Indian Journal of Health and Wellbeing

Sujatha ¹, Jaya Mohanraj ¹

Affiliations
1 Department of Community Health Nursing, SRM College of Nursing, SRM University, Kattankulathur, Tamil Nadu, IN

Abstract

Hypertension is a major chronic lifestyle disease and an important public health problem. This leads to numerous micro/macro vascular complications and subjects with hypertension are known to have a two-fold higher risk of developing coronary artery disease, four times higher risk of congestive heart failure and seven times higher risk of cerebro vascular disease compared to normotensive subjects. This community based study tested the efficacy of yoga controlling hypertension by studying its impact on Blood pressure and Anxiety among Hypertension Adults, Kancheepuram district, Tamil nadu, India. Experimental before and after design. Villages under Kattankulathur block, 238 subjects aged 30 60 who were being treated for mild and moderate hypertension took part in the study. The group allocated to practice yoga exercises for 5 days for 2hrs daily and continued performing twice daily for 12 weeks with regular treatment. The control group are also under medications but not given any specific exercises. The data were analyzed by proportions, chi-square tests, student independent t-test, Karl pearson's correlation and 95% confidence intervals. The study shows that the mean systolic BP & Anxiety in interventional group differed significantly. As regards SBP in the pre & post intervention setting the mean SBP is reduced from 152.75 to 138.51 (14.24) mm of hg and For control group, 152.85to 152.38 (-0.47) mm ofhg. This fall in SBP in Intervention group was statistically significant (p<0.05) compared to the control group. Likewise for DBP, it is reduced from 94.51to 86.17 (8.34) mm ofhg whereas the change in DBP values of the control group was not significant. State trait Anxiety Inventory was used to assess the level of anxiety and showed a mean reduction of 12.6% state anxiety and 11.3% trait anxiety among interventional group. The yoga asanas were very simple and can be done in the home setup with the daily activities to decrease the blood pressure and Anxiety to avoid Blood Pressure related complications.

Keywords

Systole, Diastole, Anxiety, Hypertension, Yoga.

Full Text

     

M. Vaijayanthimala ¹, Jaya Mohanraj ²

Affiliations
1 SRM University, Kattankulathur, Kancheepuram, Tamil Nadu, IN
2 Department of Community Health Nursing, SRM College of Nursing, Tamil Nadu, IN

Abstract

Controversial opinions on movements and positions during labour still exits. In today's scenario immobility as become common occurrence during labour due to risk focused management made obstetricians and midwife become inconvenient, discouraged and restricted with the use of movements and positions. Additionally lack of resources and accurate information to these issues depicts that need for an hour to be discussed and analysed to find evidenced based practice intervention and to maintain sense of normality and make birth "as nature intended". To evaluate the effect of movements position changes on maternal satisfaction and explore the relationship between maternal satisfaction with demographic variables, pain and obstetric variables. A quantitative experimental study was conducted among 211 primi parturient mothers who were in active stage of labour with uncomplicated pregnancy were allocated to experimental group (n=106) and control group (n=105). Movements and position changes like walking, rocking, swaying were provided to experimental and not to control group. Both the groups were received hospital routine care. Pain was assessed by using VAS scale, 24 hours after the delivery the maternal satisfaction with movements and positioning was assessed by three point rating scale which has reliability of 0.82. There was a significant difference found between experimental and control group on maternal satisfaction at p=0.01 level. Mean score also was high in experimental group depicted statistical significance. There was a significant association found in maternal age, education, support system, source of information and body mass index. The study concluded that adoption of various movements and positions during first stage of labour enhanced maternal satisfaction on child birth. Considering available evidence and result of this study recommends that various positions and movements during labour is an effective intervention that can be practiced in birth centres and community setup by midwives.

Keywords

Movements and Position, Maternal Satisfaction, Labouring Women, Primi Parturient Mothers.

Full Text