scholarly journals Pattern and associated socio demographic factors of tobacco use among health care staff in a tertiary care setting at Faridabad

Author(s):  
Nidhi Prasad ◽  
Binay Kumar

Background: This study aimed at assessing prevailing pattern and risk factors of tobacco consumption among health care workers of tertiary care centre, in Faridabad.Methods: A cross-sectional approach was used. A sample of 306 participants included housekeeping and nursing orderly. Participants were interviewed during their lunch time. Semi structured questionnaire was used for data collection.Results: The overall prevalence of tobacco use was found to be 42.8% (n=306), of which (30.7%) prevalence among housekeeping’s compared to nursing orderlies (12.7%). The consumption of smokeless tobacco was higher among housekeeping staff. Khaini (45%) was the main consumption type, followed by hookah (21%) and cigarettes (19.5%) among the current tobacco user (n=133). The consumption of tobacco was found to be associated with gender (male), education, and nature of job (designation) at the hospital setting.Conclusions: Tobacco use is very common in hospital staff in Faridabad as reflected by results of our study. We should build on success encountered in banning smoking in educational institutions and healthcare facilities. This is important for their health and also overall health of patients also as they can influence the behaviour of people that surrounds them.

2021 ◽  
Author(s):  
Girija Mahale ◽  
Yoshita Thadaney ◽  
Nidhi Purohit

The COVID-19 pandemic has placed an enormous strain on healthcare professionals who have been at war with the virus since a year now. It was important to understand the mental health care impacts so that timely interventions could be provided to those who were in need of support. This would provide them with the much-needed support as well as prevent them from burn out. However, understanding healthcare professionals’ innate capacities of resilience and proactive coping was important to provide a holistic picture. This project studied the stress, anxiety, resilience and proactive coping levels of 151 hospital staffers at a designated COVID-19 tertiary care teaching institution in Pune district. They were administered the four scales and it was found that most were experiencing moderate stress levels, normal levels of anxiety and scored high on resilience and proactive coping measures. A significant negative correlation between anxiety and resilience and positive correlation between resilience and coping was found. This study shows that adequate support from the hospital, innate reserves of resilience and adequate coping techniques were protective factors, preventing the distress levels from culminating into mental illness. The sample’s mean age of 34 years could have also been a positive factor. However, it is important to further study the chronic effects of stress on mental health and burnout, given the pandemic is ongoing.


2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Girija Mahale ◽  
Yoshita T hadaney ◽  
Nidhi Purohit

The COVID-19 pandemic has placed an enormous strain on healthcare professionals who have been at war with the virus since a year now. It was important to understand the mental health care impacts so that timely interventions could be provided to those who were in need of support. This would provide them with the much-needed support as well as prevent them from burn out. However, understanding healthcare professionals’ innate capacities of resilience and proactive coping was important to provide a holistic picture. This project studied the stress, anxiety, resilience and proactive coping levels of 151 hospital staffers at a designated COVID-19 tertiary care teaching institution in Pune district. They were administered the four scales and it was found that most were experiencing moderate stress levels, normal levels of anxiety and scored high on resilience and proactive coping measures. A significant negative correlation between anxiety and resilience and positive correlation between resilience and coping was found. This study shows that adequate support from the hospital, innate reserves of resilience and adequate coping techniques were protective factors, preventing the distress levels from culminating into mental illness. The sample’s mean age of 34 years could have also been a positive factor. However, it is important to further study the chronic effects of stress on mental health and burnout, given the pandemic is ongoing.


2021 ◽  
pp. 1-8
Author(s):  
Fátima Sofía Magaña-Guerrero ◽  
Diana Hinojosa Trujillo ◽  
Beatriz Buentello-Volante ◽  
José Eduardo Aguayo-Flores ◽  
Edgar Alonso Melgoza-González ◽  
...  

2020 ◽  
pp. 14-15
Author(s):  
Gunjan Jain ◽  
Jigisha Patadia ◽  
Praful Bambhroliya

The burden of morbidity and mortality from Non-Communicable disease has risen worldwide and is accelerating in low-income and middle-income countries. Lifestyle-associated risk factors among adolescent are rampantly increasing throughout the world. They place a tremendous demand on health care systems and social welfare, cause decreased productivity in the workplace, prolong disability and diminish resources within families. A life course approach to preventive efforts addressing NCDs and their risk factors and behaviors will improve child and adolescent health but also decrease lifetime health care costs. Nevertheless, those risk behaviors are initiated usually in the adolescent’s age groups which are continued to adult. Therefore, this group is important target for primordial prevention. This study is a cross-sectional study which aims to determine the prevalence of risk factors among adolescents attending the tertiary care centre in Surat, district of Gujarat, conducted in March 2019 to June 2019. A total of 498 adolescents were screened using a structured questionnaire. The study documented that improper diet is the major risk factor while habits like smoking and alcohol consumption is fairly uncommon. Study recommends creating awareness among adolescents and promoting healthier lifestyle habits.


2021 ◽  
Vol 8 (8) ◽  
pp. 510-515
Author(s):  
Debadatta Dhar Chanda ◽  
Atanu Chakravarty ◽  
Barnamoy Bhattacharjee

Background- Due to occupational exposure to blood, body fluids and sharps, the health care professionals are at increased risk of contracting the Hepatitis B virus infection than general population. To combat this, all the health care professionals must be immunized with protective level of anti-HBs but anti-HBs titer gradually wanes with passage of time and may be influenced by gender, smoking or chewing tobacco, diabetes mellitus etc. This study was thus carried out to find the percentage of health care professionals with protective titer of anti-HBs and find the association (if any) of low anti-HBs titer and factors like gender, smoking, diabetes mellitus and time elapsed post vaccination. Method- This cross-sectional study has been carried out with proper ethical clearance from May2018- September2019 in Serology section of VRDL under Department of Microbiology in a Medical College of Southern Assam on serum samples collected from 150 health care professionals vaccinated with 3 doses of recombinant HBsAg vaccine atleast 5years back. Anti-HBs IgG concentration was measured by conventional ELISA in multistandard mode. Result- Out of 150 participants,95 were males and 55 were females.27 participants smoked/chewed tobacco,8 had diabetes mellitus. Booster dose was received by 23. Protective level of anti-HBs IgG (>10 IU/ml) was found in 66% (98/150) of HCP only. Low anti-HBs titer has been found to be significantly associated with Diabetes mellitus (p–0.03) and passage of more than 10 years post primary vaccination(p-0.005) but no significant association has been found with gender, smoking and history of blood transfusion. Conclusion- HBsAg vaccine doesn’t impart everlasting protection. So, all HCP, especially those with co-morbidities should get their anti-HBs titer estimated after vaccination to check out for adequate seroconversion and attainment of protective titer. If found inadequate, they should go for repeat vaccination /booster doses. Keywords: Healthcare professionals, Vaccinated, Anti HBs IgG, Assam,


2021 ◽  
pp. 30-32
Author(s):  
Vikesh Gupta ◽  
Sukhjit Singh ◽  
Vineet Kumar ◽  
Pankaj Kanwar

Background: COVID-19 pandemic is a novel viral illness due to which an uncertainty has developed among the general public as well as the health care workers (HCWs) regarding the future of mankind. This has resulted in burnout among the HCWs which has been reported by researchers from different parts of the world. Method: A cross sectional study was done among health care workers (faculty members, residents, nurses and interns) working in different specialties of a tertiary care health centre of Northern India. A self-designed performa containing sociodemographic details along with “Burnout Self-Test” scale was used to obtain the prevalence of burnout among HCWs. Result: Among 192 participants, the signs of burnout were found in 148 participants (77.1%) and most had mild burnout 90 (46.88). Conclusion: Burnout amongst health care workers is high particularly in unmarried and female HCWs.


2013 ◽  
Vol 12 (5) ◽  
pp. 387-392 ◽  
Author(s):  
Julianne Harrison ◽  
Elana Evan ◽  
Amy Hughes ◽  
Shahram Yazdani ◽  
Myke Federman ◽  
...  

AbstractObjective:Effective communication regarding death and dying in pediatrics is a vital component of any quality palliative care service. The goal of the current study is to understand communication among health care professionals regarding death and dying in children. The three hypotheses tested were: (1) hospital staff (physicians of all disciplines, nurses, and psychosocial clinicians) that utilize consultation services are more comfortable communicating about death and dying than those who do not use such services, (2) different disciplines of health care providers demonstrate varying levels of comfort communicating about a range of areas pertaining to death and dying, and (3) health care staff that have had some type of formal training in death and dying are more comfortable communicating about these issues.Methods:A primary analysis of a survey conducted in a tertiary care teaching children's hospital.Results:Health care professionals who felt comfortable discussing options for end of life care with colleagues also felt more comfortable: initiating a discussion regarding a child's impending death with his/her family (r = 0.42), discussing options for terminal care with a family (r = 0.58), discussing death with families from a variety of ethnic/cultural backgrounds (r = 0.51), guiding parents in developmentally age-appropriate discussions of death with their children (r = 0.43), identifying and seeking advice from a professional role model regarding management concerns (r = 0.40), or interacting with a family following the death of a child (r = 0.51). Among all three disciplines, physicians were more likely to initiate discussions with regards to a child's impending death (F = 13.07; p = 0.007). Health care professionals that received formal grief and bereavement training were more comfortable discussing death.Significance of the results:The results demonstrated that consultation practices are associated with a higher level of comfort in discussing death and dying in pediatrics.


2021 ◽  
Vol 6 (1) ◽  
pp. 40-52
Author(s):  
Myo Tun ◽  
Sauwakon Ratanawijitrasin ◽  
Darunee Phukao ◽  
Seung Chun Peak

Purpose: The objective of this study was to determine women’s beliefs as influencing factors in the utilization of antenatal services. Methodology: The quantitative cross sectional survey was conducted in both rural and urban areas of three townships of Chin State. The multi-stage sampling method was used to recruit 350 women who had given birth within the past year. They were interviewed using structured questionnaires relating to their socio-demographic characteristics, beliefs about the utilization of antenatal services, and the situation of received antenatal care. The X2 values and odd ratio with a 95% of CI were calculated to find out women’s beliefs as influencing factors in the utilization of antenatal services. Findings: Among the 350 participants, the number who received antenatal care at least one time and four times were 303 (86.6%) and 222 (63.4%) respectively. There were only 98 (28.0%) who received antenatal care in first trimester. The number of women who showed awareness of life threatening risks of pregnancy was 135 (38.6%) whilst positive attitudes towards the effectiveness of antenatal care and accessibility of health care staff were 170 (48.6%) and 63 (18.0%) respectively. Women’s beliefs about the risks of pregnancy, effectiveness of antenatal care and accessibility of health care staff for antenatal care were statistically associated with the situation of receiving antenatal care at least four times and care in the first trimester but not associated with the situation of receiving at least one time. Unique contribution to theory, practice and policy: Women in Chin State received late first antenatal care and lack of regular follow-up because of their beliefs about the utilization of antenatal services. Effective health education activities are needed to raise awareness about the utilization of antenatal services.


Author(s):  
Ashutosh Kothari ◽  
K. C. Premarajan ◽  
Sethuramachandran Adinarayanan

Background: On March 2018, the supreme court of India adjudicated passive euthanasia legal which was termed as obsolete by Indian Council of Medical Research. There are varied opinions because of difference in terminologies used in the country. As per the current Indian legislations, the procedure of voluntary euthanasia and assisted dying is illegal. Hence, this study aims in understanding the awareness and perception towards the same.   Methods: A descriptive cross-sectional study was conducted among all the 369 health care professionals employed in the selected departments of a tertiary care institute during the study period. The questionnaire used was content validated and pre-tested before administering it to the participants. It consisted of five domains (in a five-point Likert scale) and were summarized as proportions.Results: Most of the doctors (64%) and nurses (59.3%) said that euthanasia is illegal in India. About one fourth of the responders encountered a situation where the patient asked for assisted dying or voluntary euthanasia. A total of 65.3% of the participants agreed that it is helping the patient to die and not killing them.Conclusions: The study demonstrated that the health care professionals had favourable responses for half of the statements. Re-looking into the verdict by the supreme court of India, standardising the terminologies and advocating for ‘advance medical directive’ would be welcoming steps in deciding the future of assisted dying/voluntary euthanasia in the country.


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