scholarly journals Study Of Prevalence Of Anxiety And its Contributing Factors Among Patients Undergoing Surgery In a Tertiary Care Hospital

2019 ◽  
Vol 8 (2) ◽  
pp. 59-65
Author(s):  
S. Subedi ◽  
K. Paudel ◽  
M. Koirala ◽  
P. Chhetri
Keyword(s):  
Health Care Providers ◽  
Family Income ◽  
Elective Surgery ◽  
Operative Procedure ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Care Providers ◽  
Contributing Factors ◽  
Cross Sectional

Introduction: Anxiety is a vague, uneasy feeling, the source of which is often non-specific but known to cause abnormal hemodynamic changes as a consequence of sympathetic, parasympathetic and endocrine stimulation. Most patients awaiting elective surgery experience anxiety. The degree, to which patient develops anxiety depends on many factors like age, gender, type and extent of the proposed surgery, previous surgical experience, and personal susceptibility to stressful situations. This study was conducted to find out the prevalence of preoperative anxiety and factors contributing to it. Material and Method: This is a cross-sectional study done among 74 pre-operative patients admitted the day before elective surgery in Department Of Surgery Universal College Of Medical Sciences Teaching Hospital, Bhairahawa. Socio-demographic as well contributing factor questionnaire, semi structured pro forma by interview method and Beck Anxiety Inventory Scale (BAI) Nepali Version were used to collect the data. Results: The findings of the study revealed that 90.54%, had very low level of anxiety and 2.70% of patients had severe pre-operative anxiety. The bivariate logistic regression analysis showed statistically significant association between family income (p= 0.004, AOR=2.03, CI= 0.009-2.567), family support (p< 0.001, AOR= 2.34, CI= 0.003-3.368), expected duration of hospital stay (p= 0.049, AOR=8.889, CI= 78.051-78.051), clarity on given information by health care providers (p< 0.001, AOR= 53.33, CI=7.165-396.99), staffs friendliness (p< 0.001, AOR= 21.01, CI= 3.450-127.82), fear of nil per oral (p= 0.015, AOR= 2.32, CI= 0.26-3.67) and level of pre-operative anxiety. Conclusion: It is concluded that varying degree of pre-operative anxiety were found in patients undergoing surgery. Providing adequate information about Peri-Operative procedure can help in reducing these anxiety.

scholarly journals A cross-sectional study regarding Knowledge, Attitude and Practice of hand washing among health care providers in a Tertiary Care Hospital of Tripura

2018 ◽  
Vol 5 (2) ◽  
pp. 3527-3531 ◽  
Author(s):  
Dr. Tamal Chakraborty ◽  
Dr. Nabarun Karmakar ◽  
Dr. Kaushik Nag ◽  
Dr. Anjan Datta ◽  
Prabir Kumar Saha ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Hand Washing ◽  
Care Hospital ◽  
Care Providers ◽  
Cross Sectional ◽  
Care Workers

Introduction:- Infection prevention and control is an integral component of health care delivery in any setting to reduce risks for morbidity and mortality in patients and care givers at all levels. The practice of hand hygiene by health care workers, through the use of either soap and water or an alcohol-based hand sanitizer, is widely considered to be the most important and effective means of preventing health care – associated infections. Objective: To assess knowledge, attitude and practices of health care providers regarding hand washing.  Materials and methods:- An institutional based cross sectional study was carried out in outdoor patient, indoor ward among 193 health care providers (doctors, nursing staffs, OT assistants, laboratory technicians, ward boys and ward girls) in a Tertiary Care Hospital of Tripura from September – October 2017. A pre-tested questionnaire was used as study tool to collect information on knowledge, attitude and practices about hand washing. Result:- Majority (73.6%) of the populations was among 18-25 years age group with a female predominance (70.5% females) and most of them were Hindu (94.5%). Most of them (97.5%) know about the importance of hand washing. Around (48.3%) wash hand with soap followed by liquid hand wash (44%) that showed (91%) washed hands with soap and water. Conclusion:-The current study revealed the knowledge, attitude and absence of sufficient practice of hand washing among health care providers. Future studies in this context are recommended to further determine the factors responsible for these lacunae. Also there is a need to educate the health care workers about hand washing practices and to periodically train them about the six steps of hand washing.

scholarly journals Knowledge and attitude of nursing staff towards nebulization therapy in a tertiary care hospital

2017 ◽  
Vol 5 (9) ◽  
pp. 3976
Author(s):  
Suhas Aithal ◽  
Jagmohan S. V. ◽  
Niveditha S.
Keyword(s):  
Health Care Providers ◽  
Breathing Pattern ◽  
Tertiary Care ◽  
Hospital Setting ◽  
Cross Sectional Study ◽  
Staff Nurses ◽  
Care Hospital ◽  
Care Providers ◽  
Cross Sectional ◽  
Knowledge And Attitude

Background: Nebulization is an important tool in the treatment of respiratory conditions. Nurses are primary health care providers for using the nebulizers in a hospital setting. The examination of nurse's knowledge and performance regarding the nebulizer therapy is of utmost importance for proper nebulization. Aim of the study was to access the knowledge and attitude of staff nurses towards nebulization therapy.Methods: A cross sectional study was conducted at the RL Jalappa hospital, Kolar, Karnataka, India. 50 nurses working the intensive care units and wards were given a questionnaire regarding the key aspects of nebulization therapy. A workshop was then conducted for the same participants on correct nebulization techniques and the questionnaire was given and the results post workshop was analyzed.Results: In pre-study, most nurses had unsatisfactory knowledge with respect to breathing pattern during nebulization (72.2%), types of masks used (83.3%), changing of filter (62.5%). On comparing satisfactory knowledge level of nurses pre-and post, it was found statistically significant increase in knowledge for breathing pattern during nebulization, knowledge of types of nebulization, nebulization time, nebulization end point, types of drugs used, type of dilution, proportion of dilution, ideal volume of drugs in medication, replacement of tubing, changing of filter, types of disinfections used, types of nebulization and types of mask (p <0.05).Conclusions: The knowledge of the staff nurses regarding the nebulization therapy was unsatisfactory which was reflected by improvement in the knowledge post workshop training. The staff nurses should be provided periodic training on nebulization therapy to give effective and safe care to patients.

Factors associated with choice of delivery with or without epidural analgesia among laboring women: a cross-sectional survey at a tertiary care hospital of a developing country

2016 ◽  
Vol 44 (7) ◽  
Author(s):  
Samina Ismail ◽  
Shemila Abbasi ◽  
Sobia Khan ◽  
Abdul Monem ◽  
Gauhar Afshan
Keyword(s):  
Epidural Analgesia ◽  
Health Care Providers ◽  
Tertiary Care ◽  
Care Hospital ◽  
Care Providers ◽  
Sources Of Information ◽  
Hospital Data ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Natural Birth

AbstractAims:The aim of this study was to evaluate the factors responsible for epidural analgesia (EA) refusal among parturient patients.Methods:In this prospective cross-sectional study of six months, we included all consenting postpartum patients having a non-operative delivery in the obstetric unit of our hospital. Data were collected on a predesigned questionnaire and included information such as parity, education, reasons for delivering with or without EA, source of information and patient satisfaction. Knowledge regarding EA was assessed from patients delivering without EA.Results:From 933 patients enrolled, 730 (78.2%) delivered without EA, and 203 (21.7%) with EA. Only 11 (1.5%) patients refused EA for the reason of having natural birth process. Otherwise common reasons were misconceptions (65.9%) and lack of awareness about EA (20.5%); 70.5% had no knowledge of common side effects of EA. Among patients delivering with EA, 92.6% were offered EA by health care providers and had obstetricians and anesthesiologists as their sources of information.Conclusions:Patients in developing countries are laboring without EA, even in centers where there is a provision for it. The main reasons for not availing themselves of EA are lack of awareness and knowledge and misconceptions, rather than the desire to have un-medicated natural birth.

scholarly journals Maternal outcomes among emergency obstetric admissions at a tertiary care teaching hospital in Chitradurga, South India

2018 ◽  
Vol 7 (12) ◽  
pp. 4906 ◽  
Author(s):  
Anju Arpana ◽  
Rashmi B. M. ◽  
Latha V.
Keyword(s):  
Rural Areas ◽  
Health Care Services ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Emergency Admissions ◽  
Risk Pregnancy ◽  
Obstetric Emergencies

Background: The maternal mortality is a vital index of the quality and efficiency of obstetric services prevailing in a country. The obstetric emergencies are unexpected occurrences during pregnancy or puerperium requiring immediate attention. Obstetric emergencies can either happen suddenly or they can develop as a result of complications that are not properly identified, monitored or managed. These emergencies, to a large extent, are preventable. The purpose of this study was to understand the contributing factors of obstetric emergencies, their clinical presentation, management and maternal outcomes.Methods: A cross sectional study was conducted among obstetric emergency admissions during October 2016 to September 2017, at a tertiary care hospital in urban area of central Karnataka.Results: A total of 100 emergency admissions were observed in the study period. A 41% of were un-booked antenatal cases. A 13% of patients reached with the longest delay of 10-12 hours duration. A 31% of emergency admissions were in compromised condition. The majority of the cases were delivered by LSCS (55%).Conclusions: In the study, nearly half of the pregnancies were unbooked. There were teenage pregnancies reported in the study. More than half of obstetric emergencies were from rural areas. In nearly 50% of admissions a delay of more than 5 hours in reaching this hospital was noted. Ignorance was a major factor which impeded the access of antenatal health care services. Health education to pregnant women about importance of accessing maternal health services, early ANC booking and regular checkups, identification of high-risk pregnancy and timely referral, availability of fully functional first referral units and transport facilities for these emergency patients. Availability of skilled medical professionals round the clock in these FRU’s are the need of the hour.

scholarly journals Erectile dysfunction: prevalence and determinants among T2DM men attending a tertiary care hospital in northern India

2019 ◽  
Vol 6 (4) ◽  
pp. 1115 ◽  
Author(s):  
Raja Langer ◽  
Elias Sharma ◽  
Bhavna Langer ◽  
Rajiv K. Gupta ◽  
Rashmi Kumari ◽  
...  
Keyword(s):  
Erectile Dysfunction ◽  
Diabetic Complications ◽  
Family Income ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Northern India ◽  
Male Patients ◽  
Associated Risk Factors

Background: Erectile dysfunction (ED), though an important complication of T2DM is grossly under reported in this part of the world. The present study aimed to determine the prevalence and associated risk factors of ED in T2DM men in northern India.Methods: A cross-sectional study was conducted from January to August 2018 among male patients with T2DM in the medical OPD of a tertiary care teaching hospital in Jammu. IIEF- international index of erectile function was the tool used in the present study.Results: ED prevalence was 62.08%. Among socio-demographic variables, age was significantly associated with ED (p<0.05) while no association was found with education, occupation and family income. Smoking as a life style and hypertension as a co-morbid condition were significantly associated with ED (p<0.05). Duration of diabetes and type of diabetic complications were also found to be statistically significant.Conclusions: Prevalence of ED in T2DM men was quiet high in this region of India. Preventive interventions, early diagnosis and detection of T2DM along with treatment adherence to prevent diabetic complications is strongly recommended. Further research is recommended to establish temporal causality of ED in T2DM.

scholarly journals Hyponatremia among Postoperative Children Administered with Hypotonic Fluids in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (243) ◽  
pp. 1131-1135
Author(s):  
Ashish Lal Shrestha ◽  
Susan Jehangir Homi ◽  
Reju Joseph Thomas
Keyword(s):  
Confidence Interval ◽  
Postoperative Period ◽  
Tertiary Care Hospital ◽  
Elective Surgery ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hypotonic Fluids

Introduction: Hypotonic solutions in postoperative children may cause hyponatremia. Considering humidity and temperatures in India, this study was conducted to find out the prevalence of hyponatremia among postoperative children who were administered with hypotonic solutions in a tertiary care hospital. Methods: A descriptive cross-sectional study was conducted at a tertiary care hospital. Ethical approval was taken from the institutional review board of Christian Medical College, Vellore, India (Reference number: 9177). Children aged less than 15 years undergoing elective surgery, requiring fasting for more than 12 hours post-operatively with normal preoperative electrolytes and renal functions were included. Hypotonic fluids were administered following existent protocol. Electrolytes were repeated immediate postoperatively and at 12-24 hours. Data was entered into and analyzed using the Statistical Package for the Social Sciences version 18.0. Point estimate at 90% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Among 109 participants, hyponatremia in the postoperative period was seen in 53 (48.6%) (40.7-56.5 at 90% Confidence Interval) children. Hyponatremia was found in the immediate postoperative period in 10 (9.2%) children. All received Ringer Lactate as maintenance intra-operatively and none were severe enough to need correction. In the 12–24-hour sample, 43 (39.41%) had hyponatremia and none in severe category. Conclusions: Asymptomatic hyponatremia was noted in normal children planned for elective surgery. Among children managed with the existing institutional perioperative (hypotonic) fluid management protocol, subclinical postoperative hyponatremia within 12-24 hours of surgery was noted in a significant proportion, which was more in the hot and warm months in tropics. There are grounds for switching to isotonic fluids for perioperative management.

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