scholarly journals Knowledge, burden and coping strategies among caregivers of thalassemic children attending thalassemia day care centre of selected hospital, Jodhpur

Author(s):  
Pushpa . ◽  
Raj Rani ◽  
Mamta Nebhinani

Background: Thalassemia is a blood disorder characterized by the reduction or absence in the synthesis of the globin chains of hemoglobin. Nearly 10% of children suffering from Thalassemia are being registered as new cases every year in Rajasthan. The aim of the study was to assess knowledge, burden and coping strategies among caregivers of thalassemic children.Methods: Data were collected from 150 caregivers of thalassemic children selected by purposive sampling technique at Umaid hospital, Jodhpur, Rajasthan. Data collection tool included self-structured knowledge questionnaire, Burden scale and Structured Brief COPE scale.Results: Equal numbers 36% and 35.33% of caregivers were having poor and good level of knowledge respectively, knowledge levels of the subjects were found to have significant association with monthly family income (p value=0.000), education (p value=0.007) and place of living (p value=0.000). 74.3% of caregivers reported moderate level of burden. Burden levels of the subjects were found to have significant association with Monthly family income (p value=0.000), and place of living (p value=0.000). Adaptive coping strategies were more evident as compare to maladaptive strategies. Conclusions: Knowledge was significantly lacking regarding diet management, benefits of exercise, role of iron chelation therapy etc. Continuous care of children put caregivers under moderate level of burden. There is great need to plan, implement health awareness programme for these caregivers. 

Author(s):  
Shahid Bilal ◽  
Jaiperkash Dayaram ◽  
Ali Nawaz Bijarani ◽  
Mariam Muneer ◽  
Saba Arshad ◽  
...  

Aims: The aim of current study is to find out the prevalence of depression in doctors in different hospitals of Karachi and its association with lifestyle, the field of specialty and coping mechanisms. Place and Duration of Study: The sample was collected from 10 different hospitals of Karachi, in a period of one Year i.e., March 2019 to February 2020. Methodology: A descriptive cross-sectional study design using non-probability consecutive type of sampling technique was used. Sample size was calculated at 95% confidence interval and was found to be 368. The sample was classified in two broader categories Surgery & Allied and Medicine & Allied. For identification of depression level, Public Health Questionnaire (PHQ-9) was used. A 28-item questionnaire Brief COPE was used to asses coping mechanisms. Results: In total 400 forms were used for data analysis. The mean age of doctors was 35 ± 4 years, 65% were males while 35% were females, there was a statistically significant association of female gender with depression. Chi-Square was applied to determine the association of depression and departments and it was found to be highly significant with a P < .001. Highest level of depression was found in Orthopedics and Psychiatry departments followed by Surgery and Gynecology. While Otolaryngology was the least depressed department. Chi-square was applied and a statistically significant association of low monthly income and depression with a p-value of 0.02. In Surgery and allied there was a statistically significant association of depression with extensive working hours and lack of facilities with a p-value of 0.01 and 0.04. While in Medicine and allied there was a statistically significant association of depression with a harsh attitude of seniors and an uncomfortable working environment with a p-value of 0.02 and 0.03. A linear regression model comparing depression and its associations with coping strategies was applied. Conclusion: Our study shows that depression is present in a vast majority of doctors from multiple specialties. Various risk factors for depression have also been identified so appropriate coping strategies should be formulated to deal with it.


2021 ◽  
Vol 8 (3) ◽  
Author(s):  
Dr. S. Rajina Rani* rani ◽  
Dr. S. Rajina Rani* rani

Stress is a part of everyday life and no one is spared from it. People experience stress in different ways and for different reasons. From the newborn to the person who breaths his/her last, suffers from different types of stress. Wives of alcoholics go through countless problems in their personal and family life. They are at high risk for low quality of life due to use of maladaptive coping strategies. This study will help to evaluate the level of stress that faced by them and use of coping skills. Thus this will be a guide for planning and teaching effective coping methods to the targeted population. Aim: To assess the stress and coping among the wives of alcoholics. Methods: A quantitative research approach was used for the present study. The sample consisted of 50 wives of alcoholics, selected using purposive sampling technique. The tools used for the study were modified perceived stress scale and coping with drinking questionnaire. Results: The outcome of the study revealed that 98% of the wives of alcoholics had moderate level of stress and 2% of the wives of alcoholics had mild level of stress. It was also found that 96% of them had moderate level of coping and 4% had high level of coping.


2022 ◽  
pp. 097321792110688
Author(s):  
Geetanjali Pathak ◽  
Rahul Dixit ◽  
Niranjan K. Singh ◽  
Taruna Vijaywargiya ◽  
Narottam Lal

Aim To assess the level of stress and coping strategies in parents of neonates admitted in Neonatal Intensive Care Unit (NICU) at a tertiary care centre in North India. Materials and methods It was a descriptive/observational cross-sectional study of 3 year duration with a sample size of 224. All parents willing to participate and who could understand English or Hindi were included in the study after the informed consent. Stress levels and coping strategies were assessed using a validated questionnaire between 2nd to 7th day of admission. Demographic data was collected and parental stress and coping was quantified using likert scale. The data was analyzed using SPSS Version 20.0. Results Most of the parents were moderately stressed (93.3%). The most impactful stress domain was ‘Emotional’ and the most impactful question out of that domain was ‘constant fear of child’s recovery’. Of all the coping strategies, cognitive strategy was mostly used by parents. There was a negative correlation between stress and coping strategies (r = –0.09) but the result was statistically insignificant (p-value = 0.16). Of all the demographic variables, the birth order of the baby was significantly related to stress (p-value < 0.05), while parent’s education, monthly family income and area of residence were significantly related to coping (p-value < 0.05, <0.05 and <0.001, respectively). Conclusion Most of the parents were moderately stressed, with cognitive strategy being the most used by parents as the coping mechanism.


2018 ◽  
Vol 16 (3) ◽  
pp. 285-290 ◽  
Author(s):  
Anika Dahal ◽  
Raj Kumar Meheta

Background:  Cancer is considered one of the foremost common causes of death. Fatigue is among the distressing symptoms for cancer patients receiving chemotherapy. Adequate coping is essential for individual to deal with the effects of cancer related treatment. The objective of the study was to find out the fatigue experience and coping strategies among cancer patients receiving chemotherapy.Methods: A descriptive, cross-sectional research design was used for the study. The samples was taken from day care and medical oncology ward of BP Koirala Memorial Cancer Hospital, Bharatpur. A total of 120 cancer patients receiving chemotherapy of 18 years and above were selected by using non probability consecutive sampling technique. Data was collected by using standard tool, Fatigue Symptom Inventory and Brief Cope. Data analysis was done by descriptive and inferential statistics.Results: The study revealed that 82.5% of respondents had experienced fatigue and 50.8% respondents had used adequate coping strategies where “self distraction”(2.76±1.02) was the most used coping strategy by the respondents. Fatigue experience and coping strategies had negative correlation (r=-0.490, p=<0.001).Conclusions: Majority of the respondents had experienced fatigue, and half of the respondents used adequate coping strategies. The different methods of coping strategies for fatigue and chemotherapy related effects should be expanded as per the best available evidence to lower fatigue and other adverse effects.


2018 ◽  
Vol 16 (3) ◽  
pp. 285-290 ◽  
Author(s):  
Anika Dahal ◽  
Raj Kumar Meheta

Background: Cancer is considered one of the foremost common causes of death. Fatigue is among the distressing symptoms for cancer patients receiving chemotherapy. Adequate coping is essential for individual to deal with the effects of cancer related treatment. The objective of the study was to find out the fatigue experience and coping strategies among cancer patients receiving chemotherapy.Methods: A descriptive, cross-sectional research design was used for the study. The samples was taken from day care and medical oncology ward of BP Koirala Memorial Cancer Hospital, Bharatpur. A total of 120 cancer patients receiving chemotherapy of 18 years and above were selected by using non probability consecutive sampling technique. Data was collected by using standard tool, Fatigue Symptom Inventory and Brief Cope. Data analysis was done by descriptive and inferential statistics.Results: The study revealed that 82.5% of respondents had experienced fatigue and 50.8% respondents had used adequate coping strategies where “self distraction”(2.76±1.02) was the most used coping strategy by the respondents. Fatigue experience and coping strategies had negative correlation (r=-0.490, p=<0.001).Conclusions: Majority of the respondents had experienced fatigue, and half of the respondents used adequate coping strategies. The different methods of coping strategies for fatigue and chemotherapy related effects should be expanded as per the best available evidence to lower fatigue and other adverse effects.Keywords: Cancer; chemotherapy; coping strategies; fatigue.


Author(s):  
Shilpa S. ◽  
Thenveer Banu K. ◽  
Muhammed Shameem K.

Pregnancy is the privilege of experiencing God’s miracles on the earth. Childbirth is a new experience to the primigravida women. It is a time when a woman’s power and strength emerge full force, but it is also a vulnerable time and a time of many changes presenting opportunities for personal growth. Pregnancy and childbirth is a normal life event, yet women are exposed to significant amount of stress. It’s just as important to look after your mental health and wellbeing during pregnancy as your physical health. If you are mentally healthy, you will be in the best position to manage the challenges of pregnancy and life with a new baby. Aim of study: To assess the level of stress and coping strategies during third trimester of pregnancy among primi antenatal mothers with a view to recommend stress relieving strategies to be under taken during the antenatal period. Methodology: A quantitative approach non-experimental prospective correlational research design was chosen for the study. The study was conducted in selected hospital in Kottakkal, Kerala, India. The sample size of 30 primi antenatal mothers admitted in gynaec wards by non-probability purposive sampling technique. After taking the consent, data were collected using socio-demographic performa, structured stress scale, structured coping strategy scale. Data were analyzed and interpreted by descriptive and inferential statistics. Results and Conclusion: The analysis revealed that 70% of primi antenatal mothers experience mild stress and 30% experience moderate stress, 80% of the primi antenatal mothers have good coping strategy and remaining 20% have excellent coping strategy. There is a significant association exists between the level of stress of primi antenatal mothers during their third trimester of pregnancy with selected socio demographic variable gestational diabetes and there is a significant correlation exists between the level of stress and coping strategies among primi antenatal mothers during their third trimester of pregnancy (p value<0.05).


2018 ◽  
Vol 3 (3) ◽  
pp. 467
Author(s):  
Diah Merdekawati ◽  
Dasuki Dasuki

<p><em>Pre-school age is particularly vulnerable to the effects of stress and fear during hospitalization. Children under the age of 6 are less able to think about an event as a whole, have not been able to determine behavior that can overcome the fear based on experience ever experienced and coping strategies ever done. The aims of this research to know correlation family support with child anxious response during infusion. This study was a quantitative with correlation study using cross sectional method. There were 51 respondents participated in this research. Data were collected through observation with purposive sampling technique. Then, data were analysed through univariate and bivariate. The result of univariate statistic test revealed that as much as 64.7% had good family support and 56.9% experienced an anxious response during infusion. The result of  bivariate statistic test showed that there was a positive correlation with moderate strength between family support and child's anxious response during infusion. This riset showed that families should provide support when children experience fear, anxiety and pain during infusion.</em></p><p><em><br /></em></p><p>Usia pra sekolah sangat rentan terhadap efek stress dan ketakutan selama rawat inap. Anak- anak dibawah usia 6 tahun kurang mampu berpikir tentang suatu peristiwa secara keseluruhan, belum bisa menentukan perilaku yang dapat mengatasi ketakutan berdasarkan pengalaman yang pernah dialami dan strategi koping yang pernah dilakukan. Tujuan penelitian ini adalah untuk mengetahui korelasi dukungan keluarga dengan respon cemas anak saat pemasangan infus. Penelitian ini merupakan penelitian kuantitatif studi korelatif dengan metode <em>cross secsional</em>. Sebanyak 51 responden terlibat dalam penelitian ini. Pengumpulan data melalui observasi. Pengambilan sampel dilakukan secara <em>purposive sampling. </em>Analisis data dilakukan secara <em>univariat </em>dan<em> bivariat. </em>Dari hasil uji statistik univariat diketahui sebanyak 64,7% memiliki dukungan keluarga baik dan 56,9% mengalami respon cemas saat pemasangan infus. Hasil uji statistik bivariat menunjukkan ada korelasi positif dengan kekuatan sedang antara dukungan keluarga dengan respon cemas anak saat pemasangan infus. Penelitian ini menunjukkan bahwa keluarga sebaiknya memberikan dukungannya pada saat anak mengalami ketakutan, kecemasan dan rasa nyeri pada saat pemasangan infus.</p><p><em><br /></em></p>


2019 ◽  
Vol 19 (3) ◽  
pp. 661
Author(s):  
Desi Andriani ◽  
Husna Yetti ◽  
Roza Sriyanti

Antenatal care or antenatal care is a planned program that is observation, education and medical treatment for pregnant women, to obtain a safe and satisfying pregnancy and childbirth process. The indicator used to assess the access of pregnant women to antenatal care is K1 direction (first visit) is the contact of pregnant women to health workers and K4 (perspective visit) is 4 or more times contact with health workers. From the data of the Padang City Health Office, it was found that the Air Tawar Puskesmas with this low level was caused by various factors. The purpose of this study was to determine factors related to the use of antenatal services. This type of research is a quantitative study with cross sectional study design with 110 respondents of third trimester pregnant women with purposive sampling technique. Data analysis was performed univariate, bivariate with Chi squre test. From the research results obtained from the five factors studied, it was found that the factors related to the use of antenatal services in freshwater health centers were access or distance with pvalue 0.009 = OR 21.676), service availability factors with a p value of 0.001 = OR 9.293, the role factor midwives with a p value of 0.001 = OR 12.302, while the family income factor, disease complaints obtained results have nothing to do with the use of antenatal services. The author's suggestion is that there is a need for good coordination with the Independent Practice Midwife (BPM), revitalize puskesmas to more strategic places and improve better facilities, improve accessibility that can be minimized, strive to reach pregnant women, especially for accessibility that is less affordable.


2020 ◽  
Vol 11 (2) ◽  
pp. 37-42
Author(s):  
Firdausi Ramadhani ◽  
Yanti Hz. Hano

Penelitian ini bertujuan untuk mengetahui beberapa faktor yang berhubungan dengan kejadian bayi Bayi Berat Badan Lahir Rendah (BBLR) di Wilayah Kerja Puskesmas Limboto Kabupaten Gorontalo. Metode yang digunakan adalah  Observasional Analitik dengan pendekatan cross sectional study. Populasi adalah seluruh ibu yang melahirkan berjumlah 853 responden, dengan Sampel yaitu sebanyak 202 responden. Teknik pengambilan sampel menggunakan tekhnik Purposive Sampling. Analisis data menggunakan uji Chi Square. Hasil penelitian menunjukkan proporsi bayi Berat Badan Lahir Rendah (BBLR) 34 responden (16,8%) dan bayi Berat Badan Lahir Normal (BBLN) 168 responden (83,2%). Hasil bivariat didapatkan bahwa ada hubungan pengetahuan (p-value 0,044), pendapatan keluarga (p-value 0,029) dengan kejadian bayi Berat Badan Lahir Rendah (BBLR). Sedangkan, jumlah paritas (p value 0,523),  jarak kehamilan (p-value 0,659), dan Kekurangan Energi Kronik (KEK) (p-value 0,637) tidak memiliki hubungan yang bermakna secara statisti dengan kejadian bayi Berat Badan Lahir Rendah (BBLR).    This study aims to determine several factors associated with the incidence of low birth weight babies (LBW) in the Limboto Health Center, Gorontalo District. The method used is analytic observational with a cross sectional study approach. The population was all mothers who gave birth totaling 853 respondents, with a sample of 202 respondents. The sampling technique used purposive sampling technique. The results showed that the proportion of Low Birth Weight (LBW) babies was 34 respondents (16.8%) and Normal Birth Weight (BBLN) babies were 168 respondents (83.2%). The bivariate results showed that there was a relationship between knowledge (p value 0.044), family income (p value 0.029) with the incidence of low birth weight babies (LBW). Meanwhile, the parity (p value 0.523), pregnancy distance (p-value 0.659), and Chronic Energy Deficiency (P-value 0.637) did not have a statistically significant relationship with the incidence of Low Birth Weight (LBW).


2021 ◽  
Vol 17 (1) ◽  
pp. 152-160
Author(s):  
Maria Batsikoura ◽  
Sofia Zyga ◽  
Foteini Tzavella ◽  
Athanasios Sachlas ◽  
Andrea Paola Rojas Gil

Aim: The aim of this study was to investigate the relationship between nutritional habits, lifestyle, anxiety, and coping strategies. Background: Anxiety is an underestimated and often undiagnosed subclinical disorder that burdens the general public of modern societies and increases illness suscentibility. Methods: The study group consisted of 693 individuals living in Peloponnese, Greece. A standardized questionnaire that consists of the dietary habits and lifestyle questionnaire, the trait Anxiety STAI-X-2 questionnaire and the brief-COPE questionnaire, was used. Principal components analysis identified the factors from the questionnaires, and stepwise multivariate regression analysis investigated their relationships. Results: Weekly consumption of fruits, tomatoes, salads and lettuce, together with Εmotional/Ιnstrumental support, Denial/Behavioural disengagement, substance use and self-blame, was the most important predictors of anxiety scores. Positive reframing/Humour and Acceptance/Planning are also associated with the Positive STAI factor and decreased anxiety scores. Conclusion: Healthy nutritional habits, comprised of consumption of salads and fruits, together with adaptive coping strategies, such as Positive reframing/Humour and Active problem solving, may provide the most profound improvement in the anxiety levels of a healthy population in Peloponnese, Greece.


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