International Journal of Nursing Education and Research

M. Saravanagenesh ¹, P. Padmavathi ²

Affiliations
1 Dhanvantri College of Nursing, Ganapathypuram, NO Ranganoor Road, Muniyappan Kovil, Pallakkapalyam, Namakkal District –637 303, IN
2 Dhanvantri College of Nursing, Ganapathypuram, NO – 1 Ranganoor Road, Muniyappan Kovil, Pallakkapalyam, Namakkal District – 637 303, IN

Abstract

Background: Awareness of surroundings during intraoperative period is a well known stressor for the surgical patients, especially spinal anesthesia patients. Apart from the sedative agents, video therapy can be used as a supportive therapy to reduce the level of anxiety among patients under spinal anesthesia.

Objectives: To assess the effectiveness of intra operative video therapy on anxiety among patients under spinal anesthesia.

Design: Quasi-experimental design, where Pretest Posttest Nonequivalent Group design, Setting: Valli hospital, Erode, Tamilnadu.

Participants: Thirty patients under spinal anesthesia fulfilling the inclusion criteria. Selection criteria: Patients undergoing spinal anesthesia for the surgeries like fistulectomy, hemorrhoidectomy, hernia repair, appendicectomy and fissurectomy, with the age group of 20-60 years and both gender were included. Patients with hearing and visual impairment, sedation, spinal anesthesia converted to general anesthesia and unstable vital parameters were excluded.

Methods: Out of 30 patients, 15 patients were selected as experimental group and 15 patients were selected as control group by convenient sampling technique. Experimental group were shown video-therapy by using portable DVD player with the head phone, instead of using eye pad (control group). Level of anxiety was measured by Spielberger State Anxiety Inventory (STAI-S) before and after the procedure.

Results: The results show that most of the patients under spinal anesthesia were male, non medical workers, and undergone fissurectomy, fistulectomy and hemorrhoidectomy surgeries and most of their surgeries had completed in less than an hour. In posttest, 53% had no/low anxiety in control group, whereas 87% had no/low anxiety in experimental group. The patient's level of anxiety reduced from the mean value of 36.33±8.96 and 35.67±7.78 to 34.33±8.06 and 28.07±5.54 in control and experimental group respectively. Paired 't' test score was 10.43 and unpaired 't' test score was 2.42, which is significantly effective at P<0.05. Chi square test showed only trait anxiety in control group and duration of surgery and trait anxiety in experimental group have significant association (P<0.05) and other demographic variables (age, gender, name of surgeries, previous history of surgery, occupation) have no significant (P>0.05) association with post test score of level of anxiety in both control and experimental group.

Conclusion: Video therapy is an effective intervention to reduce the level of anxiety among patients under spinal anesthesia.

Keywords

Video Therapy, Anxiety, Patients under Spinal Anesthesia.

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A. Arvin Babu ¹, M. Kalaivani ¹, P. Padmavathi ¹

Affiliations
1 Dhanvantri College of Nursing, Ganapathypuram, No – 1 Ranganoor Road, Muniyappan Kovil, Pallakkapalyam, Namakkal District – 637 303, IN

Abstract

Background: The behaviour develops from intrauterine period itself. Each stage of development the child is learning from the parents, peer groups and the environment. These are the factors which influence the behaviour of the children.

Objectives: To assess the knowledge of preschool behavioural problems among mothers. Design: A cross - sectional descriptive design was adopted for the study.

Setting: Kollapatti Village, Namakkal District.

Participants: 30 mothers fulfilling the inclusion criteria were selected by purposive sampling technique.

Methods: All participants were given a questionnaire to complete; questions were related to Baseline Proforma of mothers and standard questionnaire on behavioural problems administered 20 - 25 minutes to complete the questionnaire.

Results: The findings revealed that Knowledge of mothers shows that 80% of the mothers having inadequate knowledge and 20% of them having moderately adequate knowledge on behavioral problems. There is no significant association between selected demographic variables and level of knowledge on preschool behavioural problems among mothers (P > 0.005).

Conclusion: Mothers are having was very poor knowledge regarding behavioural problems. There is a need to educate parents on behaviour of children and the significance of behavioural deviations.

Keywords

Behavioural Problems, Mothers, Preschool Children.

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P. Padmavathi ¹, N. Kokilavani ², RajaSankar ³

Affiliations
1 Dhanvantri College of Nursing, Ganapathypuram, No -1 Ranganoor Road, Muniyappankovil, Pallakkapalyam (PO), Sankagiri West Via, Thiruchengodu (TK), Namakkal Dist – 637303, IN
2 Adhiparasakthi College Of Nursing, Melmaruvathur, IN
3 Melmaruvathur Adhiparasakthi Institute of Medical Sciences (MAPIMS), Melmaruvathur, IN

Abstract

Background: Premenstrual syndrome is the most common of gynecologic complaints. It affects half of all female adolescents today and represents the leading cause of periodic college/school absenteeism among that population. Objectives: To assess the effectiveness of acupressure on Premenstrual syndrome among adolescents. Design: Two group pretest and posttest True experimental design was adopted for the study. Setting: Government girls Secondary School, Erode. Participants: 40 adolescent girls with Premenstrual syndrome fulfilling the inclusion criteria were selected by simple random sampling. Methods: A pre-test was conducted by using premenstrual symptoms assessment scale. Immediately after pre-test acupressure was given once in a week for 6 weeks and again post test was conducted to assess the effectiveness of treatment. Collected data was analysed by using descriptive and inferential statistics. Results: In posttest, the mean score of the control group sample was 177.3 (SD= 2.5) and the experimental group mean score was 70.8 (SD = 10.71) with Paired't 'value of 19.2 and 31.9. This showed that the acupressure was more effective in enhancing the practice of the sample regarding Premenstrual syndrome. There was a statistically no significant association found between the post test scores of the sample with their demographic variables. Conclusion: The findings imply that acupressure was effective in reducing the premenstrual syndrome among adolescent girls.

Keywords

Effectiveness, Acupressure, Premenstrual Syndrome, Adolescents.

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P. Padmavathi ¹

Affiliations
1 Dhanvantri College of Nursing, Pallakkapalyam, Namakkal District -637 303, IN

Abstract

Inverted and flat nipples are commonly present in primipara mothers. Nipple abnormalities are commonly encountered in clinical practice especially in relation to lactation problems in postnatal. Statement of the problem: Effectiveness of Hoffman's exercise on successful breast feeding among primipara mothers with flat and retracted nipples. The research design adopted was quasi experimental design. The study conducted at in Government Head Quarters Hospital, Erode and Nirmala Hospital, Erode. The study was conducted on 30 primipara mothers (15 in control group and 15 in experimental group) immediately after delivery. Experimental group received Hoffman's exercise. The levels of successful breast feeding were assessed in both groups. The study concluded that in control group majority (80%) of primipara mothers were medium risk and 20% of them were low risk whereas in experimental group 73 of them were low risk and 27% of them had medium risk. The overall mean percentage was 56% in control group whereas in experimental group 78% with 't' value 6.82, significant at P < 0.05).

Keywords

Effectiveness, Hoffman’s Exercises, Primipara Mothers, Flat And Inverted Nipple.

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A. Arvin Babu ¹, P. Padmavathi ¹, T. Jayadeepa ¹, Radha ¹

Affiliations
1 Dhanvantri College of Nursing, Ganapathypuram, NO – 1 Ranganoor Road, Muniyappankovil, Pallakkapalyam, Namakkal District – 637 303, IN

Abstract

Background: Reproductive health is affected by a variety of socio cultural and biological factors on the one hand and the quality of the delivery system and its responsiveness to women's needs on the other. A woman-based approach to reproductive health is one which responds to the needs of adult women and adolescent girls in a culturally sensitive manner.

Objectives: Identify The Common Reproductive Health Problem among women.

Design: A Descriptive research design was adopted for the study. Setting: Selected weaving mill, Namakkal District.

Participants: 75 women with fulfilling the inclusion criteria were selected by purposive sampling.

Methods: All women were asked the questionnaire through interview method. The questions were related to Baseline Proforma of women and common reproductive health problems assessment check list. Each participants 20-25 minutes to complete the questionnaire.

Results:The reproductive health problems assessment check listrevealed that the majority (30%) of the samples had menstrual problem and similar percentage (16% and 16%) of samples had anaemia and breast infection respectively. There was a no significant association between the reproductive health problems scores and variables like age, age at menarche, duration of cycle, type of flow, problems during menstruation, family history of reproductive health problems, and source of information. (P > 0.05).

Conclusion: The knowledge about reproductive health problems of the women to be reinforced to lead a happy and healthy life.

Keywords

Reproductive Health Problem, Women.

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P. Padmavathi ¹, Rajasankar ², N. Kokilavani ³

Affiliations
1 Dhanvantri College of Nursing, Ganapathypuram, NO 1 Ranganoor Road, Muniyappan Kovil, Pallakkapalyam, Namakkal District 637303, IN
2 Melmaruvathur Adhiparasakthi Institute of Medical Sciences (MAPIMS), Melmaruvathur, IN
3 Adhiparasakthi College of Nursing, Melmaruvathur, IN

Abstract

Acupressure is a form of touch therapy that utilizes the principles of acupuncture and Chinese medicine. In acupressure the pressure points on the body are identified that will give the desired results. They are then stimulated using finger pressure (without the needles) on specific points along the body.

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Arzta Sophia ¹, P. Padmavathi ², K. Menaka ³

Affiliations
1 O.B.G. Department, Christian College of Nursing, Neyyoor, IN
2 Dhanvanthri College of Nursing, Pallakkapalyam, Namakkal District, IN
3 Padmasree College of Nursing, Kanchepurum, IN

Abstract

Title: Effectiveness of reflexology on pain and anxiety among primi post natal caesarean mothers at selected hospital Kanyakumari. Introduction: Caesarean is a surgical procedure done to save the life of the mother and the baby. Due to this mother experience pain and anxiety during the postnatal period which affects daily activities as well as comfort and well being. To relieve pain and anxiety non pharmacological methods can be used, such as reflexology. Purpose: To evaluate the effectiveness of reflexology on pain and anxiety among post natal caesarean mothers at selected hospital, kanyakumari District. Method: A quasi experimental pretest, post test control group design was adopted for this study. 60 primi postnatal caesarean mothers who met the inclusion criteria were selected using non probability (Purpose sampling technique) from C.S.I. hospital Neyyoor. Paired't' test was used to evaluate the effectiveness of reflexology. Chi square test was used to find out the association between pretest pain and anxiety with selected demographic variables. Result: in the pretest out of 60 primipostnatal mothers 30 in interventional group and 30 in the control group. 27(90%) had severe pain the interventional group 28((93%) had severe pain in the control group. In the post test 2 (7%) had severe pain, (1%) had moderate pain and 27 (90%) has mild pain. The't' value 9.539 was compared with tabulated value at the level of p<0.001 was significant. This showed that reflexology was effective in reducing pain among caesarean primi postnatal mothers. Regarding anxiety in the pretest 23 (76.6%) had severe anxiety, 7(23,3%) had moderate anxiety in the interventional group. In the control group 27(90%) had severe anxiety the 't' value 16.09 was compared with tabulated value at p<0.001 was significant. Conclusion: The findings of the study concluded that reflexology was effective in reducing pain and anxiety among primipostnatal caesarean mothers.

Keywords

Effectiveness, Reflexology, Pain, Anxiety, Primipostnatal, Caesarean Mothers.

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