International Journal of Advances in Nursing Management

B. Sasirekha ¹, S. Kamala ²

Affiliations
1 Meyyammai College of Nursing, Annamalai University, Annamalainagar, IN
2 Rani Meyyammai College of Nursing, Annamalai University, Annamalainagar, IN

Abstract

According to World Health Report 2002, cardiovascular diseases (CVDs) will be the largest cause of death and disability by 2020 in India. Evidence based studies reviewed the education, counseling or behavioral interventions demonstrated favorable outcome. The efficacy of cardiac rehabilitation in men and women with coronary heart disease was illustrated in a 2004 systematic review and meta-analysis of 48 trials of 8940 patients with coronary disease who were assigned to exercise-based cardiac rehabilitation or usual care. Hammill et al (2010) stated that for patients with coronary heart disease, exercise-based cardiac rehabilitation improves survival rate and has beneficial effects on risk factors for coronary artery disease. A study was conducted to assess the quality of life1 among CABG [Coronary Artery Bypass Grafting] patients and evaluate the effectiveness of educational intervention programme on knowledge regarding strategies to improve the quality of life among the clients undergone CABG surgery.

The study revealed that in physical dimension out of 40 samples 25 (63%) had moderate quality of life and 15(37%) of them had a poor quality of life. In psychosocial dimension out of 40 samples, 20 (50%) had moderate quality of life, 20(50%) of them had poor quality of life. In posttest, out of 40 samples, 10(25%) had moderately adequate knowledge and 30(75%]of them had adequate knowledge on strategies to improve the quality of life after CABG surgery.

Keywords

CABG-Coronary Artery Bypass Grafting, CVD-Cardiovascular Disorders, QOL-Quality of Life.

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V. Sasi ¹, S. Kamala ²

Affiliations
1 Annamalai University, Chidambaram (TN), IN
2 Dept. of Child Health Nursing, Rani Meyyammai College of Nursing, Annamalai University, Chidambaram (TN), IN

Abstract

Growth failure is a common problem in children with CKD. Multiple etiologies are responsible for CKD, of which congenital abnormalities are common, remainder being hereditary conditions, glomerulopathies and multisystem disease. Assessment of growth parameters is essential to identify the extent of impairment in growth of CKD children. KDOQI Guidelines recommended for frequent assessment of growth parameters for chronic kidney disease children in stage 2 to stage 5 and also for those with comorbidities. Identification of growth retardation at the earliest is needed to avoid its untoward consequences like low self esteem, frequent hospitalization and mortality. Even with optimal care, many of these children develop ESRD and require renal replacement therapy. Thus management of CKD children prior to renal replacement therapy is mostly conservative with the aim to slow the progression of disease, optimize renal function , minimizes co -morbidities of CKD and improves their quality of life.

Keywords

Growth Failure, Growth Parameters, Chronic Kidney Disease, Optimal Care, Co Morbidities.

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