scholarly journals Assessment of knowledge on non-pharmacological methods of pain relief during labour among nurses working in maternity and children hospital, Nepal

2017 ◽  
Vol 7 (3) ◽  
pp. 25-28
Author(s):  
Amshu Dhakal ◽  
Shrooti Shah ◽  
Babita Singh
Keyword(s):  
Pain Relief ◽  
Well Being ◽  
Cross Sectional Study ◽  
Labor Pain ◽  
Labor Management ◽  
Cross Sectional ◽  
Self Confidence ◽  
Increased Risk ◽  
Women And Children ◽  
Self Administered Questionnaire

Background: Labor pain is a universal phenomenon and it is associated with the contraction of uterus. Rather than making the pain disappear with pharmacotherapy, the nurses can assist the laboring women to cope up with, build their self-confidence and maintain a sense of mastery of well-being. Thus, nurses must have knowledge to assess pain to implement pain relief strategies. Methods: A descriptive cross-sectional study was carried out among 52 nurses of Siddhartha Women and Children Hospital, Butwal, Nepal to assess Knowledge about Non-pharmacological Methods of Pain Relief during Labor using structured self-administered questionnaire. The reliability of the tool after pretesting was 0.883. Descriptive statistics was used to analyze the data. Results: Among 52 nurses, 36.5% were 18-22 years of age, 46.2% of them had qualification of Proficiency certificate level Nursing, 40.4% had experience of 3 years- 6 years. In this study, 46.2% had satisfactory knowledge about non-pharmacological methods of pain relief during labor, 32.6% had fair knowledge and remaining 21.2% had poor knowledge. Conclusion: This study concluded that less than half of the nurses had satisfactory knowledge about non-pharmacological methods of pain relief during labor. Since, there is an increased risk of complications resulting from pain and anxiety during labor, management of pain is very essential thus nurse’s knowledge on these methods is crucial. Hence, the nurses should be encouraged to enhance knowledge related to management of labor pain.

Profiles of motivation, fear of failure and anxiety in young handball players: A cross-sectional study

2020 ◽  
pp. 174795412097510
Author(s):  
Manuel Gómez-López ◽  
Javier Courel-Ibáñez ◽  
Antonio Granero-Gallegos
Keyword(s):  
State Anxiety ◽  
Well Being ◽  
Relevant Information ◽  
Cross Sectional Study ◽  
Fear Of Failure ◽  
Cross Sectional ◽  
Canonical Correlations ◽  
Self Confidence ◽  
High Level ◽  
And Function

The aim of this study was to identify distinctive profiles (clusters) of high-level, young handball players according to their motivation, fear of failure and competitive state anxiety. In addition, we examined differences in the distribution of gender, age, and players’ position within each profile. The study participants were 479 young handball players. The age range was 16–17 years old. Players were administered a battery composed of Sport Motivation Scale, Performance Failure Appraisal Inventory and Competitive State Anxiety Inventory-2R, to measure the above-mentioned theoretical constructs. Results showed three different player profiles that the discriminant analysis with canonical correlations grouped into two functions. Function 1 was characterized by those players with the highest values of motivation and self-confidence, and function 2 included those players with lower self-determined motivation, more amotivation, more fear of failure and the highest levels of anxiety. The results provide relevant information for coaches, as they will help them design individualized training programs that will improve athletes' performance, while ensuring their health and well-being.

scholarly journals Increased Risk for Maternal Anxiety during the COVID-19 Outbreak in Brazil among Pregnant Women without Comorbidities

2021 ◽  
Vol 43 (12) ◽  
pp. 932-939
Author(s):  
Roseli Mieko Yamamoto Nomura ◽  
Ana Carla Franco Ubinha ◽  
Isabela de Paula Tavares ◽  
Maria Laura Costa ◽  
Maria Lucia da Rocha Opperman ◽  
...  
Keyword(s):  
High School ◽  
Pregnant Women ◽  
Protective Factor ◽  
Secondary Analysis ◽  
Cross Sectional Study ◽  
Maternal Anxiety ◽  
Maternal Knowledge ◽  
Cross Sectional ◽  
Self Confidence ◽  
Increased Risk

Abstract Objective To study maternal anxiety in pregnant women without comorbidities in the context of the COVID-19 outbreak in Brazil and to study maternal knowledge and concerns about the pandemic. Methods This is a secondary analysis from a national multicenter cross-sectional study performed in 10 cities, from June to August, 2020, in Brazil. Interviewed postpartum women, without medical or obstetrical comorbidities, were included in the present subanalysis. A structured questionnaire and the Beck Anxiety Inventory (BAI) were applied. Results Out of the 1,662 women, 763 (45.9%) met the criteria for the current analysis and 16.1% presented with moderate and 11.5% with severe maternal anxiety. Moderate or severe maternal anxiety was associated with high school education (odds ratio [OR]:1.58; 95% confidence interval [CI]:1.04–2.40). The protective factor was cohabiting with a partner (OR: 0.46; 95%CI: 0.29–0.73). There was a positive correlation between the total BAI score and receiving information about care in the pandemic (rpartial 0.15; p < 0.001); concern about vertical transmission of COVID-19 (rpartial 0.10; p = 0.01); receiving information about breastfeeding (rpartial 0.08; p = 0.03); concerns about prenatal care (rpartial 0.10; p = 0.01), and concerns about the baby contracting COVID-19 (rpartial 0.11; p = 0.004). The correlation was negative in the following aspects: self-confidence in protecting from COVID-19 (rpartial 0.08; p = 0.04), having learned (rpartial 0.09; p = 0.01) and self-confidence in breastfeeding (rpartial 0.22; p < 0.001) in the context of the pandemic. Conclusion The anxiety of pregnant women without medical or obstetrical comorbidities was associated to high school educational level and not living with a partner during the COVID-19 pandemic. Self-confidence in protecting against COVID-19 and knowledge about breastfeeding care during the pandemic reduced maternal anxiety.

scholarly journals Conhecimento das gestantes acerca das medidas de alívio da dor durante o parto

2019 ◽  
Vol 87 (25) ◽  
Author(s):  
Alessa Sousa da Silva ◽  
Carla Cristina Chaves de Oliveira ◽  
Emmanuel Calisto da Costa Brito ◽  
Tiago Barreto Castro e Silva ◽  
Danielle Rosa Evangelista
Keyword(s):  
Pain Relief ◽  
Pregnant Women ◽  
Cross Sectional Study ◽  
Labor Pain ◽  
Sectional Study ◽  
Average Income ◽  
Cross Sectional ◽  
Pain Knowledge ◽  
Statistical Program ◽  
First Stage Of Labor

Objetivou-se analisar o conhecimento das gestantes primíparas acerca de métodos de alivio da dor no primeiro estágiodo parto. Trata-se de estudo exploratório e transversal. Foram entrevistadas 49 gestantes cadastradas na rede municipal dePalmas, Tocantins. Os dados foram processados no programa estatístico Epi Info, versão 3.3 de 2004. A análise foi atravésde estatística descritiva simples. Os resultados mostram gestantes com 25,04 ±5,71 anos de idade, com parceiro fixo, ensino médio completo, renda média de 1473,14 ±936,18 e 7,02 ±2,03 consultas pré-natal, encontravam-se com 34,8±3,42semanas de gestação. 100% afirmaram que o tema não foi abordado no acompanhamento pré-natal. 75,5% das gestantesforam classificadas com nenhum conhecimento. Concluiu-se que as gestantes apresentam necessidades de ter conhecimento sobre os métodos de alivio a dor, para o exercício do processo de parir de forma humanizada.Palavras-chave: Primeira fase do Trabalho de Parto; Dor do Parto; Conhecimento. ABSTRACTThe objective of this study was to analyze the knowledge of primiparous pregnant women about methods of pain relief inthe first stage of labor. This is an exploratory and cross-sectional study. Forty-nine pregnant women registered in the municipal network of Palmas, Tocantins were interviewed. The data was processed in the statistical program Epi Info, version 3.3of 2004. The analysis was through simple descriptive statistics. The results show pregnant women who were 25.04 ± 5.71years old, with a fixed partner, complete high school, average income of 1473.14 ± 936.18 and 7.02 ± 2.03 prenatal consultations, were with 34.8 ± 3.42 weeks of gestation. 110% stated that the topic was not addressed in prenatal care. 75.5%of the pregnant women were classified with having no knowledge. It was concluded that the pregnant women present theneed to be aware of the methods of pain relief, to exercise the process of giving birth in a humanized way.Keywords: Labor Stage, First; Labor Pain; Knowledge.

scholarly journals The effect of lockdown due to COVID-19 on mentally ill patients and their caregivers: a cross sectional study

2021 ◽  
Vol 8 (3) ◽  
pp. 1276
Author(s):  
Jayashree Janagam ◽  
K. C. Muraleedharan ◽  
Deepthi Gilla ◽  
N. D. Mohan
Keyword(s):  
Mental Health ◽  
Mentally Ill ◽  
Psychiatric Patients ◽  
Psychological Impact ◽  
Well Being ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Care Givers ◽  
Increased Risk

Background: Pandemics are known to cause poor mental well-being and an increased risk of mental disorders. The foremost concern emerging from different aspects of COVID-19 is its impact on mental health. There were many surveys conducted on the general population related to the effect of COVID-19 and few studies on its psychological impact but there is sparse literature on how the containment measures affected the psychiatric patients. Objective of the study was to investigate whether the COVID-19 related lockdown affected the subjective mood and behavior of psychiatric patients and their caregivers. The secondary purpose is to assess the difficulties encountered in procuring medicines and the effect of non-availability of homoeopathic medicines if any.Methods: A cross-sectional survey was conducted on mentally ill patients and their care-givers in the Outpatient Department of Psychiatry in National Homoeopathy Research Institute in Mental Health (NHRIMH), Kottayam. Respondents were evaluated with a specially framed questionnaire containing 22 questions to assess the effect of lockdown on psychiatric patients and their caregivers, who attended the OPD after the COVID-19 related lockdown. The data generated through the study are analysed and presented in this article.Results: Out of the total 548 participants (M-65.9%, F-34.1%) who responded to the survey, 290 (53%) cases expressed that they were distressed to be under lockdown. 26.5% of the clients reported worsening of mental health conditions during lockdown compared to pre-lockdown. 54.2% of the patients found difficulty in procuring homoeopathic medicines during Lockdown.Conclusions: Authorities should consider the ways of limiting the effects of confinement on mentally ill patients and their caregivers by developing strategies to mitigate the adverse consequence of the pandemic. 

scholarly journals Assessment of Confidence Level Among Interns of A Dental College in Performing Various Dental Procedures

2020 ◽  
Vol 3 (2) ◽  
pp. 33-38
Author(s):  
Siddharth Dixit ◽  
Sirjana Dahal ◽  
Alok Sagtani ◽  
Punam Basnet Dixit
Keyword(s):  
Confidence Level ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Composite Restorations ◽  
Self Confidence ◽  
Dental Procedures ◽  
Study Participants ◽  
Self Administered Questionnaire ◽  
Indirect Pulp Capping ◽  
Design And Construction

Introduction: Effectiveness of the learning process can be measured by evaluation of interns’ confidence level in each of the competencies which will be helpful in their future dental practice. This study was conducted to assess self-confidence level of dental interns of a dental college in performing various dental procedures. Methods: A descriptive cross-sectional study was conducted among 65 dental interns selected by census method. Self-administered questionnaire was provided to the study participants for assessment of their confidence level in different dental procedures. Data were analyzed in the Statistical Package of Social Sciences version 20. Mean and standard deviation for quantitative data and frequency/percentage for qualitative data were calculated. Results: Majority of dental interns had good confidence in history taking (53, 83.1%), radiography (53, 81.5%), diagnosis (39, 60%), treatment planning (34, 52.3%), scaling (42, 64.6%), preventive resin restorations (39, 60%), anterior composite restorations (35, 53.8%), posterior composite restorations (55, 84.6%), anterior endodontics (29, 44.6%), premolar endodontics (23, 35.4%), treating pediatric patients (43, 66.2%), indirect pulp capping (41, 63.1%), acrylic partial denture design and construction (33, 50.8%) and simple extractions (33, 50.8%). They had poor/least confidence in metal partial dentures design and construction (58, 89.2), bridge preparation (44, 67.7%), molar endodontics (31, 47.7%), bleaching (57, 87.7%), veneering (61, 93.8%) and surgical extractions (38, 58.5%). Conclusions: The findings of the study concluded that the dental interns were confident in simple dental procedures and had least confidence in complex dental treatments. They need more exposure to the complex procedures during internship to enhance their confidence level.

scholarly journals Self-isolation during the COVID-19 pandemic is associated with increased risk of burnout among physician trainees: A cross sectional study

2021 ◽  
Vol 19 (2) ◽  
Author(s):  
Ali Farsi ◽  
Soha A Alomar ◽  
Mai Kadi ◽  
Sara Farsi ◽  
Haifa Algethamy ◽  
...  
Keyword(s):  
High Risk ◽  
Living Arrangements ◽  
Clinical Performance ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Cross Sectional Study ◽  
Male Gender ◽  
Sectional Study ◽  
Cross Sectional ◽  
Increased Risk

The COVID-19 pandemic emerged in late 2019. Previous research has shown a significant prevalence of burnout among physician trainees, with concern that the pandemic will increase burnout. We aimed to assess this risk among trainees at a large academic hospital. We performed a cross-sectional study during the pandemic using a survey that included the Maslach Burnout Inventory. The response rate was 94.7%. Among trainees, 58.5% changed their living arrangements to protect family. Psychological well-being was negatively affected in 81.7% and clinical performance in 64.3%; 13.8% were at high risk of burnout. Emotional exhaustion (EE) scores were high in 50% and depersonalization (DP) scores in 28.8%; a sense of personal accomplishment was low in 41.9%. Increased risk of burnout was associated with male gender and increased exposure to suspected COVID-19 cases. Risk of high EE correlated with an increased number of children and risk of high DP with male gender. High EE and DP score correlated with increased exposure to suspected and confirmed COVID-19 patients. Trainees who self-isolated to protect family were more likely to experience high DP and burnout. Trainees in surgical specialties were more likely to feel their clinical performance was negatively affected. The results suggest that a significant percentage of trainees are at high risk of burnout during the pandemic especially those that attempted self-isolation. Training programs should incorporate methods to maintain well-being and coping, including adequate time off between shifts. Future research should evaluate other aspects of trainee well-being in relation to self-isolation and/or changed living arrangements. Key words: Burnout, Medical education, pandemic, coronavirus, psychological wellbeing, medical residents

scholarly journals Prevalence of postpartum depression and associated factors among women in Mbarara and Rwampara districts of south-western Uganda

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Catherine Atuhaire ◽  
Godfrey Zari Rukundo ◽  
Grace Nambozi ◽  
Joseph Ngonzi ◽  
Daniel Atwine ◽  
...  
Keyword(s):  
Social Support ◽  
Postpartum Depression ◽  
Well Being ◽  
Cross Sectional Study ◽  
Hiv Positive ◽  
Chi Square ◽  
Cross Sectional ◽  
Factors Associated ◽  
Increased Risk ◽  
Southwestern Uganda

Abstract Background Postpartum depression (PPD) is a significant cause of maternal morbidity and has severe consequences on the well-being of mothers, new-borns, families, and communities. PPD reduces the mother’s response to the child’s needs. In severe cases, mothers suffering from PPD are prone to postpartum psychosis, commit suicide and, in rare cases, infanticide. We aimed to determine the prevalence and understand the factors associated with PPD among mothers in southwestern Uganda. Methods This was a cross-sectional study between November 2019 and June 2020 among 292 mothers, 6 to 8 weeks’ postpartum. Mothers were selected from three health facilities in southwestern Uganda and enrolled using stratified consecutive sampling. Postpartum depression was clinically diagnosed using the Diagnostic and Statistical Manual of Mental Disorders V. The factors associated with PPD were assessed by using a structured interviewer administered questionnaire. The factors were analyzed using bivariate chi square analyses and multivariate logistic regression. Results Overall prevalence of PPD was 27.1% (95% CI: 22.2–32.5). This did not vary by the number of previous births or mode of birth. Five factors associated with PPD were low perceived social support, HIV positive status, rural residence, obstetrical complications and the baby crying excessively. Conclusion and recommendations Prevalence of PPD in Mbarara and Rwampara districts is higher than what has previously been reported in Uganda indicating an urgent need to identify pregnant women who are at increased risk of PPD to mitigate their risk or implement therapies to manage the condition. Midwives who attend to these mothers need to be empowered with available methods of mitigating prevalence and consequences of PPD. Women who are HIV positive, residing in rural settings, whose babies cry excessively, having low social support systems and who have birth complications may be a particularly important focus for Ugandan intervention strategies to prevent and reduce the prevalence of PPD.

scholarly journals Predictors of Mental Health Status among Quarantined COVID-19 Patients in Saudi Arabia

Healthcare ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1271
Author(s):  
Abdulaziz A. Alodhayani ◽  
Khalid M. Almutairi ◽  
Fahda A. Alshobaili ◽  
Adel F. Alotaibi ◽  
Ghadah Alkhaldi ◽  
...  
Keyword(s):  
Online Survey ◽  
Psychological Impact ◽  
Well Being ◽  
Cross Sectional Study ◽  
Pandemic Preparedness ◽  
Cross Sectional ◽  
Arab Region ◽  
Symptoms Of Depression ◽  
Increased Risk ◽  
The Government

Background: The negative psychological impact of COVID-19 in the general population has been well documented. Similar studies among those who were infected and who underwent quarantine remain scarce, particularly in the Arab region. The present study aims to fill this gap. Methods: In this cross-sectional study, suspected/confirmed COVID-19 individuals who were quarantined in the Ministry of Health (MOH) facilities were invited to participate in an online survey. All consenting participants answered a generalized questionnaire that included demographic characteristics, as well as a five-part questionnaire that assessed the symptoms of depression, anxiety, insomnia, and distress. Results: A total of 335 suspected/confirmed COVID-19 individuals (198 males and 137 females) participated. Being female is associated with increased risk of depression (odds ratio OR 1.8 (confidence interval, CI 1.1–3.1; p = 0.03)) as well as being employed by the government (OR 2.8 (CI 1.1–7.0; p = 0.03)). Level of education (OR 2.3 (CI 1.0–5.4; p = 0.049)) and employment in government (OR 3.0 (CI 1.2–7.8; p = 0.02)) were significantly associated with distress. Increasing age (45 years and above) appeared to be protective against distress (OR 0.2 (CI 0.02–0.69; p = 0.008)), as well anxiety and sleep pattern (OR 0.3 p < 0.05). Conclusion: Findings of the present study highlight that infected COVID-19 populations are at higher risk for acute and detrimental psychological well-being during quarantine and/or self-isolation. Identification of the coping mechanisms of older adults during periods of distress may prove beneficial in the pandemic preparedness of younger generations.

scholarly journals Alcohol and other drug use among Belgian workers and job-related consequences

2019 ◽  
Vol 76 (9) ◽  
pp. 652-659 ◽  
Author(s):  
Marie-Claire Lambrechts ◽  
Lieve Vandersmissen ◽  
Lode Godderis
Keyword(s):  
Prescription Drugs ◽  
Illicit Drugs ◽  
Problem Drinking ◽  
Well Being ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Prevalence Data ◽  
Increased Risk ◽  
Psychoactive Medication ◽  
Alcohol And Other Drugs

ObjectivesThis study aimed to obtain prevalence data on use of alcohol and other drugs (AOD) among Belgian workers, and to explore the associations between self-reported AOD use and job-related effects as experienced by workers, and the level of workers’ well-being, respectively.MethodsIn this cross-sectional study (2016), 5367 workers filled out a questionnaire including validated instruments such as the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C). Job-related effects were defined as: being late at work, absenteeism, loss of productivity, injuries, conflicts with co-workers and sanctions by employers. Descriptive and multiple logistic regression analyses were performed.ResultsBased on AUDIT-C, 39.1% of last year drinkers had an indication of problem drinking. The odds of experienced job-related effects was 3.6 (CI 2.86 to 4.60) times larger than the odds among workers without this indication. This ratio decreased to 3.2 (CI 2.52 to 4.11), controlling for language, gender, family context, level of education and sector. Respondents who used illicit drugs more frequently (>once a month) also had an increased risk for experienced job-related effects (OR 5.8; CI 2.87 to 11.84). Having a low level of well-being increased the risk for job-related effects due to psychoactive medication (OR 2.3, CI 1.10 to 4.91).DiscussionIn this study, self-reported AOD use was associated with short-term job-related effects. This suggests that an AOD policy in different sectors is needed with respect for the organisational culture. Its focus should lie on prevention and early detection of AOD problems, and on the mental health of workers. Attention is required for the non-medical use of prescription drugs.

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