in shift.Conclusions: Thus, shift work is inevitably associated with sleep deprivation. There exists an increased prevalence of fatigue, depression and anxiety among shift working nurses.

Prevalence and determinants of depression in females with primary infertility.

2021 ◽  
Vol 28 (03) ◽  
pp. 372-376
Author(s):  
Sundus Fatima ◽  
Zaidan Idrees Choudhary ◽  
Nariman Haider ◽  
Fareed Aslam Minhas ◽  
Sadia Yasir ◽  
...  
Keyword(s):  
Rating Scale ◽  
Psychological Intervention ◽  
Tertiary Care ◽  
Severe Depression ◽  
Clinical Information ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Mild Depression ◽  
Cross Sectional ◽  
Primary Infertility

Objective: This study was designed to evaluate the prevalence of depression in females with primary infertility at a tertiary care hospital in Rawalpindi and identify the factors associated with the condition. Study Design: Descriptive Cross-sectional study. Setting: Infertility Clinic of the Department of Obstetrics and Gyanecology, Benazir Bhutto Hospital, Rawalpindi. Period: February to August 2016. Material & Methods: Females between the ages of 18 and 40 years with primary infertility were included in the study. The presence and severity of depressive symptoms were assessed using the Hamilton Rating Scale for Depression (HAM-D). Socio-demographic details and clinical information was collected on a pre-designed proforma. Results: A total of 102 females were included in the study. The mean age of the patients was 31 years with a STD of ± 4.3 years. 78.4% (n=80) patients were suffering from depression on the basis of HAM-D scores. 18 (17.6%) had mild depression, 34 (33.3%) had moderate depression, 20 (19.6%) had severe depression and 8 (7.8%) patients had very severe depression. An analysis of the socio-demographic factors showed that a majority of the females were educated, housewives and living in extended families. The frequency of depression was significantly associated with a low monthly household income (p=0.046). Conclusion: A high proportion of females with primary infertility suffer from depression. Screening for psychiatric illnesses should be part of the standard evaluation of these patients. Early detection and timely psychological intervention can lead to a significant reduction in long-term morbidity.

scholarly journals Predictors of Suicidal Ideation and Attempt among Patients with Major Depressive Disorder at a Tertiary Care Hospital, Puducherry

2021 ◽  
Vol 12 (01) ◽  
pp. 122-128
Author(s):  
Ralte Lalthankimi ◽  
Padmavathi Nagarajan ◽  
Vikas Menon ◽  
Jeby Jose Olickal
Keyword(s):  
Major Depressive Disorder ◽  
Suicidal Ideation ◽  
Depressive Disorder ◽  
Rating Scale ◽  
Tertiary Care ◽  
Severe Depression ◽  
Care Hospital ◽  
Suicidal Behaviors ◽  
Major Depressive ◽  
Severity Of Depression

Abstract Objectives Mental disorders have a large impact on death by suicide. Hence, this study aims to determine the prevalence of suicidal behaviors among major depressive disorder (MDD) patients and the associated factors. Materials and Methods This cross-sectional analytical study was conducted among individuals aged 18 to 65 years, diagnosed with MDD in the Psychiatry Outpatient Department of a Tertiary Care Center, Puducherry during March to October 2019. Severity of depression was assessed using Hamilton Depression Rating Scale and Columbia-Suicide Severity Rating Scale was used to find the suicidal behaviors. Results For 166 participants in the study, mean (standard deviation) age was 40 (11) years and majority were females (76%). More than one-third (37%) had severe or very severe depression, and the prevalence of suicidal ideation, plan, and attempts were 83, 24, and 35%, respectively. After adjusting the covariates, the severity of depression and unemployment were significantly associated with suicidal attempts (adjusted prevalence ratios [aPR] = 11.4 and 1.9), and very severe depression was associated with suicidal ideation (aPR = 1.6). Among 140 individuals with suicidal ideation, 45 (32%) had an ideation frequency of 2 to 3 times/week, 69 (50%) had ideation for 1 hour, 36 (26%) could control ideation with little difficulty, and 12% had suicidal ideation mostly to end or stop their pain. Conclusion Suicidal ideation and attempts were significantly high in MDD patients, and the severity of depression was significantly associated with it. Early identification of high-risk suicidal behavior and implementation of effective preventive interventions are necessary to reduce death by suicide in these groups.

scholarly journals Frequency and Severity of Depression in Cancer Patients Presenting to Tertiary Care Hospital

2021 ◽  
pp. 59-70
Author(s):  
Rakesh Kumar ◽  
Haresh Kumar ◽  
Sarika Bai ◽  
Azra Shaheen ◽  
Safdar Ali Pervez ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Severe Depression ◽  
World Health ◽  
Care Hospital ◽  
Validity And Reliability ◽  
Mild Depression ◽  
Cross Sectional ◽  
Civil Hospital

Introdution: Cancer and depression, independently, cause massive human suffering worldwide. By the end of 2030 the unipolar major depression disorder could be as the chief source of ailment as estimated by World Health Organization. Objective: Objective of this study is to detect prevalence the frequency and severity of the depression in cancer patients presenting to tertiary care hospital of Karachi. Methodology: The current prospective cross-sectional research was performed over a period of six months from August 2020 to January 2021 on 179 patients in the Department of Oncology of Civil Hospital Karachi, after approval of synopsis from CPSP and the ethical committee of Civil Hospital. All patients who fulfilled the inclusion criteria and visited OPD of Civil hospital were selected in the study. Informed consent was taken after explaining the procedure, risks and benefits of the study.Patients were assessed clinically by using ICD-10 criteria and then for validity and reliability, patients were screened for presence of depression and its severity through PHQ-9.Patients scoring higher than 4 was labeled as having depression and PHQ-9 score of 5 to 9, 10 to 14, 15 to 19, 20-27 were labeled mild, moderate, moderately severe and severe depression correspondingly. Observed data was entered in the predesigned Performa was gathered and SPSS version 20.0 was used for data analysis. Mean ± SD of age was 47.75±14.901years. Out of 179 patients 95 (53.1%) were male and 84 (46.9%) were female. 93(52%) cancer patients were depressed while 86(48%) were normal. Patients suffering from mild depression were 3.2%, moderate depression were 54.85%, moderately severe depressed were 19.4%, while 22.6% cancer patients were severely depressed. It is to be concluded that out of 179cancer patients 93(52%) diagnosed to have depression while 86(48%) did not have depression. Based on our study findings, it is suggested that depression commonly presented in cancer patients and there is a need to screen all cancer patients for depressive disorder.

scholarly journals A cross-sectional study on the level of job stress among nursing staff and its relation with demographic variables and their work pattern in a tertiary care teaching hospital in Surendranagar, Gujarat

2020 ◽  
Vol 32 (2) ◽  
pp. 404-410
Author(s):  
Krupal Jagdishchandra Joshi ◽  
Sochaliya Mansukhbhai Kishor ◽  
Girija Prabhakar Kartha
Keyword(s):  
Job Stress ◽  
Psychological Health ◽  
Work Experience ◽  
Tertiary Care ◽  
Inverse Correlation ◽  
Working Hours ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Care Hospital ◽  
Cross Sectional

Introduction: The nursing profession is known to be stressful throughout the world. It contributes to various physical and psychological health problems in nurses, which ultimately influencing on their performance and efficiency of work. Objective: To measure the level of job stress among nurses and to find out its relationship with demographic variables and working pattern. Methods: Study was done among 102 nurses in a tertiary care hospital of Surendranagar district from February to March 2020. The level of job stress was measured by a set of 14 questions which are directly related to job stress and response was collected on a five-point Likert Scale. Results: This study revealed, moderate and severe level of job stress among 53% and 45% of nurses respectively. The job stress had no statistically significant association with demographic variables like age and gender. However, job stress had an inverse correlation with the factors like work experience, shift timings and working hours. Conclusion: All the study participants were suffering from mild to severe level of job stress. Younger age group and female nurses were commonly affected with job stress. Work stress was also found more prevalent in nurses with lesser experience, rotational shift and more working hours.

scholarly journals Pandemic and medical education of surgical residents in a tertiary care hospital in India: a cross-sectional study

2021 ◽  
Vol 8 (10) ◽  
pp. 2974
Author(s):  
Raghul Sekar ◽  
Arun Alexander ◽  
Kalaiarasi Raja ◽  
Sunil Kumar Saxena
Keyword(s):  
Medical Education ◽  
Residency Training ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Working Hours ◽  
Maslach Burnout Inventory ◽  
Care Hospital ◽  
Cross Sectional ◽  
Surgical Residents ◽  
Hands On

Background: COVID-19 pandemic has brought tremendous changes in the functioning of residency training. The impact was maximal on surgical residents whose hands-on training was affected. This study aimed to assess the effect of COVID-19 pandemic on medical education and training of surgical residents. Methods: A single institutional cross-sectional survey was conducted in a large tertiary care hospital in India. It included residents in various surgical specialties. The survey was divided into six sections to cover all the aspects of their residency.Results: Out of 106 residents who participated in the study, 95 (59.3%) had worked in the dedicated COVID-19 facility, and 97 (91.5%) feared transmitting the infection to their family members. There was a considerable reduction in both elective and emergency surgeries performed by residents (p<0.05).There was a significant reduction in the working hours per day, helping residents get more time for research work. Further Maslach burnout inventory score was 7.43±2.35 after the pandemic, which shows a statistically significant reduction (p<0.001) in residents' burnout.Conclusions: Surgical residents had to balance their residency training with caring for COVID-19 patients. There had been a decrease in their hands-on training, clinical exposure, and working hours. Both theoretical and practical training of surgical residents has been affected during this pandemic. This survey can be used as a tool to improve the lives of surgical residents in any pandemic situation or during further waves of COVID-19.

Mental Health Issues in Female Population during Covid-19 Pandemic

2021 ◽  
Vol 15 (10) ◽  
pp. 3370-3374
Author(s):  
Syeda Fariha Hussain ◽  
Shazia Aftab ◽  
Huma Baloch ◽  
Naila Qamar ◽  
Maryam Masood ◽  
...  
Keyword(s):  
Mental Health ◽  
Pregnant Women ◽  
Health Care Policy ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Female Population ◽  
Negative Effect

Background: Female population can be affected by various psychological factors that can have adverse effects on the woman’s mental health. Pandemics are one such times which can have negative effect on the mental health. Therefore, this study was conducted to determine the status of depression and anxiety and factors associated with it in the female population (pregnant and non-pregnant women) during the outbreak of COVID-19. Methods: This descriptive-analytical cross-sectional study was performed on 345 women coming to a tertiary care hospital in Karachi, Pakistan. The data was collected using the socio-demographic characteristics questionnaire and the GAD-7 and PHQ-9 questionnaires. Regression analysis was done to determine the association between various factors with depression and anxiety. Results: Mean age of the participants was 27.9 years Depression and anxiety symptoms were observed in 32.7, 32.7, and 43.9% of the participants, respectively The mean score of depression was found to be 3.72 (3.80) whereas of anxiety was 3.5 (4.006). The overall prevalence of depression was 30.5% and that of anxiety was 18.55%, with varying degrees from mild to severe. Conclusions: Females in general and pregnant women specifically need special attention of the health care policy makers and this group should be given importance especially in times of such pandemics and all necessary measures should be taken to provide mental and psychological support. Keywords: COVID-19, Pregnancy, Prevalence, Depression, Anxiety, Stress

scholarly journals The effect of shift work on the diet of accident and emergency nurses at a general hospital in Malta

2017 ◽  
Vol 47 (2) ◽  
pp. 165-174 ◽  
Author(s):  
Jesmond Seychell ◽  
Sue Reeves
Keyword(s):  
General Hospital ◽  
Shift Work ◽  
Night Shift ◽  
Working Hours ◽  
Dietary Intakes ◽  
Emergency Nurses ◽  
Cross Sectional ◽  
Content Type ◽  
Accident And Emergency ◽  
The Impact

Purpose The purpose of this paper was to investigate the effect of shift work on diet and lifestyle in nurses working in the accident and emergency department in a general hospital in Malta. Design/methodology/approach This study was a cross-sectional, quantitative survey, whereby data were collected by the use of anonymous questionnaires consisting of a demographic and anthropometric questionnaire, a lifestyle questionnaire and a food frequency questionnaire to assess dietary intakes. In total, 110 nurses completed the study and were divided into three groups: day nurses, rotating-shift nurses and night-shift nurses. Findings Shift working nurses consumed significantly more energy compared to day nurses (night-shift nurses 1,963 ± 506 kcal; rotating-shift nurses 2,065 ± 655 kcal; day nurses 1,722 ± 486 kcal; p = 0.04). Shift working nurses also consumed more protein (p = 0.04), fat (p = 0.047) and fibre (p = 0.005) compared to day nurses; however, day nurses were the most likely to smoke (p = 0.009). Practical implications Shift work does influence the diet of nurses in Malta. It is recommended that access to healthy food, and time and facilities for physical activity are made available across all working hours and that nurses aim to exercise regularly, eat healthily, quit smoking if necessary and get good-quality sleep where possible. Originality/value In total, 22 per cent of workers in Malta work shifts, and Malta currently has one of the highest rates of obesity in Europe. This study considers the impact of shift work on diet.

scholarly journals A cross-sectional epidemiological study of prevalence of work stress among resident doctors of a metropolitan tertiary care hospital

2016 ◽  
Vol 4 (1) ◽  
pp. 156
Author(s):  
Swati Deshpande ◽  
Anurag Dhoundiyal ◽  
Dipika Shrestha ◽  
Praveen Davuluri
Keyword(s):  
Work Stress ◽  
Tertiary Care ◽  
Working Hours ◽  
Moderate Degree ◽  
Care Hospital ◽  
Cross Sectional ◽  
Mild Degree ◽  
Institutional Ethics ◽  
One Year ◽  
Severe Degree

Background: To assess the prevalence of work stress , to compare of the prevalance of stress among resident doctors working in clinical and non/para-clinical departments, to determine the factors leading  to stress among resident doctors.Methods: after getting approval from Institutional ethics committee all the resident doctors of the hospital were contacted during a period of data collection of one year. Data was collected using standard questionnaire. Detailed descriptive statistical analysis was done.  Results: The mean age of the participants in the study was 26.8 years with maximum age being 39 years and minimum being 24 yrs. Among 454 study subjects nearly 34.8% were female and 64.2% were male i.e. 158 & 296 respectively. Among 454 resident doctors 188 from 1st , 139 from 2nd & 127 were from 3rd year of residency with percentage contribution of 41.4, 30.6 & 28.0 respectively, 39.4% of resident doctors are suffering from some degree of stress. While 16.1% suffered from mild degree of stress 7.9% suffered from moderate degree of stress, the percent of resident doctors suffering from severe and extremely severe degree of stress was 15.2 & 0.2 respectively. The prevalence of stress among clinical is much more (29.2%) as compared to non/para-clinical (13.9%), stress was more with increasing duration of working hours.Conclusions: It was found that the prevalence of stress among resident doctors was much more as compared to general population. The prevalence was directly correlated to factors like duration of working hours, gender and department.

scholarly journals Prevalence of depression among elderly population in rural South India

2020 ◽  
Vol 7 (6) ◽  
pp. 2377
Author(s):  
Vivin Vincent ◽  
Jeevithan Shanmugam ◽  
Shanmugapriya Duraisamy ◽  
Padmavathy Loganathan ◽  
Vijay Ganeshkumar ◽  
...  
Keyword(s):  
Rural Areas ◽  
South India ◽  
Tertiary Care ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Severe Depression ◽  
The Elderly ◽  
Care Hospital ◽  
Cross Sectional ◽  
Prevalence Of Depression

Background: Depression among elderly is the commonest psychiatric disorder however it is commonly misdiagnosed and under treated. Most of the time it is considered as part of aging process rather than a treatable condition. Diagnosing depression in the elderly is often difficult as a result of presence of cognitive impairment as well as reluctance and denial by the elderly and their family members. Objective of the study was to estimate the prevalence of depression among elderly rural population in South India.  Methods: A community based cross sectional study was conducted over a period of 2 months among 575 elderly people aged 60 years and above in the rural field practice area of a tertiary care hospital in south India using a pre validated Geriatric Depression Scale. Data entered and analysed using MS Excel.Results: 77.56% of the study participants were found to be depressed. Among them 74.66% were mild depressive and 25.34% had severe depression. Depression was common in elderly males as compared to females. The prevalence of depression was higher in those who live single and those living with their children without their spouse and those with co morbidities.Conclusions: Prevalence of depression among elderly is high in rural areas. It also increases as the age increases. Early identification and timely intervention would promote healthy old age.

scholarly journals Screening for Autism Spectrum Disorder in Children up to Age 2.5 years in a Tertiary Care Hospital

2020 ◽  
Vol 1 (1) ◽  
pp. 5
Author(s):  
Anum Farooq ◽  
Shoaib Ahmed
Keyword(s):  
Autism Spectrum Disorder ◽  
Rating Scale ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Military Hospital ◽  
Care Hospital ◽  
Cross Sectional ◽  
Dsm 5

Objective: To investigate the frequency of Autistic Spectrum Disorder (ASD) by screening 16 to 30 months old children, reporting to a tertiary care hospital. Study Design: Cross sectional study.Place and Duration of Study: The study was conducted in the Paediatrics Outpatient Department of Military Hospital, Rawalpindi from November 2017 to August 2018.Materials and Methods: A total of 163 children between the age of 16-30 months were screened using Urdu translated version of Modified Checklist for Autism in Toddlers, revised with Follow-Up (M-CHAT-R/FTM). Those who screened positive on MCHAT-R were assessed using Childhood Autism Rating Scale-2 (CARS 2) and Diagnostic and Statistical Manual-5 (DSM-5) as diagnostic tools.Results: Among the 163 children screened with MCHAT, 33 were found positive for autism. The positive individuals were further assessed on CARS-2 and DSM-5; five children were diagnosed with ASD at moderate to severe level.  This study has shown that 3% of children visiting the hospital for various reasons suffer from ASD.Conclusion: This study concluded that 3% of the children coming to the hospital for any purpose were found to have ASD. There is a need to make Level 1 screening an essential part of regular check-ups of children in Paediatrics outpatient clinics. How to cite this: Farooq A, Ahmed S. Screening for Autism Spectrum Disorder in Children up to Age 2.5 years in a Tertiary Care Hospital. Life and Science. 2020; 1(1): 12-16.  doi: http://doi.org/10.37185/L&S.1.1.74

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