Stress among Hospitalized Patients at Teaching Hospital, Chitwan

2019 ◽  
Vol 9 (3) ◽  
pp. 29-33
Author(s):  
Sumita Lama ◽  
Srijana Ghimire
Keyword(s):  
Teaching Hospital ◽  
Family Income ◽  
Dynamic Balance ◽  
High Stress ◽  
Sampling Technique ◽  
Educational Status ◽  
Structured Interview ◽  
Hospitalized Patients ◽  
The Body ◽  
Cross Sectional

 Background: Stress is defined as “the non- specific physiologic response of the body to any demand made upon it. Stress is a state produced by a change in the environment that is perceived as a challenging, threatening or damaging to a person’s dynamic balance or equilibrium. This study tries to find out the stress among the hospitalized patients. Methods: A descriptive, cross sectional study design was used to find out the stress among the hospitalized patients of Chitwan Medical Col­lege Teaching Hospital, Chitwan. Purposive sampling technique was used. Structured interview schedule was used to collect the data. The data was edited, coded and analyzed using statistical package of social sciences (SPSS) version 16.0. Descriptive and inferential statistics was used to ana­lyze the data. Results: Out of 84 respondents, 52.4% respondents were female. Find­ings of the study revealed that more than half of the respondents 57.1% had high stress. So this study showed that the patients had high level of stress during hospitalization. The result also showed that there was sta­tistically significant association between level of stress and sex of the respondents (p=0.002), educational status (p=0.002), place of residence (p=0.01), sufficiency of family income (0.02), previous experience of hos­pitalization (p=0.03). The major stressors identified in this study were eco­nomic stressors, stressors related to family role, disease condition. The minor causing stressors were stressors related to professional behaviors of health personnel and hospital related stressors. Conclusions: Stress reduction activities such as counseling, warm environ­ment should be provided for the patients to enhance the quality of life by reducing stress.

scholarly journals Determination of Professional Behaviours among Nurses Working at a Selected Teaching Hospital in India

2021 ◽  
pp. 361-367
Author(s):  
Shadia Hamoud Alshahrani ◽  
Premalatha Paulsamy ◽  
Absar Ahmed Qureshi ◽  
Krishnaraju Venkatesan ◽  
E. Eva Lobelle ◽  
...  
Keyword(s):  
Patient Care ◽  
Teaching Hospital ◽  
Sampling Technique ◽  
Educational Status ◽  
Healthcare Services ◽  
Ageing Population ◽  
Professional Behaviour ◽  
Cross Sectional ◽  
Quality Of Patient Care

Nursing is an essential component of all healthcare services, with the potential to have a significant and long-term impact on health outcomes for the world's ageing population. As their professional behaviour plays a major role in improving the quality of patient care, this study was conducted to determine the professional behaviour of nurses. A descriptive and cross-sectional study design was selected with fifty nurses working in a selected teaching hospital who were selected using convenient sampling technique. The Behavioural Inventory for Professionalism in Nursing (BIPN) was used to determine the professional behaviour of nurses. The inventory has a total possible composite score of 27. All of the items were dichotomous and questioned about the nurse's actions in the last two years. The autonomy and research were the areas where nurses receive the lowest mean ratings from the BIPN subscales. The nurse's mean scores in the areas of competence and continuous education (mean = 1.97), educational preparedness (mean = 1.87) and application of theory (mean = 1.73) were the highest with the mean total score from BIPN was 10.44± 3.55. The results showed that age, gender, nurses' role, their years of experience and educational status had a statistically significant association with professional behaviour. Hence, the ways to improve the professional behaviour among nurses to be investigated and must be supported to uplift the image of nursing and the quality of patient care.

scholarly journals Anxiety and Depression among Patients with Chronic Obstructive Pulmonary Disease

2020 ◽  
Vol 5 (1) ◽  
pp. 35-44
Author(s):  
Chandra Prakash Acharya ◽  
Kalpana Poudel ◽  
Rekha Thapaliya
Keyword(s):  
Smoking Habit ◽  
Severe Depression ◽  
Sampling Technique ◽  
Educational Status ◽  
Structured Interview ◽  
Anxiety And Depression ◽  
Chronic Obstructive ◽  
Duration Of Treatment ◽  
Cross Sectional ◽  
Copd Patients

Introduction: The prevalence of anxiety and depression among patients with COPD is significantly higher than the general population; there are serious barriers to the recognition and treatment of these co-morbid conditions. The study aimed to identify the anxiety and depression among patients with COPD. Methods: A cross sectional study design was adopted and consecutive sampling technique was used to collect 131 samples. A structured interview schedule of Beck Depression Inventory and Beck Anxiety Inventory was used. Results: Low level of anxiety was found among 83(63.4%) of COPD patients whereas 16(12.3%) had potentially concerning levels of anxiety. It also reveals that 31(23.7%) of the COPD patients were suffering from moderate depression, 14(10.7%) had severe depression whereas 7(5.3%) had extreme depression. A total of 28(21.4%) of them were free from depression. There was association between alcohol consumption and depression (p=0.00). Likewise, there was association between age (p=0.03), educational status (p=0.04), types of family (p=0.00), smoking habit (p=0.01), duration of disease diagnosed (p=0.01) and duration of treatment (p=0.00) with anxiety. Conclusions: It is concluded that one fourth of the COPD patients had moderate level of anxiety as well as depression. Additionally, some of the COPD patients also suffered from extreme depression.

The Role of Socio-Economic Status in Adoption of Coping Strategies Among Adolescents Against Domestic Violence

2016 ◽  
Vol 32 (18) ◽  
pp. 2862-2881 ◽  
Author(s):  
Saeed Ahmad ◽  
Sayyeda Maida Ishtiaq ◽  
Mudasir Mustafa
Keyword(s):  
Domestic Violence ◽  
Coping Strategies ◽  
Family Income ◽  
Economic Status ◽  
Social Institutions ◽  
Sampling Technique ◽  
Structured Interview ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Socio Economic Status

In the current study, researchers explored different types of coping strategies such as problem-focused coping, emotion-focused coping, and non-constructive coping of adolescents witnessing and experiencing domestic violence. Furthermore, they tried to find out the association of socio-economic status with coping strategies against domestic violence in family sphere. A cross-sectional survey was conducted with 210 adolescents of both sexes, aged 13 to 18 years in Hafizabad city using multistage sampling technique. Multivariate analysis was used to find out the association between adolescents’ resistance and resilience strategies against domestic violence. The information was collected through a structured interview schedule. This study revealed that age, gender, parents’ education, and family income were major factors that influenced the adoption of coping strategy among adolescents. Overall, the study suggested that adolescents were being victimized of various forms of domestic violence frequently in Pakistan, which needs to be addressed on immediate basis through policies and programs by integrating the social institutions of family and education. Findings of the study can enable parents to nurture and support the developmental needs of children in their care. It can help youth in defending themselves from extreme violent behavior adopters and preventing them from becoming the perpetrators of the domestic violence.

scholarly journals Knowledge on practice of weaning among the mothers with infant below six months of age in Salem, Tamilnadu

2015 ◽  
Vol 11 (1) ◽  
pp. 12-16
Author(s):  
N Dhanasekaran
Keyword(s):  
Tamil Nadu ◽  
Child Nutrition ◽  
Family Income ◽  
Sampling Technique ◽  
Knowledge Score ◽  
Structured Interview ◽  
Infant Mortality Rate ◽  
Feeding Practice ◽  
Cross Sectional Survey ◽  
Cross Sectional

Background & Objectives: Weaning is essential to child nutrition, which reduce infant mortality rate and related malnutrition with healthy feeding practice. Hence the mothers are expected to be knowledgeable on weaning.Objectives: To assess the knowledge on practice of weaning, to compare the knowledge on practice and to find out association between the knowledge scores of mothers with infant below 6 months with selected demographic variables.Materials and Methods: A descriptive design with cross sectional survey approach was undertaken to assess the knowledge on practice of weaning mothers with infant below 6 months of age in selected hospital, Salem, Tamil Nadu. Fifty mothers were selected by purposive sampling technique and data was collected by using structured interview schedule from 06/11/14 to 20/11/14.Results: Demographic characteristics reveal that highest percentage (84 %) of them belongs to the Hindu religion and had one child below the 6 months of the age. Comparisons of the knowledge score with demography highest mean and SD in relation to family income Rs 4001 - 6000 shows that (14.7 ± 1.16). The Overall Mean knowledge score was (11.5 ± 3.26)and (50 %) revealing average knowledge. However there was significant association between knowledge score and education & type of family (P = 0.0151 & P = 0.0091) revealing that maximum demographic variables do not affected the level of knowledge.Conclusion: The overall knowledge is average. However lowest percentage in the areas of “principles of feeding and storage” and “age of introducing on weaning” were attention seeking, implying the necessity to improve the knowledge in regard to prevent malnutrition.JCMS Nepal. 2015;11(1): 12-16

scholarly journals Knowledge on Pediatric First Aid Management among Mothers with Under Five Children in Bharatpur

2021 ◽  
Vol 17 (1) ◽  
pp. 30-35
Author(s):  
N. Dhana Sekaran ◽  
L. Indhumathi ◽  
Anu Kharel
Keyword(s):  
Family Income ◽  
Sampling Technique ◽  
Knowledge Score ◽  
Structured Interview ◽  
First Aid ◽  
Demographic Variables ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Level Of Knowledge

Introduction: Paediatric emergencies are the leading causes of death in children under five years of age. The toddlers, preschoolers with highest curiosity to explore, investigate and with the ability to run and play are more prone to getting injuries like falls, burns, cuts, bites, stings, poisoning, fracture, chocking, and wounds. Paediatric emergency mostly occur in home, roads and grounds. Hence the mothers are expected to be knowledgeable on paediatric first aid management. The objectives of this research to assess the knowledge on pediatric first aid management, to compare the knowledge on pediatric first aid management and to find out association between the knowledge scores of mothers with under five children with selected demographic variables. Methods: A cross sectional analytical study was conducted to assess the knowledge regarding pediatric first aid management among 165 mothers with under five children were selected  in pediatric outpatient department of College of Medical Sciences  Teaching Hospital by non probability purposive sampling technique and data was collected by using structured interview questionnaire. The data was analyzed using both descriptive and inferential statistics SPSS software. Results: Demographic characteristics reveal that highest percentage (61.8 %) of them had one under five children. Comparisons of the knowledge score with demography highest mean and SD in relation to postgraduate shows that (30.2 ± 1.78). The level of knowledge score was (53.9 %) of them had adequate knowledge. However there was significant association between knowledge score with their education, occupation, family income and previous source of information. It revealing that maximum demographic variables do not affected the level of knowledge. Conclusions: The level of knowledge about pediatric first aid management among mothers was satisfactory. But still the mothers require the need of pediatric first aid health information among mothers to save and safe the children.   Keywords: Knowledge, Pediatric First Aid Management, Mothers with Under Five Children.

scholarly journals Knowledge and Practice of Mothers Regarding the Prevention of Anemia during Pregnancy, in Teaching Hospital, Kathmandu

2013 ◽  
Vol 3 (3) ◽  
pp. 14-17 ◽  
Author(s):  
N Ghimire ◽  
N Pandey
Keyword(s):  
Teaching Hospital ◽  
Sampling Technique ◽  
Educational Status ◽  
Cross Sectional Study ◽  
University Teaching ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Anemia During Pregnancy ◽  
Level Of Knowledge ◽  
Knowledge And Practice

Iron deficiency anaemia is one of the main causes of anemia during pregnancy as it is associated with increased maternal and perinatal mortality and morbidity. A descriptive and cross-sectional study was carried out to assess the knowledge and practice of mothers regarding the prevention of anemia during pregnancy among mothers who delivered in Tribhuvan University Teaching Hospital (TUTH). Convenient purposive sampling technique was adopted and mothers were included in the study who delivered in TUTH during four weeks period of data collection. They were interviewed by administering semi structured questionnaire. Chi-square test was applied to assess the association between variables. The test result shows that there was significant association in level of knowledge to the educational status regarding prevention of anemia during pregnancy (p=0.002). Furthermore, the study also revealed that there was significant association between frequencies of antenatal care (ANC) visit to the level of knowledge (p=0.007) as well as level of practice (p=0.043) of mothers about pre­vention of anemia in pregnancy. From the result of the study, it is concluded that the majority of mothers had not adequate knowledge and poor practice regarding prevention of anemia during pregnancy.  DOI: http://dx.doi.org/10.3126/jcmc.v3i3.8631 Journal of Chitwan Medical College 2013; 3(3): 14-15

Knowledge and utilization of preconception care among women in selected community of Kathmandu

2020 ◽  
Vol 7 (2) ◽  
pp. 112-123
Author(s):  
Laxmi Devi Khanal
Keyword(s):  
Educational Level ◽  
Family Income ◽  
Preconception Care ◽  
Sampling Technique ◽  
Structured Interview ◽  
Adverse Outcomes ◽  
Reproductive Age ◽  
Average Level ◽  
Cross Sectional ◽  
Level Of Knowledge

Introduction: Preconception care is a critical component of maternal and child health care services to reduce adverse outcomes of pregnancy and to improve desired health outcomes for women, new-born, and children by focusing on health promotion, screening, and interventions. This study aimed to find out the knowledge and utilization of preconception care among women. Method: A cross-sectional design was carried out among women. Non-probability purposive sampling technique was adopted to select married women of reproductive age in Tokha municipality-10, Kathmandu. Data was collected using face-to-face structured interview. Descriptive and inferential statistics were used to analyze the data. Association among variables was measured by Kruskal–Wallis H test. Result: More than half of the 200 women surveyed, 133 (66.5%) had average level of knowledge and 61 (30.5%) adequate and 6 (3%) inadequate level of knowledge regarding preconception care. Similarly, 196 (98%) had low utilization and 4 (2%) had high utilization level. There was statistically significant association between educational level of respondents with the level of knowledge (p=0.05) and their husband’s educational level (p=0.00). There was no significant association with age, type of family, occupation, monthly family income, number of pregnancy, history of abortion/still birth and age at first pregnancy. Conclusion: This study shows more than half of respondents had an average level of knowledge about preconception care whereas only 2% had high level of utilization of care.

scholarly journals Magnitude of Family Planning Use in Gardi Village Development Committee of Chitwan district

2019 ◽  
Vol 3 (1) ◽  
pp. 40-43
Author(s):  
Dinesh Kumar Malla
Keyword(s):  
Family Planning ◽  
Health Management ◽  
Age Groups ◽  
Sampling Technique ◽  
Educational Status ◽  
Structured Interview ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Development Committee ◽  
Village Development Committee

The estimated contraceptive prevalence rate of Chitwan is based on the data of health management and information system. Therefore, this study aimed to find out the actual magnitude of family planning use among different age groups, castes, educational status, etc. A cross-sectional descriptive study was conducted in Gardi village development committee of Chitwan district from June 15, 2012 to July 5, 2012. A total of 246 married women of reproductive age were studied, who were obtained from 410 households selected from the total households of the village development committee using stratified proportionate random sampling technique. Structured interview was done and data were analyzed using SPSS version 16. Percentages of the variables were calculated and cross-tabulations were done. The percentage of family planning use was 65%, increasing after the age of thirty years- 70% on average in each age group thereafter. More Dalits (76%) used family planning methods than Janajatis (58%). About three quarters of women were met with primary education and 69% of illiterates used family planning, with the least percentage (37%) among those with SLC and above education. Most common method was male sterilization (41%), followed by female sterilization (21%). The reasons for not using family planning were given as: no need of family planning (78%), feared side-effects (17%) and did not know any methods (5%). For an awareness program of family planning, couples with caste Janajati, those having education SLC and above and younger age groups should be given more priority. Key words: Family Planning, Magnitude, Chitwan

scholarly journals Knowledge on prevention of complications related to immobility among caregivers of orthopedic patients at selected hospitals of Chitwan district

2015 ◽  
Vol 4 (3) ◽  
pp. 9-12
Author(s):  
S Poudyal ◽  
M Neupane ◽  
M Lopchan
Keyword(s):  
Teaching Hospital ◽  
College Teaching ◽  
Knowledge Score ◽  
Educational Status ◽  
The Body ◽  
Semistructured Interview ◽  
Cross Sectional ◽  
Medical College ◽  
Vein Thrombosis ◽  
Orthopedic Patients

Immobility is a condition in which a person is unable to move freely or is restricted for therapeutic reasons. Immobility affects all systems of the body leading to complications. The objective of the study is to find out the knowledge on prevention of complications related to immobility among caregivers of orthopedic patients admitted on orthopedic ward of Chitwan Medical College Teaching Hospital (CMCTH), College of Medical Sciences Teaching Hospital (CMSTH) and Bharatpur Hospital, Chitwan. The study design was descriptive, cross sectional and 133 caregivers were interviewed by using semistructured interview schedule. Data was analyzed by using SPSS and various tests such as frequency distribution, chisquare and odds ratio. The study findings revealed that 45.9% of respondents were from adjacent districts of Chitwan, 45.9% were between age group 16-30 years, 56.4% were female, 84.2% were married and 70.7% were literate. The highest mean knowledge score of caregivers was in the area of joint contracture (44.4%) followed by bedsore (39.3%), hypostatic pneumonia (37.6%), urinary tract infection (32.1%) and least mean knowledge score was in the area of deep vein thrombosis(25.2%) and constipation (25.1%) respectively. The level of knowledge is statistically significant with area of residence (p=0.038), marital status (p=0.020) and educational status (p=0.001) of respondents. The study concluded that caregivers had poor knowledge regarding preventive measures. Awareness programme need to be planned and implemented. DOI: http://dx.doi.org/10.3126/jcmc.v4i3.11932Journal of Chitwan Medical College 2014; 4(3): 9-12 

scholarly journals Anaemia in Pregnancy at Booking: Prevalence and Risk Factors among Antenatal Attendees in a Southern Nigeria General Hospital

2019 ◽  
pp. 1-11
Author(s):  
Victory E. Iyanam ◽  
Alphonsus U. Idung ◽  
Henry E. Jombo ◽  
Ndifreke E. Udonwa
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
General Hospital ◽  
Nutrition Education ◽  
Family Income ◽  
Febrile Illness ◽  
Sampling Technique ◽  
Educational Status ◽  
Insecticide Treated Nets ◽  
Cross Sectional

Background: Despite the fact that anaemia is a preventable morbidity in most cases, its prevalence among pregnant women is still unacceptably high especially in rural and sub-urban settings. This is worrisome considering the enormous contribution of anaemia to maternal and infant morbidity and mortality. Objective: This study aimed at determining the prevalence of anaemia at booking, identifying and describing its risk factors among pregnant women who attended the antenatal clinic of General Hospital, Etinan, a sub-urban area in Akwa Ibom State, South-South Nigeria. Methodology:  This was a cross-sectional descriptive study involving 375 pregnant women seen at the antenatal (booking) clinic of General Hospital, Etinan, between April and October 2018, recruited through non-probability consecutive sampling technique. A pretested semi-structured interviewer-administered questionnaire was used to obtain data on socio-demographic, family and nutritional characteristics and obstetric and medical history of the respondents. Blood sample of each respondent was obtained from the median cubital vein, analysed with haemoglobinometer and their haemogloin (Hb) level determined and classified. Results:  The age of the respondents ranged from 15-49 years with mean and standard deviation of 26.62 + 6.29 years. Results obtained show that out of 375 pregnant women, 265 had Hb <11g/dl giving 70.67% of anaemia among them. While 18.49% had mild anaemia (Hb:10.0-10.9g/dl), 4.15% had severe anaemia(Hb:<7.0g/dl). Anaemia was statistically associated with rural residence (p=0.024), low educational status (p=0.02), low family income (p=0.003), being married (p=0.016), lower parity (p=0.000), late booking (p=0.001), non-use of family planning (p=0.000), non-use of insecticide-treated nets (p=0.000), febrile illness in index pregnancy (p=0.000) and poor nutrition (p=0.000). Conclusion: The prevalence of anaemia among pregnant women in the study is high. This has far-reaching negative implications on the health status of the women during pregnancy, delivery and puerperum and that of the fetus. The need for preconception  counseling and screening, health and nutrition education, early booking, contraception, treatment and prevention of causes of febrile illness, priority to girl child education and overall poverty eradication measures and recommended.

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