scholarly journals Knowledge Regarding Risk Factors and Preventive Measures of Varicose Vein among Intensive Care Unit Staff Nurses

Author(s):  
Rose Mary George ◽  
Angel Samson Rathod

Background: Varicose vein has disturbed humans since ancient days as a chronic disorder. According to the current statistics given by the Express health care, approximately 2.7 million people worldwide suffer with varicose veins. If   left untreated and undiagnosed, varicose veins can end up with pooling of blood in the venous system and further complications. Aim and Objectives: Aim of the study was to assess the knowledge of staff nurses regarding risk factors and preventive measures of varicose vein. The study objectives were to assess the knowledge of staff nurses working in intensive care units regarding risk factors and preventive measures of varicose vein, to develop an evidence-based information booklet for staff nurses regarding prevention of varicose veins and to find out the association between the knowledge scores of staff nurses regarding risk factors and preventive measures of varicose vein with selected demographic variables. Materials and methods: A quantitative research approach with a non-experimental descriptive survey research design was used to select 60 staff nurses working in the ICUs using convenience sampling method. The data was collected using a structured knowledge questionnaire developed by the researchers. Data was analysed using descriptive and inferential statistics using SPSS. Results: The study results showed that 53% of the staff nurses had adequate knowledge scores regarding the risk factors and preventive measures of varicose veins whereas 30% had moderate knowledge, and 17 % had inadequate knowledge scores. Significant association was found between demographic variables such as age, experience and education of staff nurses with their knowledge scores. Conclusion: Approximately only half of the study participants had adequate knowledge regarding risk factors and preventive measures of varicose vein. Hence it is recommended that extensive educational sessions to be conducted for further enhancement of awareness of staff nurses related to prevention and management of varicose veins.

2013 ◽  
Vol 60 (4) ◽  
pp. 23-30
Author(s):  
Vesna Mioljevic ◽  
Miroslav Milicevic ◽  
Vesna Bumbasirevic ◽  
Vesna Suljagic

INTRODUCTION: Central venous catheter (CVC) placement is an unavoidable part of the everyday medical practice. At the same time CVC application is associated with high risk of development of central line-associated bloodstream infections (CLABSIs). These infections are cause of icreased morbidity and mortality rates as well as higer costs of the inpatient treatment2. Risk factors for onset of CLABSIs include duration of catheterization, length of hospital stay before catheterization, anatomic site of placement, CVC placement at the intensive care units (ICU), parenteral nutrition (PN) and ommisions diring CVC placement, use and care. CLABSI incidence rates vary depending on distribution of different risk factors associated with CVC and patient him/herself. The most significant causative organisms of CLABSIs are coagulase-negative Staphylococcocae, Staphylococcus aureus (S.aures), Enterococcus spp. i Candida spp. CLABSIs prevention measures include compliance with the rules of the aseptic technique upon placement, use and care of CVCs, which, based on the study results, may enable prevention of 65% to 70% of cases of CLABSIs. METHODS: A prospective cohort study included 200 patients hospitalized at the intensive care and therapy units of the CCS Clinic of Digestive Surgery in the period November 30th, 2006-November 31st, 2007 in whom CVC was placed for more than 48 hours. All the data necessary for the study were obtained based on the review of the case histories and they were recorded into the individual questionnaires for each patient. The questionnarire included patient information (age, gender, underlying disease, presence of other infections), information related to diagnostic and therapeutic procedures to which the patient was exposed. The incidence of CRBSIs in ICU patients, Institute of Digestive Diseases, CCS over the study period was 10.08 per 1,000 catheter-days. During the study CLABSI more often present in the females. Additionally, application of albumin and amino acids, ICU stay longer that 7 days and CVC application longer than 15 days, significantly more often present in patients with CRBSIs than in the group of patients without CRBSIs. Independent factors for development of CRBSI are gender, administration of albumin and amino acids. The most common microorganisms isolated from hemocultures and CVC were S. aureus and Klebsiella spp., with 31,8% of isolates each. Statistically significant difference was evidenced in frequency of resistance of S. aureus isolates to methicillin in the group of patients with CRBSI in comparison to the group of patients without CLABSIs. CLABSIs prevention measurs include compliance with the rules of the aseptic technique upon placement, use and care of CVCs.


2021 ◽  
pp. 77-79
Author(s):  
Rupanylla Bareh ◽  
Mitali Barman

National Institute for Occupational Safety and Health (NIOSH), 2019 stated that about 8 million healthcare workers are potentially exposed to hazardous drugs in their workplace. Indian Council of Medical Research (ICMR), 2019 reported around 16.9% of nurses had their skin or eyes exposed to chemotherapy drugs. Widespread use of cytotoxic drugs in the treatment of cancer has led to higher health hazards among nurses who handle and administer such drugs, so nurses should know how to protect themselves from the effects of cytotoxic drugs by following safety measures during preparation, administration of cytotoxic drugs, cytotoxic waste disposal, cytotoxic spills and rationale use of PPE (Personal Protective Equipment) like mask, cap, two pairs of gloves, gown and shoe cover. Aim: The aim of the study was to assess the knowledge regarding safe handling of cytotoxic drugs among staff nurses working in selected hospitals, Kamrup(Metro), Assam. Methods And Materials: A quantitative descriptive study was conducted on safe handling of cytotoxic drugs among staff nurses.100 staff nurses who were working in selected hospitals, Kamrup (Metro), Assam and who fullled the inclusion criteria have been selected by using convenience sampling technique. The conceptual framework used in the study was based on modied Ludwig Von Bertalanffy (1968) general system theory. The tools used for the study were structured knowledge questionnaire to assess the knowledge regarding safe handling of cytotoxic drugs. Results: Data analysis was done by calculating mean, SD and chi-square test. It was found that majority i.e.56% of the staff nurses had moderate knowledge, 38% had adequate knowledge and 6% had inadequate knowledge. There was signicant association of knowledge with selected demographic variables like working area, physical contact towards cytotoxic drugs exposure and training attended on safe handling of cytotoxic drugs. However, there was no signicant association of knowledge with other demographic variables i.e. age, educational qualication, specialized oncology training, total years of working experience and total years of experience in specic working area. Conclusion: Through this study, the investigator concluded that staff nurses are moderately aware regarding safe handling of cytotoxic drugs. It was expected that all the staff nurses should have adequate knowledge on safe handling of cytotoxic drugs. An information booklet was provided to the staff nurses of selected hospitals and vigorous training should also be provided to the staff nurses inorder to update their body of knowledge.


Author(s):  
C. Z. Perdeshi ◽  
Kustub A. Kulkani ◽  
Revendra N. Yadav ◽  
Mayur Nagwakar ◽  
Niten H. Patil

The lower limbs’ venous system has the pressure of posture, and blood has to be pushed against gravity into the heart cavity. This issue is generally approached either by a cautious approach or by surgical interference, all of which are constrained. Attempts to study different clinical manifestations of varicose veins are being made in the present study. The overall number of 50 varicose vein patients was analysed and the study results were reported. Varicosity veins of the lower limb is a fairly normal pathological entity. In the 20-50 age range, the condition is more common. The main modality of the procedure is surgery. The most common technique performed is Saphenofemoral flush ligation with stripping. 


2018 ◽  
Vol 15 (4) ◽  
pp. 571-579 ◽  
Author(s):  
Pablo García-Molina ◽  
Evelin Balaguer-López ◽  
Francisco Pedro García-Fernández ◽  
María de los Ángeles Ferrera-Fernández ◽  
José María Blasco ◽  
...  

Author(s):  
Sachin Sadanandan ◽  
Lakhan Kataria ◽  
V. Suresh ◽  
Sajitha Sadanandan

Aim: This study is focussed on comparison and assessment of compassion fatigue, burnout and compassion satisfaction among casualty nurses with intensive care unit (ICU) nurses. Study Design: Quantitative research approach and Descriptive - Comparative research design. Materials and Methods: Study targeted casualty nurses and ICU nurses working at selected hospitals in Vadodara. A total of 80 casualty nurses and ICU nurses were asked to participate in this study. Convenient sampling technique was used. First tool consists of demographic variables. Second tool consists of Compassion Fatigue/Satisfaction Self-Test (CFS), assess the existing level of compassion fatigue, burnout and compassion satisfaction. Results: Assessment of compassion fatigue among casualty nurses revealed that 18 [60%] nurses exhibited extremely high-risk level, Analysis of burnout among casualty nurses showed that 15 [50%] half of the nurses presented moderate risk level and among ICU nurses showed that 45 [90%] majority of the nurses presented high risk levels of burnout. Examining the final component of the CFS tool among casualty nurses, more than half of the respondents 16 [53.3%] were characterised as high potential level of compassion satisfaction and among ICU nurses, half of the respondents 25 [50%] were characterised as having a modest potential level of compassion satisfaction. Independent t-test shows that there was no significant difference in the level of compassion fatigue and compassion satisfaction between casualty nurses and ICU nurses. But there was a significant difference in the level of burnout between casualty nurses and ICU nurses, since the t value [18.256] was found to be greater than the table value [1.990] at .05 significant. Conclusion: Study reveals an association was found to exist between the level of compassion fatigue and demographic variables. But there was no association found in the level of burnout and compassion satisfaction among subjects with their selected demographic variables.


2019 ◽  
Vol 9 (1-s) ◽  
pp. 351-354
Author(s):  
Anitta Augustine ◽  
Anumol George ◽  
T.P. Aswathy ◽  
B. V Nithyashree ◽  
Devina E Rodrigues

Hospital is a place to get cured from the suffering. Among the members of health team the nurses spend most of their time at the bed side and they are usually considered as angels at the mission of comforting patients. Hepatitis B is a potentially life-threatening viral infection caused by Hepatitis B virus. It can create both acute and chronic diseases and, deemed as a major and serious health problem in the developing countries like India. Materials and methods: The descriptive survey approach adopted in the study aimed to assess the knowledge regarding Hepatitis B infection and its prevention among staff nurses. Self administered structured knowledge questionnaire was developed on the basis of objectives of the study by reviewing the literature of relevant topics and discussion with experts. Result: The data obtained from 100 staff nurses indicated that majority of the subjects (61%) were in the age group of 21-28 years, 84% were females and 16 % males. More than half of the subjects (55%) were with B. Sc qualification 63% were having 1-5 year experience and 62% of subjects were having monthly income between Rs 10,001-20,000. Only 36% of the subjects acquired information from college/friends. Distribution of staff nurses according to their knowledge showed that 86% had adequate knowledge, 12% had moderate knowledge, and 2%had poor knowledge. Conclusion: Nurses have major role in preventive aspect than in curative aspects Nurse through the scientific knowledge and skills are able to collect the data from public. The study results will help the investigators as well as the public to update their knowledge by organizing education programme. Keywords: Hepatitis B, Prevention, Staff nurses.


Author(s):  
Hussein Assaggaf ◽  
Fahad Ahmed Alrashed ◽  
Mansour Musaad Alsaluli ◽  
Hussain Saeed Alghamdi ◽  
Mohammed Saleh Alghamdi ◽  
...  

Many postoperative complications have been associated with orthopedic surgeries, which require patients to be admitted to intensive care units. In this study, we reviewed previous studies that reported the mortality rates for patients undergoing orthopedic surgeries and have been admitted to the ICU, in addition to discussing the risk factors and complications for this event and the possible preventive measures. Studies showed that mortality rates in the ICU following orthopedic procedures are much lower than other procedures that are usually associated with higher rates of complications and deaths. However, serious efforts should be offered to decrease the development of complications that may increase the burdens of such cases. To achieve this, the identification of the possible risk factors is essential for decreasing this burden. We found that old age, the presence of comorbidities, the complexity of the procedure, and having large amounts of blood transfusion before the procedure might be significant factors for the development of severe complications and subsequent death. We have also discussed some complications like cardiovascular, cerebral, spinal, pulmonary, and renal disorders. Eliminating these disorders would require more effort for eliminating pain, applying appropriate doses of anesthetics, antibiotics, and beta-blockers.


2021 ◽  
Vol 10 (36) ◽  
pp. 3094-3098
Author(s):  
Yugandhara Dilip Hingankar ◽  
Bali Thool ◽  
Vaishali Taksande

BACKGROUND Babies of low birth weight (LBW) include 2,499 g or less weight as stated by WHO. LBW consists of VLBW which is below 1500 g and extremely low birth weight which is lesser than 1000 g. The normal gross weight of the infant at the time of delivery is 2500 - 4200 g. The cause of LBW is preterm birth or a slow prenatal growth rate. The survival rate is determined by the baby’s birth weight. Several risk factors are also associated such as multiple pregnancies, poor nutrition, hypertension, drug addiction or intake of alcohol. It is very necessary to prevent LBW rather than treating it after birth. The present study was done to assess the prevalence of lowbirth-weight babies and its risk factors among postnatal mothers in the Wardha district. METHODS A descriptive research design was undertaken, and 35 postnatal mothers in the Wardha district were selected for the study, the data was collected with the help of a structured questionnaire and a risk factor assessment scale was used for postnatal mothers. RESULTS The result of the study shows the prevalence rate of LBW babies among postnatal mothers as 49.18 %, and there was an assessment of risk factors among postnatal mothers from selected areas and association of prevalence of low birth with selected demographic variables. There was no association of prevalence of lowbirth-weight babies among postnatal mothers in relation to demographic variables. CONCLUSIONS This study concludes that there is a good prevalence of LBW babies but mothers didn’t have adequate knowledge regarding LBW of babies and risk factors that affect the mother as well as the foetus. KEY WORDS Low Birth Weight, Preterm, Gestation, Dehydration, Hyperthermia, Hypothermia


Phlebologie ◽  
2008 ◽  
Vol 37 (05) ◽  
pp. 253-258 ◽  
Author(s):  
N. König ◽  
Z. T. Miszczak ◽  
H. J. Stark ◽  
P.-M. Baier

SummaryLymphatic complications are minor complications after varicose vein surgery. The frequency of lymphatic complications following an operation on varicose veins is very rarely discussed in literature. Patients, method: We investigated their frequency in a prospective study. Results: Between January 2004 and December 2005 in the cases of 3565 varicose vein operations we found 345 or 9.7% lymphatic complications, i.d. 123 cysts (3.4%), 24 fistulas (0.7%), 7 lymphorrhoe (0.2%) and 5 lymphoedema (0.14%). Conclusion: Lymphoedema is the only longlasting complication of the varicose vein surgery.


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