NURSES’ KNOWLEDGE AND ATTITUDE ON PRACTICE OF ARTIFICIAL AIRWAY SUCTIONING

ABSTRACT: Artificial airway suctioning is one of the key nursing skills that nurses should acquire during student period and maintains during their professional life. The current study is mainly intended to assess the knowledge and attitude among graduate nurses, Kerala. A quantitative descriptive approach was used as methodology with convenient sampling technique and data were collected using electronic forms. Data were analyzed using descriptive and inferential statistics. There is a mild correlation between knowledge and attitude score (r=0.199) and significant association can be traced with the area of experience and knowledge (chi-square=0.037) and the training undergone related to suctioning and attitude on practice related to suctioning (chi-square=0.000674). Key words: Knowledge, Attitude, Artificial airway suctioning, Graduate Nurses.

KNOWLEDGE ON HUMAN MILK BANKING AMONG PAEDIATRIC STAFF NURSES

Background: Breastfeeding is considered as the best practice which results in optimum growth and development of infants. According to WHO and UNICEF, donor’s human milk is considered as the best alternative in situations where the mother is not able to provide adequate breast milk due to unavoidable circumstances. Objective: The objective of the study is to assess the knowledge level of paediatric staff nurses regarding Human Milk banking and to find out the association of knowledge level with their demographic variables Materials & Methods: This descriptive study was conducted in a selected hospital of Idukki district in Kerala. The data were collected from 45 Paediatric staff nurses regarding human milk banking by convenience sampling method with the use of a structured questionnaire. Results: The data results revealed that 50% of samples belonged to the age group 19 to 27 and 28 to 36 years; the majority of the samples (72%) were Christians; half of the samples (58%) were graduates; and majority of them (62%) were housewives. Concerning the level of knowledge, 15.5% of them had poor, 69% had average and 15.5% had a good level of knowledge regarding essential newborn care.

EFFECTIVENESS OF AMLA JUICE IN REDUCING BLOOD GLUCOSE LEVEL AMONG PATIENTS WITH TYPE II DIABETES IN A SELECTED AREA OF KANYAKUMARI DISTRICT

Challenges in lifestyle, such as increasesin energy intake and decreasesin physical activity are causing overweight and obesity leading to epidemic increases in type II Diabetes Mellitus. The research approach used for this study was evaluative approach and the research design was true experimental design. 60 patients with type II diabetes, 30 in experimental group and 30 in control group were selected for this study by using purposive sampling technique. Data was collected with the help of self-structured interview schedule. Descriptive statistics (frequency, percentage, mean and standard deviation) and inferential statistics (chi-square, paired ‘t’ test) were used to analyse the data and to test the hypotheses. In the experimental group,the pre-test mean score was 2.966, mean percentage was 59% and standard deviation was 1.129 and in post-testmean score was 2.533, mean percentage was 50.66% and standard deviation was 1.074 with effectiveness of 8.34% and paired‘t’ test value of t=3.971,which was statistically significant (p<0.05) which is an evidence ofthe effectiveness of Amla juice in reducing blood glucose level. Comparison of blood glucose levels in experimental and control groups, shows that the value is statistically highly significant, as was observed from the unpaired ‘t’ test value of 13.39 with P value of <0.05, which is an evidence indicatingthe effect of Amla juice in reducing postprandial blood glucose levels. The resultsfound that the administration of Amla juice did have aneffect in reducing blood glucose level in the experimental group. By comparing the findings of pre-test and post test between the experimental group and the control group,the effect was identified (assessed). The study concluded that the Amlajuice is effective in reducing blood glucose level.

EVALUATE THE EFFECTIVENESS OF MOTIVATIONAL PACKAGE ON ENHANCING SELF-ESTEEM AND MAINTAIN ABSTINENCE, IN ALCOHOL DEPENDENT ADULTS IN A SELECTED DE-ADDITION CENTRE: A PILOT STUDY

ABSTRACT Alcohol dependence is a major health problem in every society, and in both developed and developing countries. It is usually referred to as the third most serious public health problem. Alcohol is a dangerous drug, which has been domesticated by traditionsthat predate history. It is intimate with our social life. Alcohol is a major public health problem today. In last three decades, many surveys have been carried out in India to assess the prevalence and co-morbidity of alcohol and drug uses. Important finding of these studies is that alcohol was the commonest substance used, i.e., 60-98%. The research design used for the study was quasi-experimental research design. Total of 60 alcohol dependent adults, who met inclusion sampling criteria, were selected and randomly allocated 30 to experimental group and 30 to control group with the help of computer-generated random sequence numbers. Level of self – esteem and maintaining abstinence from alcohol among the alcohol dependent adults was assessed by using Rosenberg Self-Esteem Scale and URICA Scale respectively. The participants of experimental group administered motivational package in 6 sessions, each day one session. Outcome variables were measured at three points in time; before intervention, 7th day after intervention, and one month after intervention. Effects of the intervention were analyzed by repeated-measures ANOVA. Results shows the that Motivational Package was effective in enhancing Self-Esteem and maintaining abstinence, in alcohol dependent adults in a selected de-addition centre. A significant positive correlation (r = 0.0888) was found between post intervention level of self-esteem and maintaining abstinence from alcohol among adults in the experimental group and a significant negative correlation between (r = -0.487) was found between post intervention level of self-esteem and maintaining abstinence from alcohol among adults in the control group. The study concludes that Motiv

A STUDY TO ASSESS THE ASSOCIATION OF POST-INTERVENTIONAL SATISFACTION LEVEL REGARDING COMMUNICATION PATTERN WITH DURATION OF STAY ON MECHANICAL VENTILATION AMONG MECHANICALLY VENTILATED PATIENTS.

The present study aimed to assess the association of post-interventional satisfaction level regarding communication pattern with duration of stay on mechanical ventilation among mechanically ventilated patients who had undergone cardiac surgery. The data was collected from 60 mechanically ventilated patients (30 in experimental group and 30 in control group) admitted in selected hospital, Amritsar, Punjab. Purposive sampling technique was used to select the sample. Two groups were selected for the study, one experimental and one control. The experimental group was provided with the communication board as an intervention to meet their communication needs (4 -5 times during morning time) by researcher, until they are extubated. The control group was not provided with communication board, they relied on standard care and on the experience of nurses. Modified Likert scale was used to assess the post-interventional satisfaction level regarding communication pattern after extubation, in both experimental and control group. The study findings revealed that, according to association of post-interventional satisfaction level regarding communication pattern in experimental and control group with duration of stay on mechanical ventilation was found significant as computed by chi-square at p<0.05 in experimental group whereas, in control group, it was found statistically non-significant.

HYPERTENSION AND COVID-19

ABSTRACT The aim of this information sheet is to remind you that a higher risk of COVID-19 infections and complications in people with high blood pressure. Analysis of early data from both China and the U.S. shows that high blood pressure is the most commonly shared pre-existing condition among those hospitalized, affecting between 30% to 50% of the patients. Other health conditions included cancer, diabetes, or lung disease. In Italy, a report said that more than 99% of people who had died from the virus had one of these conditions -- and 76% of them had high blood pressure. Other research shows that people with high blood pressure are also slightly more likely to die from coronavirus. Their risk is about twice as high as that of the overall population. Key Words: COVID-19 & Hypertension.

THE FUTURE OF TELEMEDICINE IN MODERN HEALTHCARE

ABSTRACT The COVID-19 has brought a tremulous shift in healthcare delivery. Since February 2020, telemedicine grew from 1% of the primary care visit to nearly 43.5% in April 2020. The report published in 2020 by Telemedicon, revealed that non-metro cities recorded a growth of 7X in online consultations as compared to last year and started adopting an online mode of consultations amid the pandemic in metro to non-metro is 60:40 in 2020, as compared to 75:25 in 2019. This rapid growth presents telemedicine as the next frontier in healthcare. Digital and communication technologies have revolutionized the delivery of healthcare services. Telehealth is set to change the future of healthcare and remove many of the obstacles and challenges the patients and the industry face. Patients are rapidly transitioning to telehealth, 76% responded to the survey that they want to use telehealth going forward. Benefits of Telemedicine include convenience, access to care, better patient outcomes, a more efficient healthcare system, fewer hospital admissions, and fewer hospital re-admissions. With telemedicine’s current trajectory and rapid adoption rate, it has the potential to disrupt and redefine the way health systems operate, deliver care, manage costs, setting the stage for a vastly different healthcare experience in the future. The widespread use of telemedicine helps to push the industry to make better platforms that can cooperate and communicate. Telemedicine is an effective way to alleviate the congestion of hospitals, improve the utilization of medical resources, and also a powerful tool that makes healthcare accessible, cost-effective, and significantly enhances patient engagement. Key Words: Telemedicine, Telemedicine, healthcare, patient engagement.

KNOWLEDGE REGARDING EMERGENCY MANAGEMENT OF MYOCARDIAL INFARCTION PATIENTS AMONG STAFF NURSES

ABSTRACT MI is a killer disease and required treatment immediately the symptoms have been established. The term "myocardial infarction" focuses on the myocardium (the heart muscle) and the changes that occur in it due to the sudden deprivation of circulating blood, hence limited oxygen supply. The main change is necrosis (death) of myocardial tissue. The patients suffering from AMI usually experience several problems during treatment period, including mental reactions related to the illness. Key Words: Knowledge, Myocardial Infraction, Physical Inactivity, Vulnerable.

DEPRESSION AND ANXIETY AMONG FINAL YEAR B.SC NURSING STUDENTS DURING COVID19 PANDEMIC

ABSTRACT Background of the study: COVID-19 virulent disease is the worst pandemic outbreak in the new millennium. This led a way to complete lockdown and created a very bad effect in life of final year students. Depression and anxiety have been recognized as two major health problems in students of final year due to incompletion of their practical section and lag in completing their courses. Aim: To assess the level of depression and anxiety among final year B.Sc. Nursing students. Methods and materials: By using quantitative research design, this descriptive study was conducted in St. John’s College of Nursing, Kattappana, Kerala, among 50 pupils, selected using purposive sampling technique. Modified Patient Health Questionnaire was used for assessing the level of depression and Modified State Trait Anxiety Inventory was used to assess the level of anxiety. Results: Among 50 students 8% presented with mild level of depression, 72% moderate and 20% with severe depression. It was also found that equal percentage (50%) of samples had moderate and severe anxiety. Key words: Depression, Anxiety, B.Sc. Nursing students, Covid 19 pandemic.

THE EFFECT OF EXERCISE THERAPY ON QUALITY OF LIFE AMONG PATIENTS WITH OSTEOARTHRITIS

ABSTRACT Osteoarthritis is most common type of degenerative disease affecting thousands of Indian citizens. It is the second most common form of disability and although it affects men and women, women are more likely to be symptomatic. Osteoarthritis is projected to rank second for women and fourth for men in the developed countries in terms of years lived with disability. Elderly patients are most often affected and because the number of individuals over the age of 50 years is expected to double worldwide between 1990 and 2020, the global burden of osteoarthritis will increase dramatically in the near future. Key Words: Quality of Life, Osteoarthritis, Elderly, Worldwide