scholarly journals Exercise Plan in Preventing of Pressure Ulcers among Post Operative Patients

Author(s):  
Dr. Eman Elsayed Hussein

Abstract: Background: Pressure ulcers are the common conditions among patients hospitalized in acute and chronic care facilities and impose significant burden on patients, their relatives and caregivers. Pressure ulcers have been described as one of the most costly and physically debilitating complications since the 20th century. The pain and discomfort due to pressure ulcer prolongs illness, rehabilitation, time of discharge and even contribute to disability and death. Lengthy periods of immobilization are emotionally stressful for patients. Immobility related problems include pressure ulcers, pneumonia, constipation, loss of appetite, urinary stasis, urinary track infections and venous stasis or deep vein thrombosis. When the complications due to immobilization are prevented it helps an individual to be physically, emotionally and psychologically sound. These complications can be prevented through simple basic patient care like skincare, active-passive exercises, changing position and deep breathing exercises. Nurses have a key role in prevention of these complications by educating the patients. Hence the study was conducted “To evaluate the effectiveness of structured teaching programme regarding prevention of complications of immobilized patients . methods: The study involved 50 immobilized orthopaedic patients using the structured interview schedule. STP was implemented and post-test was conducted after 8 days using the same structured interview schedule to find out the effectiveness. Results: 86% of respondents were taking mixed diet and 60% had compound fracture. The main cause for the fracture was road traffic accident (46 %). Regarding effectiveness of Structure exercise plan , the overall mean percentage knowledge score in the pre-test was 34.71% and 80.91% in the post-test. The statistical paired ‘t’ test indicates that enhancement in the mean percentage knowledge score was found to be significant at P≤0.05 percent level for all the aspects . Conclusion: This study revealed that nursing staffs’ knowledge and practice about pressure ulcer preventive measures could be improved. Participants in the study reported that they could use the educational program effectively and easily in the prevention of pressure ulcers among their immobilized patients, which decreases the occurrence of pressure ulcers and as well as improved patient outcome. Keywords: pressure ulcer, post operative patients, structure exercise plan

2010 ◽  
Vol 2 (1) ◽  
pp. 89-92
Author(s):  
Sangeeta N Kharde ◽  
Usha M Bhandari

ABSTRACT A newborn baby is a god's divine precious gift given to a mother. Nurses play very crucial role in prevention of newborn hypothermia during the hospitalization of newborn in NICU. To evaluate the effectiveness of PTP on prevention of hypothermia in newborn among mothers was the main objective of the present study. One group pretest, post-test design (pre-experimental) was used. 30 postnatal mothers were selected by nonprobability sampling and pretest questionnaire was administered through structured interview schedule. After PTP 7 days after posttest was conducted on same group. Results were analysed by ‘t’ test. The results revealed that there was statistically significant association between knowledge of mothers and age and religion, and remaining three variables there was no statistical significant association (p < 0.05). The PTP was the best teaching strategy as it enhance the knowledge on prevention of hypothermia.


2020 ◽  
Author(s):  
Ezedin Molla Muhammed ◽  
Berhanu Boru Bifftu ◽  
Yemataw Zewdu Temachu ◽  
Tarkie Abebe Walle

Abstract Background: Pressure ulcer is largely avoidable, but its prevalence rate increased more than 80% in a thirteen years study. Nurses have a great position to advance best practices towards the prevention of pressure ulcers. Therefore they should be knowledgeable of the signs and symptoms of pressure ulcers, and preventive strategies to reduce its incidence, but there is limited evidence on nurses’ knowledge and its associated factors to prevent pressure ulcer in Ethiopia. Methods: A hospital-based cross-sectional study was conducted from March 25 – April 23/ 2018. A total of 356 nurses were selected by stratification with a simple random sampling technique. Pretested structured questionnaire with closed and open-ended questions was used to collect data. Frequency distribution and percentage were computed to describe each variable. Bivariate and multivariable logistic regression with a 95% confidence interval was also carried out to see the effect of each independent variable on the dependent variable and declared statistical significant association with P< 0.05. Result: The mean knowledge score of nurses was 25.22 out of 41 item questions. Fifty-two point five percent of nurses score above the mean. Males [AOR=0.44, 95% CI (0.26 – 0.73)], working a maximum of eight hours [AOR= 3.57, 95% CI (1.48 – 8.61), not having training [(AOR= 2.31, 95% CI (1.14 – 4.61)], Low salary [AOR= 3.47, 95% CI (1.03 – 11.67)] were significantly associated with inadequate knowledge. Conclusion: Generally a nurse's knowledge of pressure ulcer was inadequate. Being female, working less than or equal to eight hours, not having the training and low working salary are contributors to a low level of knowledge for pressure ulcer.


Author(s):  
Gitima Kalita ◽  
Nabajani Dutta

Background: Respiratory diseases are typical issue of the airway that hampers the normal airflow and leads to airway inflammation. The impacts of breathing exercises on respiratory diseases have been concentrated to discover its role on improvement of respiratory status. Objective: To estimate breathing exercises on improvement in respiratory status among patients with respiratory diseases. Material and method: A pre experimental, one group pre-test post-test design was adopted on 50 samples with respiratory diseases selected by convenient sampling technique from Medicine (male and female), Pulmonary Medicine, CTVS ward of Guwahati Medical College and Hospital, Assam. Data collected through structured interview schedule for demographic and clinical variables and “modified respiratory status scale” for assessing respiratory status. The group received intervention for 3 minutes one time daily for 7 days. Post-test was done on 7th day. In this study, deep breathing exercise and pursed lip breathing exercise were used. Data were analyzed by using the software package SPSS 2.0 version. Results: the pre-test respiratory status mean was 7.6 and post-test respiratory status mean was 4.98 mean difference was 2.62. The difference in mean scores shows a significant improvement of Respiratory status among patients with Respiratory Diseases. The t’ value of the breathing capacity by using modified respiratory status scale (13.55) was much higher than the ‘p’ value at 0. 05 level of significance. So, Breathing Exercises (Deep Breathing Exercise and Pursed Lip Breathing Exercise) was effective which improve the respiratory status among Respiratory Disease patients. Respiratory status is associated with Gender, History of previous hospitalization and no association with clinical variables. Conclusion: The study concluded that breathing exercises is effective in improvement of respiratory status among patients with respiratory diseases.


Author(s):  
G. Khawale U. R. Chinchmalatpure ◽  
V. B. Sonawane S. V. Shelke

The present study on “Entrepreneurial behaviour of turmeric growers” was conducted in Washim district of Maharashtra state with the objective to study the entrepreneurial behaviour of the turmeric growers. The exploratory research design of social research was used. In all, 120 respondents were selected by random sampling method. The data were collected by personally interviewing the respondents with the help of structured interview schedule. After analysis it was observed that majority of respondents (40.00%) possess medium entrepreneurial behaviour. The results of the co-relation co-efficient between entrepreneurial behaviour of respondents and their profile results which clearly indicates that selected characteristics of turmeric growers i.e. Land holding, annual income, and knowledge had positive and significant relationship at 0.01 level of probability with entrepreneurial behaviour whereas, area under turmeric crop, extension contact and scientific orientation had positive significant relationship at 0.05, percent level of probability with entrepreneurial behaviour of turmeric growers. While age, farming experience, source of irrigation had negative and non-significant relationship with entrepreneurial behaviour.


2011 ◽  
Vol 5 (9) ◽  
pp. 2152
Author(s):  
Ana Patricia Costa Paes Barreto ◽  
Bruna Cavalcanti Araújo ◽  
José Cristovam Martins Vieira

ABSTRACTObjective: to identify the sociodemographic and clinical patients inherent to patients with pressure ulcers (UPs) hospitalized in a home care hospital. Method: this is an exploratory-descriptive study, with a quantitative approach. It was carried out at the home care hospital on March 2009, through a structured interview and observation of the ulcers, whose data were organized in the software Excel 2007. The population consisted of 77 patients, being included all patients who had a PU in any stage and site. Study approved by the Ethics Committee of Hospital Agamêmnon Magalhães under the Record 11/2009, in accordance with the Resolution 196/96. Results: the sample consisted of 23 patients with pressure ulcers, with prevalence of the age group over 80 years (34.78%); males (56.57%); white-skinned (39.13%); married or widowed individuals (39.13% each); complete high school (34.78%); income from 3 to 5 minimum wages (43.47%). Regarding comorbidities, cardiovascular diseases were the most frequent, with 73.91%, there were 34.8% individuals using mechanical ventilation, and 70% of them were confined to bed. Forty-eight PUs were identified, being the sacral region the prevailing site. Conclusion: the profile was consistent with the literature, being most of them bedridden elderly patients, with chronic-degenerative diseases, and pressure ulcers. One should emphasize prevention and observation of skin. Descriptors: pressure ulcer; nursing assistance; home assistance.RESUMO Objetivo: identificar o perfil sociodemográfico e clínico inerente aos pacientes portadores de úlceras por pressão (UPs) internados em um hospital de assistência domiciliar.  Método: trata-se de estudo exploratório-descritivo, com abordagem quantitativa. Realizado no hospital de assistência domiciliar em março de 2009, por intermédio de entrevista estruturada e observação das úlceras, cujos dados  foram organizados no programa Excel 2007. A população constou de 77 pacientes, sendo incluídos todos os pacientes que possuíssem UP em qualquer estágio e localização. Estudo aprovado pelo Comitê de Ética do Hospital Agamêmnon Magalhães sob o Registro n.11/2009, em conformidade com a Resolução 196/96. Resultados: a amostra encontrada foi de 23 pacientes, sendo prevalente a faixa etária superior a 80 anos (34,78%); sexo masculino (56,57%); raça branca (39,13%); casados e viúvos (39,13% cada); ensino médio completo (34,78 %); renda de 3 a 5 salários-mínimos (43,47%). Quanto às comorbidades, as doenças cardiovasculares se sobressaíram com 73,91%, havia 34,8% em ventilação mecânica e 70% estavam acamados. Foram identificadas 48 UPs, sendo a região sacra o local predominante. Conclusão: o perfil foi condizente com a literatura, sendo em sua maioria idosos acamados, portadores de doenças crônico-degenerativas e de úlceras por pressão. Deve-se enfatizar a prevenção e observação da pele. Descritores: úlcera por pressão; assistência de enfermagem; assistência domiciliar.  RESUMENObjetivo: identificar el perfil sociodemográfico y clínico inherente a los pacientes con úlceras por presión (UPs), internados ​​en un hospital de asistencia domiciliaria. Método: esto es un estudio exploratorio-descriptivo, con abordaje cuantitativo. Realizado en el hospital de asistencia domiciliaria en marzo de 2009, a través de entrevista estructurada y observación de las úlceras, cuyos datos fueron organizados en el programa Excel 2007. La población incluyó 77 pacientes y incluyó todos los pacientes que tenían UP en cualquier estadio y localización. Estudio aprobado por el Comité de Ética del Hospital Agamêmnon Magalhães bajo el Registro 11/2009, en conformidad con la Resolución 196/96. Resultados: la muestra fue de 23 pacientes, siendo prevalente la franja etaria mayor de 80 años (34,78%), hombres (56,57%); blancos (39,13%); casados ​​y viudos (39,13% cada);  educación media completa (34,78%); renta de 3 a 5 salarios mínimos (43,47%). En cuanto a las comorbilidades, las enfermedades cardiovasculares se destacaron, con 73,91%, hubo 34,8% en ventilación mecánica


2011 ◽  
Vol 1 (1) ◽  
pp. 27-32
Author(s):  
Selvakumari S

Statement of Problem: The mother plays a major role in promoting the health of children. Several misconception, ignorance and inadequacy of knowledge in relation to optional vaccine is prevalent among mothers especially under five children. The effectiveness of structured teaching programme on knowledgeregarding optional vaccines among mothers of under five children in Kovilpalayam at Coimbatore.Study Objectives: a) To assess the pretest knowledge regarding optional vaccines among the mothers with under five children. b) To evaluate the effectiveness of a planned teaching programme in terms of gain in knowledge score. Methodology: One group pretest and post test experimental design. The sample for this study consisted for 40 mothers selected by convenience sampling technique. A structured interview schedule was used to assess the knowledge among mothers under five children. Result: 40 samples were enrolled in the study. Inferential statistics were used to analyze the data. The obtained‘t’ value for knowledge was 18.91 at (P<0.05). Conclusion: The results indicated that the knowledge regarding optional vaccine among mothers with under five children was significantly improved after education.


2001 ◽  
Vol 11 (2) ◽  
pp. 115-130 ◽  
Author(s):  
David R Thomas

A pressure ulcer is the visible evidence of pathological changes in blood supply to the dermal and underlying tissues, usually due to compression of the tissue over a bony prominence. Pressure ulcers are one of several types of chronic ulcers of the skin, including venous stasis, diabetic ulcers, and arterial insufficiency ulcers. The differential diagnosis of pressure ulcers is imperative, since the management of each wound type differs substantially.


1980 ◽  
Vol 137 (6) ◽  
pp. 540-546 ◽  
Author(s):  
Mohan K. Isaac ◽  
R. L. Kapur

SummaryA study was carried out to compare the sensitivity as well as cost of three different methods of psychiatric case detection. It was found that the simplest method, which involved interviewing about 3 per cent of the adult population, with a questionnaire taking only five minutes to complete, picked up as many adult epileptics and nearly as many psychotics as the inquiry with all the adults in the population using a sophisticated structured interview schedule. A method of medium complexity, in which the short five-minute questionnaire was given to one adult member of each family, detected in addition to all adult epileptics and psychotics, and many juvenile epileptics and mentally retarded.The cost of the simplest method was one-ninth and that of the method of medium complexity, one-fifth of the cost of the most sophisticated method.The method of medium complexity is recommended for use in the rural psychiatry programme of the developing countries.


2021 ◽  
Author(s):  
Yvonne Nong ◽  
Torunn Sivesind ◽  
Robert P. Dellavalle

UNSTRUCTURED This article summarizes an important Cochrane systematic review on the evidence of foam surfaces for pressure ulcer prevention.


Author(s):  
Sagaya Arockiya Mary. A ◽  
Susai Mari.A ◽  
Wincy. C ◽  
Thirumurugan. M ◽  
Verginia Dsouza ◽  
...  

Background: The one virus stumbled the whole universe is the novel corona virus and impacted physical, emotional and social health status of almost every individual in the world irrespectively. Since the existence of Covid-19 till now it is been noticed that student nurses also affected by this fatal viral infection during their clinical practice. Objectives: The study focused on evaluating the effectiveness of webinar on knowledge regarding the strategies to prevent Covid -19 among student nurses of SIIHS, Honavar, Uttara Kannada. The study aimed at enhancing the knowledge level and influences others through effective health teaching at clinical areas and even in community settings. Methodology: An evaluative approach with pre- experimental, non-randomized, one group pre and post-test research design was adapted. The sample size was 294, purposive sampling technique was adapted. Data collected through testmoz web page and webinar was conducted by google meet app for one week. Data analysed by descriptive and statistical methods (chi-square and z-test) and interpreted by graphs. Results: The findings show that in pre-test 10(3.41%) had poor, 127(43.19%) had average, 157(53.40%) Good and 00% excellent knowledge level whereas in post-test 00% had Poor, 59(20.06%) Average, 176(59.86%) Good and 59 (20.06%) had excellent knowledge level. The pre-test mean score was 23.1 (46.2 %.) and of post-test was 35.6 (71.2%). The computed z’-test value showing significant difference in the pre (x?1=23.1) and post-test (x?2=35.6) knowledge score (p=1.18357, < z= -5.1679, critical z score=-1.6449 ? =0.05 level of significance). Hence the p value is greater than the z value (p(x?Z) = 1.18357e-7), it indicates the webinar was effective and the null hypothesis (H0) is rejected. Conclusion: The study was concluded as the webinar was highly effective and influenced the participant to gain sufficient information on prevention and the spread of Covid 19. Hopefully this enables them to apply


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