scholarly journals Nurses Knowledge on Management of Patient Receiving Spinal Anaesthesia in a Government Hospital

2019 ◽  
Vol 2 (2) ◽  
pp. 126-132
Author(s):  
Elisha Rijal ◽  
Suvekshya Silwal ◽  
Sheela Thapa ◽  
Saraswati Basnet ◽  
Subhadra Bhagat

Introduction: Spinal Anaesthesia (SA) is a form of regional anaesthesia involving injection of a local anaesthetic into the subarachnoid space. SA is directly related to nervous system, so its mismanagement may cause various complications hence, prevention and management of complication is a vital and complex aspect of critical nursing care. Therefore, the objective of this study was to assess the nurse’s knowledge on the management of patient receiving spinal anaesthesia. Methodology: A cross-sectional descriptive study was conducted among nurses of Koshi Zonal Hospital of Province no. 1, Biratnagar, Nepal from May to June 2017. Non-probability purposive sampling method was used where self-administered questionnaire was administered among 67 working nurses in the hospital. Results: The majority of the respondents (77.6%) belonged to 20-30 years of age group, nearly half (44.8%) of the respondents had completed PCL nursing. Only 67.2% explained the meaning of anaesthesia, and 58.2% had knowledge on physiological changes after SA. Regarding ambulation and cause of backache, 29.9% had knowledge whereas only 20.9% had knowledge about management of post spinal backache. Respondents facing problem to manage the complication after SA was 13.4%. This study also found that the overall knowledge regarding SA was adequate among 80.6% respondents. Conclusion: Nurses as the key personnel in management and prevention of complication, the obtained result was below the desired competence level among working nurses as it is the vital aspect of critical nursing care.

e-GIGI ◽  
2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Stevany A.D. Tawas ◽  
Christy N. Mintjelungan ◽  
Damajanty H.C. Pangemanan

Abstract: Generally, in elderly there is a change in saliva composition due to the decreased production of saliva which leads to dry mouth or xersotomia. Clinically, a patient with dry mouth will feel dry on his/her lips and the mouth corners become irritated. This study was aimed to obtain the profile of xerostomia in the elderly at Kelurahan Malalayang Satu Timur. This was a descriptive study using a cross sectional design. This study was conducted in Kelurahan Malalayang Satu Timur. Samples of this study were obtained by using total sampling method. The study was performed on 35 peoples aged 60 to 75 years (according to WHO standard) as subjects. Salivary flow rate was measured with a measuring cup. The results showed that xerostomia was found in 87.5% of the subjects, more dominant in females (96.7%), and more frequent in the age group 65-69 years (66.7%). Conclusion: At Kelurahan Malalayang Satu Timur, xerostomia was more common in female elderly and age group 65-69 yearsKeywords: xerostomia, elderly Abstrak: Umumnya seseorang yang sudah memasuki usia lanjut akan mengalami perubahan dalam komposisi saliva akibat produksi saliva berkurang yang bermanifestasi sebagai xerostomia. Secara klinis pasien dengan xerostomia akan merasa kering pada bibir dan bagian sudut mulut mengalami iritasi. Penelitian ini bertujuan untuk mengetahui gambaran xerostomia pada kelompok usia lanjut di Kelurahan Malalayang Satu Timur. Jenis penelitian ialah deskriptif dengan desain potong lintang. Pengambilan sampel menggunakan metode total sampling. Penelitian dilakukan di Kelurahan Malalayang Satu Timur. Terdapat 35 subyek usia lanjut dengan usia 60-75 tahun (menurut standar WHO). Pengukuran laju aliran saliva dilakukan dengan menggunakan metode spitting. Hasil penelitian menunjukkan bahwa xerostomia ditemukan pada 85,7% dari subyek. Jenis kelamin perempuan lebih dominan (96,7%) dan tersering pada rentang usia 65-69 tahun (66,7%). Simpulan: Pada kelompok usia lanjut di Kelurahan Malalayang Satu Timur xerostomia lebih sering terjadi pada yang berjenis kelamin perempuan dan usia 65-69 tahun.Kata kunci: xerostomia, usia lanjut


2021 ◽  
Vol 3 (2) ◽  
pp. 48-60
Author(s):  
Aneela Khurram ◽  
Kausar Pareveen ◽  
Muhammad Hussain ◽  
Muhammad Afzal ◽  
Farhat Shaheen

Purpose: To assess the newly graduated nurses' own perception of competence and to identify possible predictors influencing their perceptions. Methodology: A cross sectional descriptive study design. The setting will be the the Lahore School of Nursing, Allied Health Sciences The University of Lahore. Research took 4 months after the approval of synopsis Febrary 2021 to May 2021. One hundard and fifty nursing students of both gender male and female were included in this study.Using SPSS, data analysis was performed. Graphs and tables provided the details. Result: Total 150 participants are involved this study32.0% participants belong to 20-25 years of age group, 19.3% participants have 26-30 years of age group, 15.3% participants have 31-35 years of age group, 12.7% participants have 36-40 years of age and 20.7% participants have Above 41 year’s age. 58.0% participants were male and 42.0% female. 28.7% (n=43) participants were 1st year students, 26.7% (n=40) participants were 2nd year students, 26.0% (n=39) participants were 3th year and 18.7(n=28) participants were 4th year students. Unique  contribution  to  theory,  practice  and  policy: The newly graduated nurses thought they were the best at assisting patients with coping and delivering ethical, individualized nursing treatment. They thought themselves were the least qualified to evaluate results and contribute to the advancement of nursing care. The newly trained nurses thought they were competent as nurses in particular.


2013 ◽  
Vol 12 (3) ◽  
pp. 44-48
Author(s):  
Joyabrata Das ◽  
Subash Majumdar ◽  
Subrata Das ◽  
Saiem Nurul Anwar ◽  
Hossain Ahmed ◽  
...  

Background: The liver is the organ most subjected to the development of abscesses and made up 48 % of all visceral abscesses' and 7% of all intra abdominal abscesses. Liver abscess should be suspected when there is a combination of fever, leucocytosis, constitutional symptoms, and pain in the right upper quadrant, and tenderness over the liver or right lower rib cage. The liver is affected by a number of local and disseminated infections; their frequency and types vary considerably around the world. Parasitic disorders are more prevalent in developing countries. Methods: It was a cross-sectional descriptive study. The cases were taken from the admitted patients of Medicine unit of SMCH, Chittagong. The study was conducted over a period of one year with a sample size of 50 patients and sample was taken by purposive sampling. Results: Among 50 patients 40 (80%) were diagnosed as ALA and 10 (20%) were diagnosed as PLA. ALA cases are common in 21-30 years age group & PLA cases are more common in >50 years of age group. Majority of the cases were from rural area. Common clinical features were fever, abdominal pain, nausea and tender hepatomegaly. Diarrhea was present on admission in 7 (15.9%) patients of ALA. Anaemia was common in both but polymorphonuclear leucocytosis was moderate to severe in PLA. Microscopic examination of stool samples for E. Histolytica trophozoites was positive in 3 (7.5%) cases and cysts in 4(10%) cases. Nine patients had right sided pleural effusion. Conclusions: Clinical features are common in both ALA and PLA. Liver abscesses are more common in men and more prevalent in rural areas. ALA more commonly occurs in 21-30 years age group but can occur at any age. Pyogenic abscess is more common in older age group (>50 years) and E. Coli is the commonest organism. Chattagram Maa-O-Shishu Hospital Medical College Journal Volume 12, Issue 3, September 2013: 44-48


2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Ireine S. Waworuntu ◽  
John . Porotu'o ◽  
Olivia A. Waworuntu

Abstract: Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis (M. tuberculosis). In Indonesia, there are about 430.000 new cases, of which 61.000 cases ended in death. This disease has many clinical varieties, therefore, a gold standard for the right and exact diagnosis is needed. The examination of sputum by using Ziehl-Neelsen staining must be more improved for public health service. This study aimed to determine the profile of Mycobacterium tuberculosis (acid-fast bacteria) among patients with coughing ≥2 weeks at Ranotana, Wenang and Sario Primary Health Cares (PHCs) by using Ziehl-Neelsen staining. This was a descriptive study with a cross sectional design. Samples were obtained by using total sampling method during the period of September 2015 - December 2015. The results showed that there were 38 cases of coughing ≥2 weeks as follows: 15 cases at Wenang PHC, 13 cases at Ranotana PHC, and 10 cases at Sario PHC. The examination of acid-fast bacteria from the 38 cases of three PHCs showed that 1 case (2.7%) had acid-fast bacteria (++). Conclusion: In this study, there was only one case (2,7%) with positive Mycobacterium tuberculosis. Keywords: cough more than two weeks, tuberculosis, BTA Abstrak: Tuberkulosis adalah suatu penyakit infeksi yang disebabkan oleh Mycobacterium tuberculosis (M. tuberculosis). Indonesia memiliki sekitar 430.000 kasus baru dimana 61.000 kasus berakhir dengan kematian. Penyakit ini memiliki gejala klinis yang bervariasi sehingga perlu ditetapkan standar baku untuk menegakkan diagnosis lebih cepat dan akurat. Pemeriksaan sputum dengan pewarnaan Ziehl-Neelsen harus lebih ditingkatkan pada pelayanan kesehatan masyarakat. Penelitian ini bertujuan untuk mendapatkan gambaran Mycobacterium tuberculosis (basil tahan asam, BTA) dengan pewarnaan Ziehl-Neelsen pada pasien batuk ≥2 minggu di Puskesmas Wenang, Puskesmas Ranotana, dan Puskesmas Sario Kota Manado. Jenis penelitian ini deskriptif dengan desain potong lintang. Pengambilan sampel menggunakan cara total sampling pada kurun waktu September 2015 - Desember 2015. Hasil penelitian mendapatkan 38 kasus batuk ≥2 minggu yaitu 15 kasus di Puskesmas Wenang, 13 kasus di Puskesmas Ranotana dan 10 kasus di Puskesmas Sario. Pada pemeriksaan (BTA) di Puskesmas Wenang, Puskesmas Ranotana dan Puskesmas Sario didapatkan BTA (++) 2,7% sedangkan BTA (-) 97,3%.Simpulan: Pada penelitian ini didapatkan 1 kasus (2,7%) Mycobacterium tuberculosis positif


2016 ◽  
Vol 5 (2) ◽  
pp. 26-28
Author(s):  
Zubaida Gulshan Ara ◽  
ASM Shafiqul Islam ◽  
Umme Kulsum Sharmin Zaman ◽  
Anjuman Ara ◽  
Reeva Aireen Busreea

This cross sectional descriptive study was done to see the length of the cervix in Bangladeshi cadaver to find out the anatomical variation and to compare it with other study findings. 60 post mortem specimens containing female genital organs particularly uterine cervix were collected by purposive sampling technique from cadavers of different age groups. All the collected specimens were fixed in 10% formalin solution. This study was carried out in the department of Anatomy, Mymensingh Medical College from July 2006 to June 2007. Both gross and fine dissections were performed to measure the length of the uterine cervix. We compare our study findings with that of the references. Maximum mean length of the cervix was found in the 13-45 years age group. It was 2.89 cm. CBMJ 2016 July: Vol. 05 No. 02 P: 26-28


2020 ◽  
Vol 3 (1) ◽  
pp. 1-6
Author(s):  
Rini Syahrani Harahap ◽  
Delyuzar ◽  
Jessy Chrestella

Background: Helicobacter pylori is a well known pathogen which is recognized as the most frequent infection of individuals. Helicobacter pylori plays important role in the etiology og gastritis, gastric and duodenal ulcers. We investigated the presence of Helicobacter pylori as an extragastric reservoir in the tonsilectomy specimens. Aim: To determine the presence of Helicobacter pylori in cases of chronic tonsillitis in tonsilectomy specimens. Methods: This is a descriptive study with cross sectional which the sample will be obtained using consecutive sampling method. We collect 43 cases with chronic tonsilitis were examined in tonsillectomy specimens for which available tissue for routin staining could be retrieved were histopathology chronic tonsillitis. The colonization of the helicobacter pylori have been evaluated with hematoxylin & Eosin and Giemsa stains under the light microscope. Results: With H&E staining, Helicobacter pylori has been detected in 23 cases (53,48%) of the tonsil-lectomy specimens in total. No colonization has been observed in the remaining 20 cases (46,51%). With giemsa staining Helicobacter pylori has been detected in 29 cases (67,74%) of the tonsillectomy specimens in total. No colonization has been observed in the remaining 14 cases (32,55%).   Keywords: Helicobacter pylori, Chronic Tonsillitis, H&E, Giemsa.


2015 ◽  
Vol 5 (2) ◽  
pp. 25-29 ◽  
Author(s):  
R Baral ◽  
S Sapkota

Migration of Health workers has devastating consequences leading to loss of health workers in the nation of origin. This research was carried out to identify the push factors related to migration of Nurses from Nepal to other developed countries. A cross sectional descriptive study was conducted via different social medias. The data was collected from 67 migrated Nepalese Nurses to: Australia, USA, UK and Canada. Self-administered questionnaire in the form of “Google docs form” was used to collect data from respondents. The study showed that 70.15% of respondents were of 20-29 years of age. In the study, 38.80% of respondents were from Australia followed by 31.34% from USA, 16.43% from UK and 13.43% from Canada. When the researcher advised respondents to prioritize the major cause of migration by giving 1 to major and 8 to least responsible factor of migration, the study revealed that personal ambition (Mean: 3.18), lack of job and career opportunities in Nepal (Mean: 3.57), economical factors (Mean: 3.2), and job dissatisfaction (Mean: 4.90) are the main causes of migration among Nepalese Nurses. This study also showed that 55.22% of respondents were not satisfied with their job in Nepal. 53.74% and 43.28% of the respondents are satisfied and highly satisfied respectively with their job in abroad. It can also be concluded that lack of modern facilities merely is not only the motivating factor for migration among Nepalese nurses, age and personal ambition also play a role in migration.


e-GIGI ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Waraney Mamengko ◽  
Shirley E. S. Kawengian ◽  
Krista V. Siagian

Abstract: Cavity is a classic problem that has existed since long time ago which is one of the causes of tooth ache. Caries is a disease that involves enamel, dentin and cementum. Caries caused by microorganism action on fermented carbohydrate. The prevalence of active caries in Indonesia and in some countries is still high. Caries can occur among all ages, including children. Factors that cause caries regarding to the attitude and the nature of children who like to eat snacks and sweet foods that can cause dental caries. This study aimed to describe the consumption of snacks and status of caries in children aged 3-5 years in the Rinegetan village Tondano. This was a descriptive study with a cross sectional design. There were 52 children aged 3-5 years obtained by using total sampling method. Data were obtained by using def-t index and questionnaire. The results showed that snacks consumed by the children were: candy (75%) and milk (73,07%). The average of dental caries amog the children aged 3-5 years in the Rinegetan village, Tondano, was 2.36 (low category).Keywords: caries, children, snacks, def–t indexAbstrak: Gigi berlubang merupakan masalah klasik yang sejak dahulu sudah ada yang menjadi salah satu penyebab seseorang merasakan rasa sakit gigi. Karies merupakan suatu penyakit yang menyerang jaringan keras gigi, yaitu email, dentin dan sementum, yang disebabkan oleh aktivitas suatu jasad renik dalam suatu karbohidrat yang dapat diragikan. Prevalensi terjadinya karies aktif pada penduduk Indonesia dan di bebera panegara di dunia adalah cukup tinggi. Karies dapat dialami oleh semua usia termasuk anak-anak. Faktor penyebab karies salah satunya yang dapat diteliti berkaitan dengan sikap maupun sifat dari anak-anak yang suka mengonsumsi jajanan makanan yang manis-manis dapat menyebabkan karies pada gigi. Penelitian ini bertujuan untuk mengetahui gambaran konsumsi jajanan dan status karies pada anak umur 3-5 tahun di kelurahan Rinegetan Kecamatan Tondano Barat. Penelitian ini bersifat deskriptif dengan pendekatan cross sectional study. Penelitian ini dilaksanakan di kelurahan Rinegetan Kecamatan Tondano Barat pada bulan September 2015. Sampel terdiri dari 52 anak umur 3-5 tahun diperoleh dengan total sampling method. Data diperoleh dengan menggunakan instrumen yaitu lembar pemeriksaan def-t dan kuesioner. Hasil penelitian memperlihatkan bahwa konsumsi jajanan yang masuk dalam kategori paling sering yaitu permen (75%) dan susu (73,07%). Status karies gigi anak berusia 3-5 tahun di Kelurahan Rinegetan, Kecamatan Tondano Barat rata-rata 2,36 yag termasuk dalam kategori rendah.Kata kunci : karies, anak-anak, jajanan, indeks def-t


2019 ◽  
Vol 27 (1) ◽  
pp. 017
Author(s):  
Suzanna Ndraha ◽  
Hervico Dwicahya Putra ◽  
Hervico Dwicahya Putra ◽  
Caesaredo Derza Polas ◽  
Caesaredo Derza Polas ◽  
...  

<p><em>Diabetes mellitus (DM) is one of the most common disease found in clinical practice in Koja General Hospital. According to the previous research, the prevalence of diabetes patients has never been investigated. Aim of this study was to find out the proportion of diabetes subjects hospitalized in Koja General Hospital.</em></p><p><em>This was a descriptive study with a cross sectional approach. Data was taken by consecutive sampling method from diabetes mellitus subjects aged ≥18 years who were hospitalized in the department of internal medicine Koja General Hospital in the period of August 20, until September 30, 2018.</em></p><p><em>The proportion of diabetes subjects in Koja General Hospital was 42% (155 patients) out of a total of 368 subjects. The age of diabetes subjects with the majority of elderly adults (26-65 years) as much as 84% (131 patients) of 155 diabetes subjects. Gender were dominated by woman as 59% (91 patients) out of a total of 155 subjects and the remaining men were 41% (64 patients). The most frequent indication of treatment in diabetes subjects is chronic kidney failure (CKD) as much as 22 patients (14.2%).</em></p><p><em>The proportion of diabetes subjects who were hospitalized was 42% (155 people) of a total of 368 subjects.</em></p>


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