Impact of pharmacist provided counseling on mental health status of postmenopausal Women

Author(s):  
Deekshitha P ◽  
Dhivya K ◽  
Lakshmi Prasanna S ◽  
Anusha T

Menopause is described as the point of time when the last menstruation occurs in a woman. This is the period during which changes in the bleeding patterns due to alterations in the hormone levels were noticed. Due to alterations in these hormone levels, physical as well as mental health changes occur in women resulting in menopausal symptoms. Hence, this study was conducted to analyze the impact of counseling on MHS of postmenopausal women. This simple prospective interventional study was conducted in the Gynecology department of Tertiary Care Hospital for a period of 4 months in 200 patients divided into two groups. Mental health status (MHS) scores were calculated by using a validated questionnaire. Statistically significant difference in the score of baseline MHS was found between the two groups. Reduction in the score of MHS was seen in both the groups after counseling. Thus, this study revealed that providing counseling to postmenopausal women has positive impact on their mental health. Therefore, rendering effectual and repeated counseling to menopausal women depends on their need assist in leading a happy moreover healthy life. Keywords: Post menopause; Estrogen deficiency Mental health; Counseling

Author(s):  
Bilal Ur Rehman ◽  
Javid Ahmad ◽  
Rauf Ur Rashid Kaul ◽  
Mohammad Kaleem ul Haque

Background: Pregnancy is a major psychological, as well as physiological event; women may find themselves unable to cope with additional demands of pregnancy. Mental illness during pregnancy-whether anxiety, depression or more severe psychiatric disorders-can have a significant negative impact on a mother and her baby. Poor psychological health has been associated with low birth weight, premature birth, perinatal and infant death, postnatal depression, as well as long term behavioural and psychological impacts on the child. Depressive disorders are a common source of disability among women. Mental health problems during pregnancy and postpartum periods are one of the alarming health issue among women. Community-based epidemiological data on antenatal depression from developing countries is scarce. This study was conducted to assess the mental health status of pregnant women attending antenatal clinic of tertiary care hospital, SKIMS, Srinagar (J and K).Methods: A cross sectional study was conducted over a period of six months from 1stSeptember 2016 to 28th February 2017 among randomly selected pregnant women attending antenatal clinic of tertiary care hospital, SKIMS, Srinagar. A total of 200 pregnant women formed the study subjects. Data was collected by interviewing the pregnant women using pre-designed, pre-tested, semi-structured questionnaire. Data was analysed using Statistical Programme for the social science (SPSS) version 19.0.Results: Amongst the study population, prevalence of depressive disorder was 26%. The depression was significantly increasing with advancing pregnancy and advancing age. Socio-economic status and depression was associated statistically significant (p=0.024). Women with bad relationship with in laws had significantly more depression compared to those who had good relationship with in laws (P=0.0037). The association between parity and depressive disorder was statistically insignificant(P=0,7144).Conclusions: When we care for mother we care for two live and live without psychological consideration is completely materialistic. A depressive symptom occurs commonly during 2nd and 3rd trimester of pregnancy, drawing attention to a need to screen for depression during antenatal care. Maternal health policies, a priority in developing countries, must integrate maternal depression as a disorder of public health importance. Intervention should target women in the early antenatal period.


2021 ◽  
Vol 15 (11) ◽  
pp. 3132-3135
Author(s):  
Rizwan Sadiq ◽  
Muhammad Faizan ◽  
Fazal Wadood ◽  
Moeen Akhtar Malik ◽  
Junaid Mustafa ◽  
...  

Introduction: Frontline medical workers are at risk of not just adverse physical outcomes from Corona Virus Disease 2019 (COVID-19) but psychological ones too. Healthcare workers might develop symptoms of Post-traumatic stress disorder, depression, anxiety and substance use disorders. Objective: To assess the mental health status of health care professionals during COVID-19 Pandemic at a tertiary care hospital of Central Punjab. Methodology: Study design: Cross-Sectional study. Study setting: Sheikh Zayed Medical College/Hospital, R.Y.Khan. Study Duration: 20th May 2020 to 20th August 2020. Study subjects: Healthcare professionals including medical and paramedical staff. Sample size: A total of 215 Subjects were included in the study. Sampling technique: Convenient sampling technique. Inclusion criteria: Male and female health care professionals of SZMC/H, R.Y.Khan present in a single working shift. Exclusion criteria: Subjects who refused to give informed verbal consent and those absent from the shift of data collection. Data collection method: Data was collected on pre-designed questionnaire. The questionnaire included information regarding age, sex, job title, working station, etc. Data analysis: Data was entered in and analyzed by using SPSS Version. 21. Numerical variables like age was presented as mean ± standard deviation. Categorical variables like sex, job title, working station were shown as percentages. Results: Our study shows that sex ratio was Male (41.4%) and Female (58.6%). We compared the subjects on variables of Sex, Job title and Ward/Department. The prevalence of depression among Males was Normal 69.7%, Borderline 18.0% and Abnormal 12.4% while in Females it was Normal 56.3%, Borderline 20.6% and Abnormal 23.0%. The prevalence of anxiety among Males was Normal 67.4%, Borderline 18.0% and Abnormal 14.6% while in Females it was Normal 38.1%, Borderline 28.6% and Abnormal 33.3%. Our study on the basis of Job title showed that Medical Staff has prevalence of depression of Normal 67.8%, Borderline 18.3% and Abnormal 13.9% while in Paramedical Staff it was Normal 31.4%, Borderline 25.7% and Abnormal 42.9%. The prevalence of anxiety among Medical Staff was Normal 55.6%, Borderline 22.8% and Abnormal 21.7% while in Paramedical Staff it was Normal 22.9%, Borderline 31.4% and Abnormal 45.7%. On the basis of Wards/Department, the prevalence of Depression in Medicine and Allied was Normal 62.7%, Borderline 23.9% and Abnormal 13.4%; in Surgery and Allied was Normal 67.2%, Borderline 22.4% and Abnormal 10.3%; in Paeds and Gynae/Obs. was Normal 63.5%, Borderline 11.5% and Abnormal 25.0%; in Flu Filter Clinic/Isolation Ward/ICU was Normal 50.0%, Borderline 18.4% and Abnormal 31.6%. The prevalence of Anxiety in Medicine and Allied was Normal 52.2%, Borderline 20.9% and Abnormal 26.9%; in Surgery and Allied was Normal 55.2%, Borderline 24.1% and Abnormal 20.7%; in Paeds and Gynae/Obs. was Normal 46.2%, Borderline 26.9% and Abnormal 26.9%; in Flu Filter Clinic/Isolation Ward/ICU was Normal 44.7%, Borderline 26.3% and Abnormal 28.9%. Conclusion: COVID-19 Pandemic has some major effects on the mental health status of health care professionals in terms of depression and anxiety that need to be addressed by providing better health care facilities, by arranging awareness seminars and counseling sessions. Keywords: Health Care Professionals, COVID-19, Anxiety, Depression


BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S293-S293
Author(s):  
Chathurie Suraweera ◽  
Iresha Perera ◽  
Priyanka Rupasinghe ◽  
Janith Galhenage

AimsThe aim of this study was to describe and compare the mental health status of doctors and medical undergraduates in selected institutions during COVID-19 pandemic.MethodA cross-sectional analytical study was conducted among doctors working in major tertiary care hospitals two of which, risk is unpredictable and high, the other where all patients are positive for COVID-19 and among medical undergraduates. The doctors were selected using disproportionate stratified sampling and medical undergraduates using stratified cluster sampling. Data were gathered using a Google form containing socio-demographic details, perception on the pandemic and the General Health Questionnaire-12(GHQ-12).ResultThere were 468 participants in the study and among them 243(51.9%) were doctors. Mean age of the doctors’ is 34.54(SD = 7.43) years and more than half (50.06%) were in post graduate training. Majority were worried about their health (65%) and their loved one's health (90.1%). Among doctors 220(90.5%) felt that they have moderate or higher risk of acquiring COVID-19 and 15.6% would not have worked due to the risk. According to GHQ-12, 182(74%) doctors were psychologically distressed (mean GHQ = 12.64, SD = 4.54) and it was significantly associated with age less than 35 years (p = 0.039) and worry about interruption of their daily routines(p = 0.010).The mean age of 225 medical undergraduates was 25.20 (SD = 1.34) years and 176(78.2%) of the participants were psychologically distressed (mean GHQ = 14.32, SD = 6.67). Majority (59.11%) believed that they are at high risk of getting COVID-19. Their distress was significantly associated with the worry about the impact of COVID-19 related restrictions on their daily routines (p = 0.000).Binomial logistic regression confirmed that doctors were distressed due to impact on their income whereas both doctors and medical undergraduates were distressed due to impact on daily routines.ConclusionNearly three quarter of both doctors and medical undergraduates were psychologically distressed during COVID-19 pandemic. The worry was due to contracting illness, financial issues and the COVID-19 regulations.


Astrocyte ◽  
2015 ◽  
Vol 1 (4) ◽  
pp. 292
Author(s):  
Wesley Rajaleelan ◽  
Susmita Chandramouleeswaran ◽  
Balaji Kuppuswamy

2021 ◽  
Vol 26 (1) ◽  
pp. 49
Author(s):  
MinakshiNimesh Parikh ◽  
KartikSrinivasa Valipay ◽  
Mehul Brahmbhatt ◽  
Pragna Sorani ◽  
VrundaAshok Patel ◽  
...  

2016 ◽  
Vol 1 (1) ◽  
Author(s):  
S. K. Sharma ◽  
V. P. Shrotriya ◽  
D. Imtiaz ◽  
S. B. Gupta

<bold>Introduction:</bold> Perceived Health is a subjective assessment of the physical as well as mental health and includes so many aspects as mentioned in SF-36 form that are difficult to capture clinically such as incipient disease, physiological, psychological reserves and social functions. To assess the impact of Diabetes Mellitus, Hypertension and other socio-demographic factors on the Social Functioning component of mental health of the patients attending a tertiary care hospital in Bareilly. <bold>Material and Methods:</bold> Perceived health status of the patients was assessed by the Social Functioning dimension of the Mental Component Summary (MCS) using the SF-36 form. <bold>Results:</bold> The presence of both Diabetes Mellitus and Hypertension was associated with lower Social Functioning scores compared to those with diabetes (p = 0.013) and hypertension alone. Age was negatively related with Social Functioning scores (p<0.001) but male gender (p>0.000) and higher income (p<0.424) were all associated with higher Social Functioning scores. Rural subjects were found to have better SF score compared to urban. <bold>Conclusion:</bold> Age, gender and morbidity was found to have profound influence on Social Functioning scoring of the subjects. However, the results should be interpreted in terms of the study’s limitations.


2020 ◽  
Vol 7 (9) ◽  
Author(s):  
Takaaki Kobayashi ◽  
Alexandre R Marra ◽  
Marin L Schweizer ◽  
Patrick Ten Eyck ◽  
Chaorong Wu ◽  
...  

Abstract Background Morbidity and mortality from candidemia remain unacceptably high. While infectious disease consultation (IDC) is known to lower the mortality from Staphylococcus aureus bacteremia, little is known about the impact of IDC in candidemia. Methods We conducted a retrospective observational cohort study of candidemia patients at a large tertiary care hospital between 2015 and 2019. The crude mortality rate was compared between those with IDC and without IDC. Then, we systematically searched 5 databases through February 2020 and performed a meta-analysis of the impact of IDC on the mortality of patients with candidemia. Results A total of 151 patients met the inclusion criteria, 129 (85%) of whom received IDC. Thirty-day and 90-day mortality rates were significantly lower in the IDC group (18% vs 50%; P = .002; 23% vs 50%; P = .0022, respectively). A systematic literature review returned 216 reports, of which 13 studies including the present report fulfilled the inclusion criteria. Among the 13 studies with a total of 3582 patients, IDC was performed in 50% of patients. Overall mortality was 38.2% with a significant difference in favor of the IDC group (28.4% vs 47.6%), with a pooled relative risk of 0.41 (95% CI, 0.35–0.49). Ophthalmology referral, echocardiogram, and central line removal were performed more frequently among patients receiving IDC. Conclusions This study is the first systematic literature review and meta-analysis to evaluate the association between IDC and candidemia mortality. IDC was associated with significantly lower mortality and should be considered in all patients with candidemia.


Author(s):  
Molina U. Patel ◽  
Yuvraj Jadeja ◽  
Niket Patel ◽  
Nayana Patel ◽  
Smruti Vaishnav ◽  
...  

Background: Acute Kidney Injury is a common medical problem affecting approximately 5% of all hospitalized and 30% of critically ill patients. The incidence in obstetric patients ranges from 1 in 2000 to 1 in 25000 pregnancies. In India till date, the impact of AKI on fetomaternal outcome and pertaining therapeutic interventions is only sparsely studied.Methods: It is a retrospective cross-sectional study. All obstetric patients with AKI on dialysis, admitted to Shree Krishna Hospital, a tertiary care hospital in Karamsad village in Gujarat from January 2013 to August 2015. Multivariate statistical analysis of clinical and laboratory parameters was performed using SPSS program to obtain the results.Results: The incidence of dialysis was 1.6%. HELLP syndrome and pre-eclampsia (80%) was found to be the most common etiology of AKI followed by Congestive cardiac failure (34.5%), hemorrhage and sepsis in 30% resp. All patients were admitted to ICU care. No significant difference was found between SAP II and SOFA monitoring system. Mechanical ventilation was done to support 53.3% and inotropic support was needed by 56.7% patients. According to the RIFLE criteria, majority of the patients fall under risk category followed by injury. 18% of the patients developed End Stage Renal Disease.Conclusions: In view of the multifaceted etiologies and complexity of management of AKI, a multi-disciplinary approach involving nephrologist, intensivists, obstetricians and neonatologists is extremely important.


2020 ◽  
Vol 32 (2) ◽  
pp. 37-39
Author(s):  
Kazi Mahbubul Haque ◽  
Md Shafiqul Islam ◽  
Saida Sharmin

Mental health status is often ignored in our country. Even many health care professionals commonly ignore the impact of mental illness on both daily and professional lives, which may lead to dire consequences. The purpose of this study was to find the mental health status of physicians working in medical college hospitals of Dhaka city. A cross sectional study was conducted from January to December 2015 for this purpose among 215 number of respondents selected conveniently. Data were collected from 210 physicians by face-to face interview using a semi structured questionnaire containing 4DSQ (Four-Dimensional Symptom Questionnaire), socio economic and other variables. The prevalence of mental illness was calculated according to the scoring system of the scale. Mental illness prevalence was as follows: distress 20%, Anxiety 15.7%, Depression 15.2% and Somatization 8.6%. Majority of the respondents were interns and below 30 years of age. However, in light of current pandemic situation, regular assessment of health personnel’s mental health is needed more than ever. Bang J Psychiatry 2018;32(2): 37-39


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