Introduction: Coronavirus has affected more than 200 countries around the world. Due to lockdowns, people have limited outdoor activities and started adopting new and healthy lifestyle ...behaviors.Method: A cross-sectional study was conducted to explore the impact of COVID-19 on lifestyle-related behavior. Data were collected from different regions of North India using Google Forms (Google, Inc., Mountain View, CA, USA) with the help of a standardized questionnaire. Both descriptive and inferential statistics were used for analysis. The p-value was set at <0.05.Results: A total of 468 responses were recorded (mean age: 28.51 years). A significant improvement was found in the intake of fruits and vegetables as well as pulses, eggs, or meat during the COVID-19 pandemic. Participation in household chores and screen time in watching mobile or television were significantly increased. The majority (44.4%) of participants had stable weight, and 37.8% gained weight during the COVID-19 pandemic. The anxiety they felt in a day also increased, which was predominantly due to fear of COVID-19. During the COVID-19 pandemic, a significant association was found between physical activity scores and gender, residence, nature of work, and hours of work of study subjects.Conclusion: There is an improvement in healthy eating behavior, quality of sleep, and participation in household chores during the COVID-19 pandemic. Further, domains of lifestyle can be explored to bring a positive style of living for the achievement of healthy lifestyle behavior by the general population.
Geriatric syndromes: A therapeutic challenge Vandna Pandey; Nancy Kurien; Remiya Mohan
Journal of the Indian Academy of Geriatrics,
01/2022, Letnik:
18, Številka:
4
Journal Article
Recenzirano
Odprti dostop
Aging is a natural phenomenon that is irrevocable. The older adult population is increasing rapidly in India, projected to increase from 6% to nearly 20% in 2050. Clinical conditions found among the ...elderly that do not fit into discrete disease categories and result from accumulated impairments in multiple systems are called geriatric syndromes. The authors have done a literature search of research papers from indexed and nonindexed journals e databases, Google Scholar, PubMed, and Scopus, Science Direct, Research Gate, and Cochrane. The search terms included were geriatric population, geriatric syndrome, geriatric care, elderly health problem, and comprehensive approach. The management of geriatric syndromes is a challenge to modern geriatric clinical practice. The comprehensive assessment of older adults using standardized tools must be carried out in any healthcare facility to ensure that their needs are met through care and treatment. Evidence-based standards of practice need to be implemented to provide nursing care for dealing with the therapeutic challenges of various geriatric syndromes.
A
BSTRACT
Introduction:
PICU admission of a child may cause anxiety and stress among the caregivers. The criteria for admission to a PICU are terrifying and may legitimately cause parents to fear ...that their child may pass away or suffer a serious disability. They may be overburdened with stress and anxiety of illness and compliment medical information while trying to maintain a balance with other family demands. They must learn coping mechanisms and use resources to stay stable when they face challenges. Evidence on the coping mechanisms used by primary caregivers to control their stress and anxiety is scarce so this study assessed the anxiety and coping mechanism among the primary caregivers of children admitted in PICU.
Materials and Methods:
A cross-sectional study was conducted among 143 primary caregivers by using convenience sampling technique at PICU, AIIMS, Jodhpur, from April 31, 2021, to January 20, 2022. The participants were enrolled after obtaining informed consent and were interviewed by the researcher.
Results:
Study findings revealed that primary caregivers had 38% severe anxiety, 54% moderate anxiety, and 8% mild anxiety. They used emotion-focused coping (43.5%) followed by problem focused coping (37.2%) and avoidant coping (19.3%). Also, there was a significant association found between anxiety of primary caregivers and gender of the child (
P
= 0.012).
Conclusion:
Anxiety and stress are one of the expected psychological problems faced by caregivers of children admitted in PICU. Healthcare workers must make concerted attempts to support caregivers adaptive coping mechanisms, so they can retain a sense of balance.
AimTo compare the effect of 90 versus 60 min of early skin‐to‐skin contact (SSC) among vaginally born healthy infants ≥35 weeks of gestation on their exclusive breastfeeding rates and breastfeeding ...behaviour.MethodsThis parallel‐group, open‐label, randomised controlled trial enrolled healthy term and late preterm infants born vaginally. Infants in the intervention group received early SSC for 90 min compared to 60 min in the control group. The primary outcome was the proportion of infants on exclusive breastfeeding at 60 ± 12 h.ResultsOne hundred ninety‐eight mother–infant dyads were randomised (99 in each group). The infants in the 90‐min SSC group were more likely to be exclusively breastfed at 60 ± 12 h as compared to the 60‐min SSC group (RR, 95% CI‐1.44, 1.15–1.79, p < 0.01). The modified infant breastfeeding assessment tool score at 60 ± 12 h was significantly higher in the 90‐min SSC group (median IQR‐9, 8, 10 versus 8 7, 10, p = 0.03. The proportion of infants on exclusive breastfeeding at 6, 10, and 14 weeks of age was also significantly higher in the 90‐min SSC group (RR, 95% CI‐1.39 1.11–1.74, 1.36 1.08–1.07, and 1.38 1.08–1.75, respectively).ConclusionIncreasing the duration of early SSC showed a dose–response benefit on exclusive breastfeeding rates and breastfeeding behaviour.Trial registrationCTRI/2018/09/015632, registered on 06/09/2018.
Aim
To compare the effect of 90 versus 60 min of early skin‐to‐skin contact (SSC) among vaginally born healthy infants ≥35 weeks of gestation on their exclusive breastfeeding rates and breastfeeding ...behaviour.
Methods
This parallel‐group, open‐label, randomised controlled trial enrolled healthy term and late preterm infants born vaginally. Infants in the intervention group received early SSC for 90 min compared to 60 min in the control group. The primary outcome was the proportion of infants on exclusive breastfeeding at 60 ± 12 h.
Results
One hundred ninety‐eight mother–infant dyads were randomised (99 in each group). The infants in the 90‐min SSC group were more likely to be exclusively breastfed at 60 ± 12 h as compared to the 60‐min SSC group (RR, 95% CI‐1.44, 1.15–1.79, p < 0.01). The modified infant breastfeeding assessment tool score at 60 ± 12 h was significantly higher in the 90‐min SSC group (median IQR‐9, 8, 10 versus 8 7, 10, p = 0.03. The proportion of infants on exclusive breastfeeding at 6, 10, and 14 weeks of age was also significantly higher in the 90‐min SSC group (RR, 95% CI‐1.39 1.11–1.74, 1.36 1.08–1.07, and 1.38 1.08–1.75, respectively).
Conclusion
Increasing the duration of early SSC showed a dose–response benefit on exclusive breastfeeding rates and breastfeeding behaviour.
Trial registration
CTRI/2018/09/015632, registered on 06/09/2018.
Adolescents are highly vulnerable to psychiatric disorders. This study aimed to explore the emotional and behavioral problems in adolescents. A community-based exploratory survey was conducted ...between November and December 2019. Cluster sampling was done. 300 adolescents in12 to 18 years of age group from the different randomly related areas of Jodhpur city were involved in the study. Emotional and behavioral problems were assessed by using a self-structured Emotional and behavioral problem questionnaire. Inform consent and assent were taken before filling the questionnaire Descriptive and inferential statistics were applied for analysis. SPSS version 16 was used for data analysis.Emotional problems are more prevalent in the population. Nearly 41% of participant falls under the borderline category and 1.33% i.e. 4 participant falls under the severe category comparatively behavioral problems are less prevalent. 21.66% of participant has a borderline level of behavioral problem and only one participant was found to have a severe level of behavioral problem. The domains under emotional problems have a higher mean value than the domains under behavioral. A number of siblings are significantly associated with behavioral problems. Emotional problems are more prevalent than behavioral problems. These data suggest that there is a need for mental health services for adolescents.
Background: The purpose of research was to provide education for every school child about good touch and bad touch so that the child can protect himself in this threatening condition.Methods: A ...quantitative approach, pre-experimental one group pre-test post-test only design was adopted to assess the effectiveness of video assisted teaching programs on good touch and bad touch amongst 150 school children, who fulfilled the inclusion criteria at selected government schools of Jodhpur. Non-probability convenient sampling was used to select the samples. Good touch bad touch knowledge was assessed using a structured questionnaire. Data analysis was performed in SPSS version 16 using descriptive statistics and Chi square as well as paired t test.Results: The study revealed a statistically significant difference between mean pre-test score (16.09) and mean post-test (20.56) score. In pre-test more than one third (39.3%) of children had average knowledge and 8.6% children had poor knowledge, whereas in post-test more than half (54.6%) of children had excellent knowledge and (42%) children had good knowledge. Study further revealed the significant association of religion, total number of siblings and marital disharmony with the pre-test knowledge score.Conclusions: From this study finding, concluded that a video assisted teaching program pertaining to good touch and bad touch is an effective program in improving the knowledge and awareness amongst the children, which has been depicted in the result, that there was a marked increase in post-test level of knowledge.
Background: The health of future children depends on the nurturing practice in the initial years of life. Knowledge about the care of newborns among mothers plays a major role in reducing neonatal ...morbidities and mortalities. Therefore, the objective of the study was to assess the knowledge among postnatal mothers about newborn care.
Methods: A descriptive study was done among 60 purposively selected post-natal mothers admitted at AIIMS, Jodhpur. Data was collected through self-structured questionnaires. The reliability of the self-structured knowledge questionnaire was determined by the KR-20 method and found reliable (0.81). Data collected was analyzed for frequency, mean, and standard deviation. Both descriptive and inferential statistics were used to compute the data. The Chi-square (Fisher’s Exact Test) was used to determine the relationship between selected socio-demographic variables and knowledge scores of post-natal mothers.
Results: Findings showed that most (73%) of the respondents were from the age group 20-27 years. The mean knowledge score was 26.783±3.9234. Most of the respondents (60%) had excellent knowledge, whereas 28.33% had good knowledge levels. None of the participants was in the range of poor knowledge. Knowledge of participants about newborn care was found to have a significant association with the level of education, area of living and occupation.
Conclusions: The result of this study provided information that postnatal mothers have adequate knowledge of newborn care. Some socio-demographic factors like occupation, literacy and area of residence were found to be associated with the knowledge of the mothers.
Background: The epidemic from Wuhan started in early 2020 and within a few months metamorphosed into a pandemic.Emotional disturbance, maladaptive behaviour, defensive responses are a few ...psychological reactions of the pandemic.Adolescents are exposed to the greatest psychological impact on mental wellbeing due to the closure of schools, cutbacks of outdoor games and monotonous lifestyle. The study aimed to assess anxiety among young adolescents during COVID-19 pandemics.Methods: A cross-sectional descriptive study was conducted on adolescents of age group 10-17 years. Non-probability convenience sampling technique was used to select the samples. Coronavirus anxiety scale (CAS) was used to assess anxiety among adolescents. Data collected was analyzed using the statistical package for the social sciences (SPSS) version 23.Results: The study findings revealed that more than half of the adolescents 70 (56%) had no anxiety, mild anxiety was identified among 49 (39%) of the adolescents, only 2.3% of the subjects had moderate anxiety and 3.3% of the adolescents had severe anxiety. The mean score of anxiety level was 0.075 with a standard deviation of 2.80. The Chi-square test (ꭓ2) showed a significant association between the level of anxiety with the profession of the mother ꭓ2=4.262 (p=0.039).Conclusions: Results indicate that more than 50% of adolescents were having no anxiety regarding the COVID-19 pandemic. Four (3.5%) of the adolescents were having a total score ≥9 measured by CAS. The data presented by UNICEF and other authentic sources, regarding the reduced mortality rate among adolescents could be a reason for reduced anxiety related to COVID-19 among adolescents.
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