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Gopichandran, L.
- A Comparative Study to Assess the Knowledge on Risk Factors, Warning Signs and Immediate Treatment of Stroke among Stroke Survivors and Patients of Cardiovascular Disorders who are at Risk of Stroke
Authors
1 College of Nursing, All India Institute of Medical Sciences, New Delhi 110029, IN
2 Department of Neurology, All India Institute of Medical Sciences, New Delhi 110029, IN
3 Department of Cardiology, All India Institute of Medical Sciences, New Delhi 110029, IN
Source
Asian Journal of Nursing Education and Research, Vol 6, No 3 (2016), Pagination: 391-396Abstract
Background: Several studies have been conducted to assess the stroke awareness among the general population. Few studies conducted on stroke patients have revealed inadequate knowledge regarding various aspects of stroke. No comparative study of stroke awareness among patients with stroke and patients of cardiovascular disorders who are at high risk. Material and Methods: A comparative cross-sectional survey was conducted on adult stroke survivors (n=201) and patients of cardiovascular disorders who are at high risk (n=201) in neurology and cardiology wards and outpatient clinics. Demographic profile, clinical profile and knowledge questionnaire were used for data collection. Consent was taken from the patients and ethical clearance was obtained.
Results: Both the groups were found to be statistically comparable with respect to age (p=0.280) and sex (p=0.411).Awareness regarding risk factors and warning signs of stroke was significantly higher (p=<0.05) in patients who are at high risk as compared to stroke survivors. More than half of the patients in both groups had <50% knowledge. Only 16% of the patients with stroke and 14% of the patients who are at high risk were aware that stroke could be due to cerebral hemorrhage. Only 12% of the patients with stroke and 11% of the patients who are at high risk knew that the stroke patients should be given immediate treatment within three hours.
Conclusion: Majority of the patients were not found to have adequate knowledge on risk factors, warning signs and need for immediate treatment. Hence, there is an intense need to educate the population at risk for stroke regarding risk factors and warning signs and immediate treatment.
Keywords
Stroke Survivors, Risk Factors, Warning Signs, High Risk.- Comparison of Glutamine Enriched Feed Over Normal Routine Feed in Traumatic Brain Injury Patients:A Randomized Double Blind Controlled Trial
Authors
1 Max Hospital, New Delhi, IN
2 All India Institute of Medical Sciences, New Delhi, IN
3 Pal College of Nursing and Medical Sciences, Haldwani, Uttarakhand, IN
Source
Asian Journal of Nursing Education and Research, Vol 6, No 4 (2016), Pagination: 485-490Abstract
Context: This study was planned to evaluate the effectiveness of glutamine enriched feed in comparison with routing feed for traumatic brain injury (TBI) patients. Objective: the objective of the study was to evaluate the effectiveness of glutamine feed on selected biophysiological parameters of TBI patients. Design, Setting, Participants: Study was conducted in Intensive Care Unit (ICU) and TC5 ward of Jai Prakash Narayan Apex Trauma Centre (JPNATC), AIIMS. Thirty five patients admitted with TBI were randomized into control group (n=18) and interventional group (n=17) in a double-blind, randomized control trial between June and November 2013. Quantitative evaluative approach was used for the study. 15 patients from each group has completed the full course of study. Interventions: Patients in the interventional group were supplemented with 20g of glutamine per day for 10 days along with the normal routine feed for head injury patients while the patients in control group received routine feed as per physician order. Results: There was significant increase in hemoglobine (p<0.05), serum protein (p<0.05) and serum albumin (p<0.05) in patients who received glutamine enriched feed while patients who received routine feed showed significant decline in all the parameters. Conclusion: Routine administration of glutamine enriched feed can be safely done and it can result in better clinical outcome for the traumatic brain injury patients compared with those who are getting normal routine feed which lacks in glutamine.Keywords
Child Abuse, Awareness, Caregivers, Teachers, Information Booklet.- Effects of Earplugs and Eye Masks on Perceived Quality of Sleep during Night among Patients in Intensive Care Units
Authors
1 All India Institute of Medical Sciences, New Delhi, IN
Source
Asian Journal of Nursing Education and Research, Vol 5, No 3 (2015), Pagination: 319-322Abstract
Sleep is a natural state of bodily rest. It is common to all irrespective of breed, culture and caste. Regular sleep is essential for survival for human beings. Two physiologic processes regulate sleep, the circadian and homeostatic mechanisms where the homeostatic component monitors the need for sleep and circadian process governs the variations in sleep over 24 hours.- A Randomized Controlled Trial on Position Change followed by early Ambulation after Trans-Femoral Coronary Angiography
Authors
1 B & B Medical Institute, Gwarko, Lalitpur, NP
2 NINE, PGIMER, Chandigarh, IN
3 Department of Cardiology, PGIMER, IN
4 All India Institute of Medical Sciences (AIIMS), New Delhi, IN
Source
Asian Journal of Nursing Education and Research, Vol 9, No 3 (2019), Pagination: 373-378Abstract
Background and Aim : Femoral route is a common approach for doing coronary angiography, but bed rest is recommended due to risk of vascular complications. The aim of present study was to assess effect of position change followed by early ambulation after coronary angiography via femoral approach on comfort, fatigue and vascular complications of the patients. Subjects and Methods: A randomized controlled trial was conducted on 80 patients (40 each in control and experimental group) undergoing coronary angiography in a tertiary care institute in India. Patients in control group were placed in supine position and ambulated after 6 hours. Experimental group were kept in supine position for 2 hours after angiography, followed by right lateral position (1 hour), supine position (1 hour) and ambulated after 4 hours. Kolcaba’s Outcome was assessed using General Comfort Questionnaire, Numerical pain rating scale and Fatigue Visual Numeric Scale at 2, 4, 6 and 24 hours after angiography. Incidence of vascular complications was documented at 24th hours. Results: At 4th and 6th hours after angiography, fatigue experienced by experimental group was significantly lower than control group. At 6th and 24th hour, experimental group had significantly lesser back pain and better comfort. There was no significant difference in the incidence of vascular complications between the control and experimental groups. Conclusion: Position change followed by early ambulation after coronary angiography via femoral approach is safe and effective as it decreases back pain, fatigue and improve comfort without increasing vascular complications.Keywords
Bed Rest, Cardiac Catheterization, Coronary Angiography, Early Ambulation, Position Change, Cardiac Nursing.References
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