scholarly journals Study of stress, anxiety, depression and coping strategies among nursing students in a tertiary care teaching hospital, South India

2021 ◽  
Vol 8 (7) ◽  
pp. 3400
Author(s):  
Biranchi Narayan Das ◽  
Anu Mohandas ◽  
Saba Syed
Keyword(s):  
Nursing Students ◽  
Coping Strategies ◽  
Teaching Hospital ◽  
Clinical Training ◽  
Tertiary Care ◽  
Information Support ◽  
Anxiety And Depression ◽  
Brief Cope ◽  
Validated Questionnaire ◽  
The Mean

Background: Nursing students are at extremely high risk for experiencing stress, anxiety, and depression due to their varied circumstances. Indian studies has revealed, moderate stress among 77-82% of nursing students. The better the nursing students can manage their stress and anxiety and adopt healthy coping strategy, the more successful they can be in their clinical training and academic performance. Objective of the current study was to estimate the prevalence of depression, anxiety, and stress among the BSc nursing students and its association with socio-demographic and academic factors and to find the coping strategies adopted by them.Methods: A cross sectional study was conducted among 149BSc nursing students in a teaching hospital in Hyderabad. The data was collected by pre-validated questionnaire with 3 parts. Part I: socio-demographic and academic parameters, part II: psychological information (DASS-21) and part III: coping strategies (brief COPE). Data was analysed using SPSS version 24.The percentages of stress, anxiety and depression was found and categorised to mild, moderate, severe and extremely severe and associations analyzed with Chi-square test. The mean score and percentages were calculated for coping strategies.Results: The mean age of nursing students was 20±1.6 years. The proportion having depression, anxiety and stress were 67.7%, 85.3% and 46.9% respectively. The coping strategies ‘used a lot’ were spirituality (43.6%), Information support (30.9%) and active coping (28.2%). The study showed depression (p=0.05) and stress (p=0.002) to be higher among 2nd and 4th year students. Lack of leisure time (p=0.036) and difficulty in academics (p= 0.017) were identified as stressors.Conclusions: This study noted high levels of psychological disturbances among nursing students. There is urgent need to plan stress management programmes with peer instructors, mentorship, more leisure and outdoor learning activities.

scholarly journals Role of Coping in Stress, Anxiety, Depression among Nursing Students of Purbanchal University in Kathmandu

2019 ◽  
Vol 17 (3) ◽  
pp. 325-330
Author(s):  
Priscilla Samson
Keyword(s):  
Nursing Students ◽  
Coping Strategies ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
Depression Anxiety Stress Scale ◽  
Cross Sectional ◽  
Stress Scale ◽  
Brief Cope ◽  
Wilks Lambda ◽  
Faculty And Administrators

Background: Unresolved stress among nursing students may occur due to the failure to use effective coping strategies, which may lead to problems such as anxiety and depression.The purpose of this study was to determine the prevalence of stress, anxiety and depression among nursing students and examine its relationship with coping styles.Methods: This descriptive cross-sectional study was conducted among 680 nursing students enrolled in nine colleges affiliated to a university in Nepal during academic year 2018. Depression anxiety stress scale- 21 was used to assess the levels of depression, anxiety and stress. Coping was measured using brief cope inventory.Results: Majority of students (51%, n = 350) reported moderate to extremely severe levels of stress, anxiety, and depression.Students mostly used problem-focused coping strategies. A one-way MANOVA revealed statistically significant differences among the levels of problem- focused coping (Wilks’ Lambda = .96, F (3, 676) = 8.11. p = <.001 and emotion-focused coping (Wilk’s Lambda = .90, F (3,676) = 23.69,p = <.001 with stress, anxiety and depression. Conclusions: The findings can be sourced to create awareness among faculty and administrators of nursing colleges regarding high occurrence of stress, anxiety and depression among students. Future studies can focus on the need to establish the counseling centers in nursing colleges that may aid in teaching students the effective coping strategies.Keywords: Anxiety; brief cope inventory; depression; depression anxiety stress scale;nursing students; stress.

scholarly journals Validation of Sinhala Version of Brief COPE Scale in Patients with Cancer in Sri Lanka

2021 ◽  
Author(s):  
Eranthi Weeratunga ◽  
Chandanie Senadheera ◽  
Manjula Hettiarachchi ◽  
Bilesha Perera
Keyword(s):  
Sri Lanka ◽  
Coping Strategies ◽  
Cronbach’S Alpha ◽  
Maladaptive Coping ◽  
Retest Reliability ◽  
Patients With Cancer ◽  
Cronbach's Alpha ◽  
Brief Cope ◽  
The Mean ◽  
Test Retest Reliability

Abstract Background Coping strategies are essential in the cancer management/recovery process and show an integral part in patients with cancer globally. In Sri Lanka, validated scales to measure coping are scarce. This study was examined the Sinhalese version of the Brief COPE for its psychometric properties. Methods This scale is self-administered (28 items) and consists of adaptive and maladaptive coping strategies; divided into 14 subscales. Cancer patients were registered ‘first come - first serve’ basis using their appointment register at the Radiotherapy Unit, Oncology ward, Teaching Hospital, Karapitiya, Galle, Sri Lanka. They were requested to complete the Sinhalese version of the Brief COPE and demographic details. Test-retest reliability was checked using the same subjects two weeks later. Factorial validity was performed using exploratory factor and principal component analysis. Results were regarded as statistically significant if p < 0.05. Results The mean (±SD) age of the sample was 61(±12) years. The mean adaptive coping (±SD) and maladaptive coping were 37.50 (±8.14) and 17.10 (±2.44) respectively. The internal consistency of the overall scale was good (Cronbach’s alpha - 0.819). Adaptive and maladaptive coping showed a high Cronbach’s alpha (0.861 and 0.396). The test-retest reliability was found to be 0.66. The Sinhala version of BC was found to have a negative correlation with the CES-D scale but was positively correlated with the WHOQOL-BREF questionnaire. Seven factors were extracted. Conclusion The Sinhala version of the Brief COPE is a valid and reliable tool to assess coping strategies among patients with cancer. The findings of this study would let the health authorities get an understanding of coping strategies among patients with cancer; and the impact on cancer victims and family members to relieve their suffering.

scholarly journals Prevalence of stress among postgraduate junior residents in Bangalore, Karnataka, India

2019 ◽  
Vol 6 (3) ◽  
pp. 1309
Author(s):  
Ramya H. S. ◽  
Nisar Ahamed A. R. ◽  
Rajendra Prasad T. C. ◽  
Muragesh Awati
Keyword(s):  
Coping Strategies ◽  
Perceived Stress ◽  
Tertiary Care ◽  
Physical Symptoms ◽  
Burnout Syndrome ◽  
Poor Sleep ◽  
Quality And Safety ◽  
Brief Cope ◽  
Self Reporting Questionnaire ◽  
Moderate Stress

Background: Post graduate residents in tertiary care teaching hospitals in metropolitan cities bear the overwhelming burden due to heavy workload, they are at high risk of developing burnout syndrome, which in turn may affect hospital outcomes such as the quality and safety of the provided care.  This study was conducted to assess their perceived stress, stress induced somatic symptoms and coping strategies by postgraduates in Bangalore, India.Methods: This cross-sectional study was conducted on all postgraduates willing to participate in the study, pursuing their post-graduation in various specialties in Six medical colleges in Bangalore, India. Stress was assessed by Perceived stress scale (PSS-10), Stress induced physical symptoms using selected items from self-reporting questionnaire (SRQ-20), coping strategies using selected items from BRIEF COPE. Descriptive and inferential statistical analysis has been carried out in the present study.Results: The mean PSS score in present study was found to be 22.92 (moderate stress). Stress was associated with clinical specialty, higher workload, poor sleep quality due to more working hours, marital status, harmful ideations. In present study Post graduates of OBG, pediatrics, radiology demonstrated higher perceived stress score with a mean PSS Score of 25.57, 24.25, 24.22 respectively. Dermatology postgraduates reported lowest stress levels with a mean PSS score of 16.86.Conclusions: In present study post graduates are facing moderate stress, affecting their physical and mental health resulting in dysfunctional coping strategies and harmful ideations like quitting, which has an impact on quality and safety of provided care.

An Epidemiological Assessment of Endometrial Carcinoma Including Demographics and Histopathological Correlation, from a Tertiary Care Teaching Hospital in South India

2021 ◽  
Vol 8 (30) ◽  
pp. 2751-2756
Author(s):  
Jeenu Babu ◽  
Reeba George Pulinilkunnathil ◽  
Bindu R. Kumar
Keyword(s):  
Risk Factors ◽  
Endometrial Carcinoma ◽  
Teaching Hospital ◽  
South India ◽  
Tertiary Care ◽  
Endometrial Biopsy ◽  
Prognostic Indicators ◽  
Histopathological Correlation ◽  
History Of ◽  
The Mean

BACKGROUND Endometrial cancer (EC) is also the second most common gynaecologic malignancy in developing countries, with an incidence of 5.9 per 100,000 women. Due to the multiple modifiable factors, a better understanding of the prognostic indicators can lead to early detection and treatment. The purpose of this study was to evaluate the frequency and the distribution of various risk factors, epidemiological factors, and histological patterns of patients diagnosed with endometrial carcinoma in a tertiary teaching hospital in south India and compare them with similar studies. The compiled findings of 60 consecutive cases that presented to our tertiary care teaching hospital in Kerala, south India, over oneand-a-half-year period were studied. METHODS This study was essentially an ex post facto retrospective study done on 60 patients for one and half years. Retrospective data collection and compilation were done with previously prepared structured questionnaires in patients with histologically proven endometrial carcinoma. All cases were subjected to hysterectomy with post-surgical histopathology correlation. A study of the risk factors, general epidemiological characteristics, endometrial biopsy findings, and post-surgical histopathology was done. RESULTS The mean age at presentation was 59.83 years. The mean age of menarche was 13.72 years, and menopause was 49.42 years. The majority of patients were married, multiparous, and presented with bleeding per vaginum (77 %). 61.7 % of the patients had a history of hypertension, 31.7 % had a history of hypothyroidism, and 43.3 % had a history of diabetes mellitus in the study population. The most common histopathological type by endometrial biopsy and histopathological correlation was endometrioid adenocarcinoma (88.3 %). CONCLUSIONS Postmenopausal age group, with early menarche and late menopause, high body mass index (BMI), thickened endometrium on ultrasound, and atrophic uterus were some of the features associated with endometrial carcinoma. The most common histological subtype was found to be endometrioid carcinoma KEYWORDS Endometrial Carcinoma, Risk Factors, Prognostic Indicators

scholarly journals STUDY OF POTENTIAL DRUG INTERACTIONS AMONG EIGHT MAJOR DEPARTMENTS-GENERAL MEDICINE, ORTHOPEDICS, GYNECOLOGY, PULMONOLOGY, GENERAL SURGERY, PSYCHIATRY, OTOLARYNGOLOGY AND DERMATOLOGY OF A TERTIARY CARE TEACHING HOSPITAL IN SOUTHERN INDIA

2020 ◽  
pp. 59-67
Author(s):  
TALHA JABEEN ◽  
MOHD ABDUL KHADER ◽  
A. V. KISHORE BABU ◽  
A. SRINIVASA RAO
Keyword(s):  
Drug Interactions ◽  
Teaching Hospital ◽  
General Surgery ◽  
Tertiary Care ◽  
General Medicine ◽  
Potential Drug ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Study Population ◽  
The Mean

Objective: To identify frequency, type, severity and predictors of potential drug-drug interactions(pDDIs), potential drug-food interactions(pDFIs), potential drug-alcohol interactions(pDAIs) and potential drug-tobacco interactions(pDTIs) and most frequently interacting drug combination pairs in hospitalized patients from departments(depts) of General Medicine(GM), Orthopedic(Ortho), Gynecology(OBG), Pulmonology(Pulmo), General Surgery (GS), Psychiatry (Psych), Otolaryngology(ENT) and Dermatology (Derm) of study population. Methods: A Prospective Observational Study was conducted in eight major dept's of a tertiary care teaching hospital for a period of 6 mo. A sample size of 650 prescriptions reflecting admission no's for each department were used. Results: A total of 650 patients were included in the study. Among them, 282(43.4%) were males and 368(56.6%) were females. The mean age of the study population was 39.67±15.23. A total of 487 pDDIs, 734 pDFIs, 586 pDAIs and 159 pDTIs were found out of 650 hospitalized episodes. OBG showed the highest pDDIs and pDAIs. Highest pDFIs and pDTIs were seen in Pulmo. The majority of DDIs were minor, DFIs and DAIs were moderate and DTIs were of major in severity. Pharmacokinetic types of interactions were seen in the majority of the depts. Logistic regression analysis showed that Polypharmacy was associated with the occurrence of DIs. Most of the DIs repeated several times in particular depts and a list of these combinations was prepared. Conclusion: With the high occurrence of overall DIs and characteristic patterns of DIs combination pairs among different departments of the hospital, the presence of clinical pharmacists in hospitals can play a great role, especially in developing nations like India where their role in hospitalized settings is always controversial.

scholarly journals A study to assess the knowledge and awareness regarding safe disposal of pharmaceutical wastes among 2nd year medical and para-medical students in a tertiary care teaching hospital in North India

2020 ◽  
Vol 9 (3) ◽  
pp. 493
Author(s):  
Shweta Kachhap ◽  
Gajendra K. Singh ◽  
Emmanuel A. Soreng ◽  
Rani K. Beck ◽  
Upendra Kumar
Keyword(s):  
Teaching Hospital ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
Pharmaceutical Products ◽  
North India ◽  
Safe Disposal ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Validated Questionnaire ◽  
Awareness Programs

Background: The use of pharmaceutical products in our day to day life is escalating and one cannot deny their presence in every household. Unfortunately not all the medicines that reach our homes get consumed. Unused, unwanted and expired drugs get accumulated over time and are generally disposed along with other household trash thus contributing to environmental pollution. This turns our attention towards the significance of eco-pharmacovigilance. Assessing the level of knowledge and awareness of students under training  as health care professionals  regarding safe disposal of pharmaceutical wastes can help us to partly assess the magnitude of the problem of inappropriate disposal methods and help us to plan and initiate steps to prevent the hazards caused by improper disposal of these items.Methods: A questionnaire based cross-sectional study was conducted among medical and paramedical students of a tertiary care teaching hospital using a pre-validated questionnaire from previous studies.Results: Majority of the participants were not aware of the possible hazards of improper disposal of pharmaceutical wastes. They expressed the need for awareness programs regarding the subject.Conclusions: The study revealed the practice of drug accumulation at home. The disposal methods opted by the participants were not the recommended methods. There is a need to address this issue through awareness programs at various levels.

scholarly journals Cognition, Comprehension and Application of Biostatistics in Research by Postgraduate Medical Students of a Tertiary Care Teaching Hospital: Pretest and Posttest Study Design

2016 ◽  
Vol 1 (1) ◽  
pp. 5-9
Author(s):  
Rajaat Vohra ◽  
Siddharth Pramod Dubhashi ◽  
Bhoopendra Nath Sharma ◽  
GN Saxena ◽  
Anusha Vohra
Keyword(s):  
Medical Students ◽  
Study Design ◽  
Teaching Hospital ◽  
Research Methodology ◽  
Tertiary Care ◽  
Knowledge Score ◽  
Postgraduate Students ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
The Mean

ABSTRACT Introduction Biostatistics plays a key role in planning, conduct, analysis and reporting of a research. Teaching biostatistics and research methodology is often considered as a difficult task to medical students. The present study was undertaken to evaluate the cognition, comprehension and application of biostatistics in research in the 1st year postgraduate medical students. Materials and methods A predesigned and pretested questionnaire was used to collect data regarding knowledge and application of biostatistics from 65 postgraduate students registered. A series of 10 lectures were taken on various topics of biostatistics and research methodology. All students were subjected to Multiple Choice Questions covering all the topics before the 1st lecture and after the 10th lecture. Mean knowledge score was calculated and data were analyzed. Results Only 16.92% students had publication, 35.38% students have presented a paper/poster in any national or international conference while only 10.76% students have participated in any research methodology workshop. A total of 63.07% students said that they were aware of importance of biostatistics in research, 50.76% students said that they were having some knowledge of biostatistics. A total of 60% students have consulted statistician regarding the study while 23.07% students have attempted statistical analysis on their own. A total of 33.84% students are familiar with the use of MS-EXCEL spreadsheet. There was statistically significant improvement seen in the mean knowledge score of the students after the lectures in comparison to the mean knowledge score before the lectures. Conclusion Considering the fruitful outcome of structured training program in biostatistics, there is a need for provision of formal training in biostatistics to postgraduate students in all medical colleges. Capacity building initiative in this domain is the need of the hour. How to cite this article Vohra R, Dubhashi SP, Sharma BN, Saxena GN, Vohra A. Cognition, Comprehension and Application of Biostatistics in Research by Postgraduate Medical Students of a Tertiary care Teaching Hospital: Pretest and Posttest Study Design. J Mahatma Gandhi Univ Med Sci Tech 2016;1(1):5-9.

Prevalence and Socio-Demographic Association of Depression, Anxiety and Stress Among University Students

2018 ◽  
Vol 7 (2.29) ◽  
pp. 688 ◽  
Author(s):  
Sanil S Hishan ◽  
Heethal Jaiprakash ◽  
Suresh Ramakrishnan ◽  
Jaiprakash Mohanraj ◽  
Jayanthi Shanker ◽  
...  
Keyword(s):  
University Students ◽  
Coping Strategies ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
Professional Lives ◽  
Cross Sectional ◽  
Demographic Questionnaire ◽  
Positive Reframing ◽  
The Mean ◽  
And Gender

Prevalence of Stress, anxiety and depression has been identified to be high among university students which may affect their social and professional lives. The study aims at assessing the prevalence of stress, anxiety and depression among university students and analyzes their association with gender, ethnicity and area of upbringing. The study also intends to identify their coping strategies. This was a cross sectional study utilizing validated questionnaires. It was conducted among a total of 143 university students in Johar bahru. The questionnaires used were the socio-demographic questionnaire, DAAS-21 questionnaire and Brief coping strategy Questionnaire. Data was analyzed using SPSS software. Descriptive statistics was used. The mean age of the students under the study was 25.02±8.6 years. Depression was seen in 62.2% of the students and anxiety and stress were seen in 78.3% and 55.9 % students respectively. Depression, anxiety and stress were found more in females than males. Anxiety was more in Malays and depression and stress was more among other ethnic groups. Anxiety and depression were seen more in students with a rural upbringing and stress in students with a urban upbringing. There was no significant association between depression, anxiety, stress and gender, ethnicity and area of upbringing. The mean score for the common coping strategies employed which was acceptance, positive reframing and self distraction were 2.8±0.9, 2.8±1.0, 2.8±1.0 respectively. Prevalence of anxiety was more compared to stress or depression. Students used active coping Strategies to cope with stress.  

Level of Stress and Coping Strategies Seen Among Parents of Neonates Admitted in NICU

2022 ◽  
pp. 097321792110688
Author(s):  
Geetanjali Pathak ◽  
Rahul Dixit ◽  
Niranjan K. Singh ◽  
Taruna Vijaywargiya ◽  
Narottam Lal
Keyword(s):  
Coping Strategies ◽  
Family Income ◽  
Demographic Data ◽  
Tertiary Care ◽  
Cognitive Strategy ◽  
Stress And Coping ◽  
North India ◽  
P Value ◽  
Validated Questionnaire ◽  
And Coping

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.

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