scholarly journals Effectiveness of Practicing Self-Care Module on Activities of Daily Living (ADL) among Patients with Schizophrenia in a Selected Hospital

2021 ◽  
Vol 12 (1) ◽  
pp. 39-45
Author(s):  
Kalavalli ◽  
Kanniammal ◽  
Malarvizhi

Schizophrenia is a clinical syndrome of very serious and persistent neurobiological brain disease with profoundly disruptive psychopathology that results in severe, impairment in the lives of an individual, family and community. Patients need to depend on the family members or health care team members to meet their self-care needs. The present study determined the effectiveness of practicing self-care module on Activities of daily living (ADL) among patients with schizophrenia in selected hospital.  During the study period, totally 30 patients with schizophrenia between the age group of 21-40yrs participated in this study. Convenient sampling technique was used to select the participants. After obtaining consent, data has been collected from subjects with observational checklist. Subjects were given training for seven hours per day. Post test was conducted after 7days. Descriptive, paired t test and chi-square test were used to analyze the data. The finding of the study depicts evidence of significant difference between pre and posttest at the level of P<0.01, so  the self-care module helped them in their Activities of daily living to the maximum extent. There was a statistically significant difference in pre and post-test on level of performance in relation to Personal hygiene, personal grooming, communication, responsibilities and over all the level of P<0. 001.The study highlighted that, the need of retraining ADL for patients with schizophrenia is mandatory by the psychiatric nurses in hospital setting.

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1017-1018
Author(s):  
Hyejin Kim ◽  
Gabriella Engström ◽  
Töres Theorell ◽  
Azita Emami

Abstract Family caregivers who provide care to persons with dementia (PWD) in a home setting may feel greater stress, depressive symptoms, or struggle to deal with issues in their lives. Indeed, PWD often require 24-hour care that includes ensuring safety, providing emotional support, and assistance with activities of daily living and multiple instrumental activities of daily living. This study examined the short-term effects of an online music intervention on stress, coping, and depression among caregivers of PWD. We included 35 caregivers (n=24 [intervention group], n=11 [comparison group]) living at home with their family member with dementia. Mann-Whitney U test and Wilcoxon signed-ranked test were performed to examine between- and within-group differences from baseline to eight weeks after the intervention. The coping subscale yielded a significant difference between the groups at post-test (U=76.50, Z= -1.978, p=0.048), indicating the intervention group had better coping than the comparison group at post-test. Significant within-group differences in overall stress (Z= -2.200, p= 0.028) and coping subscale (Z= -1.997, p=0.046) in the comparison group at post-test suggest that overall stress and coping were maintained from baseline to post-test in the intervention group, whereas the comparison group had significantly higher overall stress and lower coping at post-test. This home-based online music program showed potential benefits for caregivers of PWD by taking into account participants’ musical preferences and ease of access to the program. A randomized controlled trial with a larger sample size and objective measurements of stress and depressive symptoms (e.g., biomarkers) should be conducted in the future.


2021 ◽  
Vol 3 (2) ◽  
pp. 102-120
Author(s):  
Lisa Noviana Savitri ◽  
Windy Rakhmawati ◽  
Citra Windani Mambang Sari

Adolescents with ASD who are living in dormitory with only the assistance of caregivers and without the presence of parents are demanded to be more independent in self-care. Complex disorders that occur in children with Autism Spectrum Disorder (ASD) affect the child's self autonomy to fulfill self-care needs. This study aims to identify the description of self-care agency in adolescents with ASD who are living in dormitory of SLB “X” in Bandung District.This research used a quantitative descriptive design. The sample in this study was adolescents with ASD who are living in dormitory, used total sampling technique with the total of 35 people. The instrument of this study was Kenny Self Care Evaluation (KSCE) which was analyzed and presented in tabular form using frequency distribution in percentage.The results showed that in personal hygiene (74.3%) and toileting (71.4%) of respondents experienced total dependence. In transfer activities (77.1%), dressing (65.7%), and feeding (82.9%) of respondents needed minimal assistance or supervision. However, in activities in bed and locomotion all respondents were independent. The conclusion from this study shows that adolescents with ASD experienced the lowest level of independence where they needed total support in carrying personal hygiene and toileting activities. Thus, it is essential for school and dormitory managers to work closely with community nurses to improve adolescent's skills in self-care by providing education to both adolescents and caregivers.


2021 ◽  
Vol 5 (1) ◽  
pp. 323-327
Author(s):  
Erva Elli Kristanti ◽  
Yoyok Febrijanto ◽  
Dian Taviyanda

The increasing number of elderly from year to year has an impact on increasing the accompanying degenerative diseases. In addition, the elderly tend to be at risk for emotional changes and even at risk for depression which can have an impact on disruption of daily activities (Kelliat (1996) in Yuli (2014). Activity needs are basic needs because they cover self-care needs which include: bathing, dressing, going to the toilet, transferring, continence, and eating (Tamher, Noorkasiani, 2009). Based on WHO data (2007), it shows that psychosocial factors in elderly are problems that are very burdensome for their lives, which in turn affect physical, social and mental disorders. Some of these conditions can affect activity daily living. Where is the main activity for self-care which includes: bathing, dressing, going to the toilet, transferring, continence, and eating (Tamher, Noorkasiani, 2009). The objective of this study was to identify the level of independence of the elderly in carrying out daily living activities at Panti Wredha St. Yoseph Kediri. The design used in this research was descriptive. The population was the elderly at Panti Wredha St. Yoseph Kediri. The samples were 30 respondents with a purposive sampling technique. The independent variable was a description of the level of independence in carrying out daily living activities. The results showed that there was elderly’s independence level in carrying out daily living activities, namely light dependence as many as 11 people (68.8%) and moderate dependence 5 people (31.3%). In conclusion, elderly’s independence level in carrying out ADL at Panti Wredha St. Yoseph Kediri, namely light- moderate dependence.


2017 ◽  
Vol 35 (2) ◽  
pp. 78-85 ◽  
Author(s):  
Papatya Karakurt ◽  
Necla Kasimoğlu ◽  
Aybike Bahçeli ◽  
Sebahat Atalikoğlu Başkan ◽  
Burcu Ağdemir

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


2013 ◽  
Vol 6 (2) ◽  
pp. 125-130
Author(s):  
Danelina E. Vacheva ◽  
Verjinia K. Simeonova ◽  
Boyko St. Stamenov

Summary Bulgaria ranks first in the world in incidence, morbidity and death associated with cerebrovascular disease. The aim of the study was to investigate, follow-up and register recovery of activities of daily living (using the toilet and maintaining personal hygiene) in patients with sequelae from cerebrovascular disease in a subacute stage, who underwent physiotherapy and rehabilitation. Sixty-one patients were included and followed up. They were given tailored physiotherapy and rehabilitation. This included kinesitherapy, occupational therapy and electrotherapy. All the patients filled in self-assessment questionnaires before and after the rehabilitation course. Major parameters were assessed, irrespective of the limb affected -dominant or non-dominant. Results were analyzed using the Wilcoxon rank test. At the end of the rehabilitation course, the Wilcoxon curves were driven to the right, confirming improvement concerning independence, irrespective of involvement of dominant or non-dominant limb.


2020 ◽  
Vol 5 (2) ◽  
pp. 62-70
Author(s):  
Endang Sri Wahyuni ◽  
Wa Ode Diana Harisa

Backgrounds: Intellectual Disability students must be able to master the practice of personal hygiene during menstruation skills. However, to teach this skill to them is not easy. They need certain methods to learn these skills to get effective results. Video-Based Instruction is one method to teach these skills. This study aims to determine whether there is an effect of Video-Based Instruction on the practice of personal hygiene during menstruation on Intellectual Disability students. Methods: This is quantitative research with pre-experimental type and one group pretest-posttest design. The data collection tool is a "personal hygiene" questionnaire. The data analysis method uses a paired sample t-test with the help of SPSS version 25. This research conducted at SLB Negeri 3 Central Jakarta with a total sample is 20 respondents selected by the purposive sampling technique. Results: Most respondents were 14 years old (20%), 7th grade (30%), get menarche at 12 and 13 years (25%). The mean score for the practice of personal hygiene during menstruation pre-test is 41.30 and post-test is 53.20. Paired sample t-test results showed that sig. (2-tailed) <0.001. Conclusion: The results showed that it received Ha, which means that there is an effect of Video-Based Instruction on the practice of personal hygiene during menstruation on Intellectual Disabilities students. The results also showed that there are mean score differences of the pre-test and post-test results, which is an increase in the mean score of the post-test results by 11,90.


Author(s):  
Tripti Gardia ◽  
Veena Rajput ◽  
Priti Bhatt ◽  
Sindhu Anil Menon

Introduction: Leucorrhoea is an abnormal excessive vaginal discharge often associated with irritation1. This is the most common gynaecological problem that brings the women to gynec out patient. The symptom may be associated with cancer phobia2. It can be symptom of underlying pelvic pathology3. It accounts for more than an estimated of 1/4th genaec patients visits to gynaecologis4. It is one of the common problems that women’s has to face in their lifetime. Sometimes this symptom is so severe that, it over shadows actual disease and women seek the treatment of only this symptom3. Material And Methods: Pre-experimental, one group pre-test post-test research design was adopted. A total of 60 samples were selected using non-probability purposive sampling technique. The tool used for the study comprises of two sections. Section A-Socio-demographic variables such as Age, Religion, Educational status, Type of family, Residential area, Period of work exposure in clinical area, Previous knowledge related to the topic and main source of information. Section B- comprises of online self- structured knowledge questionnaire to assess the knowledge regarding leucorrhoea and its prevention among B.sc nursing 3rd year students which includes 30 questions. Result: The study findings reveled that pre- test score of the majority of students 18 (30%) had average knowledge score whereas 21 (35%) need for improvement in their knowledge level, post-test majority 60 (100%) had good knowledge. Pre-test mean score were 15.5 and SD was 5.7 whereas the post-test mean was 25.83 and SD 1.65. The t-value 3.04, (df.59) which is highly significant and greater than table value 2.0010 at 0.05 level of significance which proves the effectiveness of the planned teaching programme. Chi-square analysis shows significant association between period of work in clinical area and source of information of subjects. Conclusion: The results suggest that supporting, reassuring and educating B.Sc. nursing students and giving information on leucorrhoea and its prevention was effective to increase knowledge and helps them to changes their strategy in self care and are recommended to promote positive attitudes towards personal hygiene.


2017 ◽  
Vol 7 (1) ◽  
pp. 56
Author(s):  
Khoirunnisa’ Munawaroh ◽  
Untung Sujianto ◽  
Mardiyono Mardiyono

Background: Barriers to performing activities of daily living are common complaints of patients with cancer. One of the factors causing these barriers is pain. A modified pro-self pain control is a method used to enhance the patients’ ability to cope with pain to increase their activity.Purpose: This study aimed to evaluate the modified pro-self pain control to increase activity in patients with colorectal cancer undergoing chemotherapy.Methods: The present study employed an experimental design. Patients with colorectal cancer undergoing chemotherapy were randomly assigned to the intervention group (n=24) and the control group (n=24). The patients in the control group were given a standard hospital intervention, while the patients in the intervention group were given the modified pro-self pain control for nine days. The data were collected using the instrument of KATZ index and analyzed using the independent t-test.Results: The result of this study showed that there was a higher increase of activity among the patients in the intervention group than in the control group. Independent t-test showed that there was a significant difference between the intervention group and the control group (p=0.00).Conclusion: The modified pro-self pain control was found more effective to increase the activity in patients with colorectal cancer undergoing chemotherapy than that of the standard hospital intervention. 


2010 ◽  
Vol 68 (1) ◽  
pp. 39-43 ◽  
Author(s):  
Gilson de Vasconcelos Torres ◽  
Luciana Araújo dos Reis ◽  
Luana Araújo dos Reis

OBJECTIVE: To assess the functional capacity and to determine the difference between the means of functional capacity (basic and instrumental activities of daily living) and the age groups of elderly residents in an outlying area in the hinterland of Bahia/Northeast of Brazil. METHOD: Analytical study with cross-sectional design and a sample of 150 elderly individuals enrolled in four Health Units in the municipality of Jequié, Bahia, Brazil. The instrument consisted of sociodemographic and health data, the Barthel Index and the Lawton scale. RESULTS: In all, 78.00% of the elderly were classified as dependent in the basic activities and 65.33% in the instrumental activities of daily living. Using the Kruskal-Wallis test, we found a statistically significant difference between the means of instrumental activities and the age groups (p=0.011). CONCLUSION: An elevated number of elderly were classified as dependent in terms of functional capacity and increased age is related to greater impairment in the execution of instrumental activities of daily living.


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