Search

The aim of this study was to determine whether the use of gastric acid-suppressive agents increases the risk of nosocomial pneumonia (NP) in the Critical care unit population. The methodology adopted for experimenting with the effectiveness of the use of proton pump inhibitors in two study groups and evaluated the result with the help of APACHE II and CPIS calculator. The researcher performed an experimental study with a non-probability purposive sampling technique in a multi-critical care unit that included 60 critically ill patients from January 2021 to October 2021 at Krishna Hospital, Karad. The researcher divided patients into two groups after initiation of enteral feeding on a random basis, one group of patients with PPI and another group without PPI. Both of the groups were evaluated the risk of suspected HAI with the guidance of medical classification tools, APACHE-II, GCS, and CPIS at the time of admission and followed by consequent times irrespective of their diagnosis and treatment. There was no significant difference between the two groups for any of the scores (P>0.05) indicates very few cases of nosocomial pneumonia in Krishna hospital, Karad. In short, prior use of a proton-pump inhibitor did not correlate with a significant increase in the risk of developing Nosocomial Pneumonia (NP).Apart from Proton Pump Inhibitors, there are a plethora of treatments, nursing care received by critical care patients with various physical illnesses & symptoms. It is also important to treat different pre-disposing and existing clinical conditions because those factors affect the functional outcome of the patient. Further studies are required for more clarification related to correlating the effect of PPIs and early detection of HAI. For this, a standard group selection is suggested on matching diagnoses with similar hemodynamic status. [ABSTRACT FROM AUTHOR]

Those who are close to a person who is suffering from a mental illness are also likely to experience a decline in their own health and quality of life. People who have mental illnesses inflict a significant amount of stress on their family and the people who care for them. This study's objective is to investigate the stresses that are imposed on caregivers as a direct result of their work with patients who are suffering from mental illness. The objective of this study is to put a numerical value on the amount of stress that is endured by individuals who provide care for patients suffering from mental illness. Design and Location: A tertiary care hospital located in the city of Karad; A descriptive survey approach was used; Easy sampling was utilised for data collecting What We Utilized and How We Used It A predetermined 4-point scale consisting of 22 questions was used to assess the levels of stress experienced by one hundred individuals who provided care for patients suffering from mental illness. Only twenty-seven percent (27%) of the caregivers in the sample are coping with light stress, whereas seventy-three percent (73%) of the caregivers in the sample are dealing with moderate stress. Because the levels of stress experienced by caregivers of people with mental illness range from low to moderate, it is important that measures be done to lessen the load they carry. [ABSTRACT FROM AUTHOR]

Introduction: self-identification, self-efficacy, and self-esteem are important components of the self-concept alongside one another. "Self-esteem is the evaluation of one's worth or values," a negative or positive disposition toward the individual who is doing the evaluating. Materials and the Methods: Setting and design: The selection of the 160 nursing students was carried out using a descriptive study design and a straightforward random sampling method. The purpose of this study was to determine the amount of self-esteem that nursing students had and to investigate the relationship between their scores on the pre-test and various demographic factors. The self-esteem of the people who participated in the study was measured using Rosenberg's scale. An examination of statistical data can make use of both descriptive and inferential statistics. Result: The findings indicate that, in terms of nursing students' levels of self-esteem, the majority of students (153, or 95.625%) belong to the low self-esteem category, while just 7 students, or 4.375%, belong to the normal category. Due to the fact that the p value was less than 0.0001, there was not any significant correlation between the ages, genders, religions, residences, and monthly family incomes, as well as the occupations of the parents, as well as weight and height. According to the findings of the current study, there is no association between the levels of self-esteem that nursing students have and the things that affect them. It is required to conduct additional study on this subject in order to acquire a deeper understanding of the elements that influence nursing students' self-esteem. [ABSTRACT FROM AUTHOR]

The unconscious patient presents a number of challenges for medical professionals, including rapid care, diagnosis, specialised therapy, and the ability to anticipate prognosis. It is necessary to have a strategy that is both methodical and logical, with an emphasis on working together. Aim and the Objectives: The purpose of this project is to create a video-assisted education programme for the staff nurses working in the intensive care unit so that they may test their knowledge about how to care for unconscious patients. Objectives Prior to the intervention, it is necessary to conduct a knowledge assessment of the staff nurses working in the critical care unit concerning the care of patients who are unconscious. The purpose of this study is to determine whether or not the video-assisted education programme improved the knowledge of staff nurses working in the critical care unit about how to care for unconscious patients following the intervention. & The purpose of this study is to determine the association between the knowledge of the staff nurses and certain socio-demographic statistics. Methods and Materials: The sample for the current research was comprised of staff nurses who were employed in the intensive care unit of Krishna Hospital in Karad. In this particular study, the approach of purposive sampling has been applied. The samples are collected in a manner comparable to that of a lottery and are chosen at random according to the inclusion and exclusion criteria. There were a total of sixty staff nurses that participated in the study. The findings of this study showed that the knowledge score of the nurses who had written the pre-test had been low. According to the findings of this study, the mean score on the pre-test was significantly lower than the score on the post-test. Result: As a result of participating in the video assisted training programme, the nurses in this study saw their post-test scores rise from poor to fair to good. This was one of the findings of the current study. In the current investigation, it was found that the mean score on the pre-test was 15.1, but the mean score on the post-test was high. This difference was significant. When the scores from the pre-test and the post-test were compared, it was clear that there was a substantial improvement in the staff nurses' overall level of knowledge. Therefore, it appears that after implementing the video assisted training programme, a significant impact was given to the improvement in the knowledge score of staff nurses. Conclusion: The conclusion that can be drawn from this is that the programme of video-assisted instruction was successful. [ABSTRACT FROM AUTHOR]

Background: It is difficult for a mother to take care of a preterm baby because a preterm baby will have temperature irregularities, breathing difficulties, and feeding difficulties. Therefore, a mother should be able to take care of the baby in situations such as thermal care, which involves wrapping and drying the baby, covering the baby's head, providing skin-toskin care, and giving breast milk, all of which are essential for a preterm baby. Method: The research strategy that was selected for this study was an evaluatory research strategy, and the research design consisted of a single group for both the pre-test and post-test designs. The research was carried out at the Krishna hospital in Karad, which is a tertiary medical facility. The sample comprises of thirty women who had babies born prematurely. In order to choose the sample, a method known as "purposive sampling" was utilised. The information was gathered through the use of a standardised questionnaire. Result: The end result is that the mean score on the post-test is 26.46, which is much higher than the mean score of 11.96 on the knowledge portion of the pre-test. The value of t was estimated to be 24.07, and the value of p was found to be less than 0.0001, which indicates that the result is highly significant. Conclusion: The findings of the study indicate that mothers of premature babies benefit from receiving health education, which leads to an improvement in their understanding on the treatment of premature babies. [ABSTRACT FROM AUTHOR]

Background: Depression is the most prevalent psychological difficulty that a woman in the world has throughout the perinatal period, and it is one of the most significant problems that prenatal women face. Objectives: A study was carried out to determine the level of depression that women experience throughout their final trimester of pregnancy and the results of the pregnancy. Finding a link between the level of depression and the outcome of the pregnancy, as well as finding an association between socio-demographic factors and maternal depression, was the goal of this study. Materials and Methods: A descriptive study was carried out to determine the severity of depression during the third and final trimester. Data were obtained from fifty expectant moms using a simple random sampling procedure in the antenatal outpatient department (OPD) and the postnatal ward of Krishna Hospital in Karad, Maharashtra. The responses were collected by conducting interviews with fifty pregnant women who were in their third trimester according to their EDD. A structured questionnaire was used to collect demographic data, and the Hamilton Depression Rating Scale was used to evaluate the participant's state of depression (HAM-D). Inferential statistics such as the chi-square (2) test were used to determine the connection between the variables. The results were summarised and described using frequency, percentage, averages, and standard deviation. Result: The outcomes of the study indicate that a total of nine mothers (18%) did not have depression, twenty-two mothers (44%) had mild depression, sixteen mothers (32%) had moderate depression, and three mothers (6%) had severe depression. There was a significant association between the level of depression and the type of delivery (p = 0.0141), there was a significant association between the level of depression of the mother and the weight of the baby (p = 0.0149), but there was no significant association between the weight of the baby and the type of delivery (p = 0.8765). Conclusion: According to the findings of the study, pregnant mothers experience depression throughout their third trimester, which necessitates immediate attention from the health care team lest it have an impact on the outcome of the pregnancy. [ABSTRACT FROM AUTHOR]

Background: Worldwide During the COVID-19 pandemic, several health implications affecting the psychological health were reported among vulnerable populations. These findings need to be investigated further among high-risk neonates and their mothers. Materials and the Methods: After obtaining ethical clearance from the Ethical committee at the Krishna Institute of Medical Sciences, Deemed to Be University in Karad and obtaining informed consent from the participants, a descriptive study was carried out using the convenient sampling method to select fifty mothers whose neonates were being cared for in the neonatal intensive care unit of a tertiary care hospital. This study was carried out with the intention of gathering information about the participants. Structured questionnaire and Stress scale– A 21-item DASS questionnaire that was given to moms of newborns admitted to the NICU in order to examine demographic variables as well as the level of stress they were experiencing. Result: The findings showed that 50% of the newborn babies are in serious condition, 42% are in an improving condition, and 8% of the newborn babies are in good condition. During the time that their babies were being treated in the NICU, a total of 94% of moms had extremely severe levels of stress, and 6% of mothers experienced severe levels of stress. Conclusion: The findings of the study led the researchers to the conclusion that the majority of the mothers experienced moderate to severe stress as a result of the admission of their newborns to the NICU during the influenza pandemic. It was necessary to create an Information Booklet in order to lower the degree of stress that moms experience. [ABSTRACT FROM AUTHOR]

For many women, the breast is an emotionally charged emblem of pride in her sexuality and motherliness, making the prospect of a mastectomy for breast cancer carry not just the risk of mortality but also ugliness that disturbs the fundamental foundation of feminine orientation. It's crucial that a woman whose breasts were removed due to cancer have their physical appearance back after surgery. The purpose of this study is to evaluate the quality of life of women who have undergone a mastectomy. The study was done at "Krishna Hospital,Karad," and a total of 30 participants were chosen via a systematic random sampling procedure from the designated wards and outpatient clinics. For the purposes of this investigation, a descriptive research strategy was used. The results of a multi-area frequency and distribution study of post-mastectomy women's quality-of-life scores show that 23 (76.67%) of women reported severe complaints about quality of life, while 6 (20%) reported moderate complaints and 1 (3.33%) reported extremely severe level complaints. There were no petty gripes from anyone. The quality of life of women after a mastectomy was found to be low, and the researchers found no statistically significant correlation between the quality of life and demographic factors such age, education, neighborhoods, occupation, marital status, and menarche or menopause age. The results of this research can be used to identify and address the many issues that diminish people's happiness and well-being [ABSTRACT FROM AUTHOR]

Widespread use of chemotherapeutic drugs in the treatment of cancer has lead to higher health hazards among employee who handle and administer such drugs. A study to assess the efficacy of a structured teaching program on knowledge about safety measures relating to the handling of chemotherapeutic drugs among nursing staff. The research approach adopted for this study is an evaluative approach. The research design is quasi-experimental design one group pre test and post test design. The study was conducted at tertiary care hospital. The sample size consist of 36. Non probability purposive sampling technique was used to select the respondents. A structured knowledge questionnaire and are used to assess the knowledge and practices of staff nurses who is handling chemotherapeutic drugs. Result-The pre-test data revealed that, majority of the nursing staff in tertiary care hospital 35 (97.22%) had strongly agreed about safe handling of chemotherapeutic drugs, whereas 1 (2.78%) of the nursing staff in tertiary care hospital had agreed and no one 0 (0%) The mean and S.D of knowledge scores obtained before administering learning package was 5.28 and 1.21 respectively, which was increased after administering Planned teaching program to 8.88 and 1.24 respectively. It shows that the knowledge regarding safe handling of chemotherapeutic drugs was increased after planned teaching program. Conclusion- The study indicated that the organised training programme was an efficient way for imparting sufficient knowledge and assists nursing staffs in enhancing their knowledge [ABSTRACT FROM AUTHOR]

Introduction: Food safety and food hygiene are important as they ensure that the food you handle and produce is safe for consumption. If food safety and hygiene are not maintained, consumers could become seriously ill with food poisoning and food born illnesses. So food hygiene & food safety are important for protecting the consumer health. Material and Methods: Evaluative approach. Study was conducted in 50 food handlers in Karad city. Using one group pretest post-test design. Non-probability Purposive sampling technique was used. Sample size was 50 food handlers. On 1st day pre test included knowledge of food safety and food hygiene practices through structured questionnaires, effective information booklet was administered followed by post test on 7th day. The data was collected, tabulated and analyzed in terms of using the objective of study was to assess the food safety knowledge and food hygiene practice among food handlers in Karad. Result: In demographic variables found that in gender 50% were female and 50% were male 30-39 yrs of age were maximum samples were tertiary education level 58%, 52% having 1 -5 yr experience 66% were vaccinated and 54.2% food handlers were possessed training certification. The food handlers knowledge related to food safety hygiene in that maximum responses temperature control knowledge was 84%, fresh vegetables 90%, preparation of food 86%, rinsed container & equipment 80% & hand washing steps 84%. So it was increased in post test. The mean posttest knowledge score (31.08+3.02) was higher than the mean pretest knowledge score (16.50+4.40).This indicates the effectiveness of information booklet in increasing the level of knowledge of adolescent girls regarding reproductive health. So study concluded that information booklet was effective method to improve the food safety knowledge & food hygiene practices among the food handlers. Conclusion: Administration of information booklet on food safety & food hygiene practices was effective method for improving the knowledge on food safety & food hygiene practices among the food handlers. [ABSTRACT FROM AUTHOR]

Widespread usage of chemotherapeutic medicines in cancer therapy has increased worker health risks. Methods this study uses an evaluation method. The research design is one-group pre- and post-test quasi-experimental. Karad hospital did the study. 36 people were sampled. Respondents were chosen via non-probability purposive sampling. A standardized knowledge questionnaire is used to assess chemotherapeutic drug-handling nurses' knowledge and practices. Result-The pretest data suggested that, most of the nursing staff in tertiary care hospital 35 (97.22%) had strongly agreed regarding safe handling of chemotherapeutic medications, whereas 1 (2.78%) of the nursing staff in tertiary care hospital had agreed and no one 0 (0%) After administering Planned instruction programme, the mean and S.D. of knowledge scores climbed to 8.88 and 1.24. After a planned teaching programme, chemotherapeutic medication safety awareness rose. The study found that structured instruction programmes provide adequate knowledge and enable nursing staffs improve their skills. [ABSTRACT FROM AUTHOR]

Background: Present research study was conducted to identify prevalence of depression among undergraduate nursing students because it will help to prevention and promotion of their mental health that can result in good quality life in view physical, mental and social wellbeing. Objective: Research study was conducted with objective oassess depression among undergraduate nursing students. Methodology: Cross sectional research descriptive design and exploratory approach was used to depression with PHQ9 scale among 100 undergraduate nursing students of Krishna Institute of Nursing Sciences Karad which was selected by non-probability convenient sampling technique. Samples were selected according to inclusion and exclusion criteria. Formal ethical permission was received from Krishna Institute of Medical Sciences Deemed To Be University Karad. Before collecting the data formal inform and written consent was taken from students to conduct study on them. Data analysis was done with descriptive statistics and inferential statistics. Result: Result of present study reveals that 20% suffering with Minimal depression, 35% suffering with Mild depression, 10% suffering with Moderate depression, 17% suffering with moderately severe depression and 18% suffering with severe depression. Conclusion: Research reveals results that undergraduate aresufferings with Mild depression some planning of some intervention should be done and it should be implement to reduce depression and increase overall performance and health status. [ABSTRACT FROM AUTHOR]

Background: In old age having poor quality of sleep is a common problem due to work and way of living life. As age grows it increases and it effect on wellbeing in all way. Objectives: research has conducted with objective of assessment of quality of sleep among old age. Methodology: Cross sectional research was conducted with 50 sample size which was selected by non probablity convenient sampling method in tertiary care hospital karad to determine quality of sleep among old age people with PSQI and statistic were calculated by descriptive and inferential statistic. Result: 11 (22%) sample were having good quality sleep and 39 (78%) sample were having poor quality sleep Conclusion: Based on research finding result reveals that maximum population is having poor quality sleep and majors should be taken to improve quality of sleep. [ABSTRACT FROM AUTHOR]

Background: Globally maximum student are using smartphone and it's popular to use it. Smartphone addiction will give wrong impact on their life. Few previously conducted researches say that smartphone addiction can have effect on academics, psychology, physiology etc. Objective: Present study is having objective of assessing smartphone addiction among undergraduate students. Methodology: Research design used for study was cross sectional research design. 100 samples were selected by non-probability convenient sampling method from undergraduates nursing students of Krishna Institute of Nursing Sciences, Karad to identify smartphone addiction among undergraduate nursing student which was assessed by smartphone addiction scale and calculated by descriptive and inferential statistic. Result: 1(1%) sample is severely addicted, 23(23%) sample were mildly addicted and 76(76%) sample is moderately addicted.b. Conclusion: Research finding revels that undergraduate are moderately addicted to smartphone and some planning with implementation should done to have result of smartphone deaddiction. [ABSTRACT FROM AUTHOR]

Background & objectives-Nursing profession is very stressful profession by its demands and nature of work. The main objective of this study is to compare the stress levels among nurses depending on their years of experience. Method- A non probability convenience sampling technique was adopted to select 300 registered nurses from different working area of Krishna Hospital & Medical Research Centre, Karad. Modified expanded nursing stress scale (MENSS) was used to collect data. Result- 64.3% (193) nurses were having 1 to 5 years work experience and 23.7% (71) had 6 to 10 years where as very few 2.7% (8), 3.7% (11)and 5.7% (17) nurse are from respectively 11 to 15, 16 to 20 and more than 20 years of experience. Nurses with more than 5years of experience. Nurses with lower experience having higher moderate stress where as higher experience having higher severe stress. There was statistically significant association between the levels of stress with Years of experience having a computed chi- square (2) value19.830 with p value 0.011 were associated with the levels of stress. Conclusion -Though there has been adequate clinical skills training in the nursing curriculum, little attention is paid to make the working environment less stressful and more conducive to healthy interactions. Emotional preparation of nurses in dealing with patients is required. Need to use Stress reduction activities and measures to handle stressful situation and interpersonal stress. [ABSTRACT FROM AUTHOR]

Background & objectives-Nursing profession is stressful profession by its nature of work. The main objective of this study is to assess the level of stress among nurses working in various department such as intensive care units and general wards at tertiary care hospital. Method-A non probability convenience sampling technique was adopted to select 300 registered nurses from different working area of Krishna Hospital & Medical Research Centre, Karad. Modified expanded nursing stress scale (MENSS) was used to collect data. Result- With reference to current working area (Ward) majority 34% (102) of the nurses were from ICU, 22.7% (68) from female ward and 15% (45) from male ward whereas least 12.7% (38), 9.3% (28)and 6.3% (19) nurses were respectively from maternity pediatric and operation theater area. Nurses currently working in Intensive care unit, 11% (33) nurses were experienced mild stress, 19% (57) were having moderate stress and 04% (12) nurses were experienced severe stress whereas general wards, 10% (30) nurses were experienced mild stress, 36.66% (110) were having moderate stress and 13% (39) nurses were experienced severe stress. Conclusion -Though there has been adequate clinical skills training in the nursing curriculum, little attention is paid to make the working environment less stressful and more conducive to healthy interactions. Emotional preparation of nurses in dealing with patients is required. Need to use Stress reduction activities and measures to handle stressful situation and interpersonal stress. [ABSTRACT FROM AUTHOR]

Different ladies who are explicitly amazing would need to avoid winding up being pregnant in any case everything considered are not utilizing any technique for contraception. These women are considered to have an 'unmet need' for family planning. Study was conducted in rural Maharashtra which was cross sectional, community based study. The aim of study was to find out the extent and socio-demographic correlates of unmet need for family planning. A total 26 (16.2%) out of 160 women had unmet need for contraceptives. Among those 16 (61.5%) & 10 (38.5%) were having unmet need for spacing and limiting respectively. as age advanced and number of children increased the unmet need is also increased for limiting. The causes for unmet need are lack of knowledge, opposition by family members and husband and fear about health concerns and side effects. Study concluded that Health programs are to be held to promote use of contraceptives and raise awareness about family planning. Eligible couples are to be counselled about accessibility, quality and safety of various contraceptive methods. [ABSTRACT FROM AUTHOR]