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   Table of Contents - Current issue
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July 2018
Volume 15 | Issue 2
Page Nos. 0-65

Online since Tuesday, July 9, 2019

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EDITORIAL  

Editorial p. 0
Sandhya Gupta
DOI:10.4103/2231-1505.262452  
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Effect of preoperative teaching on anxiety level of patients with neurosurgery p. 1
AC Esther Lilly, B Dakshayani
DOI:10.4103/2231-1505.262432  
Neurosurgical procedures are carried out to treat various disorders affecting the nervous system. It is common to feel nervous and anxious when one is scheduled to undergo a neuro surgical procedure. Aim: to know the effect of preoperative teaching in reduction of anxiety just before the neurosurgery. Methods: The study was conducted using nonequivalent control group pre-test and post-test design on patients who were admitted in surgical ward for first fifteen days 26 patients as interventional group. After fifteen days interval, again selected all the patients who met the inclusive criteria who were admitted in surgical ward for another fifteen days 28 patients for as control group. Anxiety was evaluated using a validated Spielberger State-Trait anxiety inventory. Findings: The study includes and. Comparison between interventional and control group in relation to sex, education, domicile and income found statistically similar. At admission, State and trait anxiety score mean value of interventional group were 45.31 and control group were 45.11. Interventional group anxiety score reduced to Mean value of 40.31, just before surgery, which is statistically significant (p>0.05) whereas no change of anxiety score in control groups, Mean value to 47.75 just before surgery, which is not statistically significant. Conclusion: The study findings suggest that preoperative teaching could decrease the level of preoperative anxiety in this patient population.
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A Co Relational Study on Academic Stress and Self-Esteem of students from Higher Secondary Schools of Guwahati city p. 4
Hiranmayee Sarma, Bibi Bordoloi
DOI:10.4103/2231-1505.262449  
Higher secondary school stage is a stage of human development of the students that occurs between childhood and adulthood. Some sensitive factors like physical, mental, family, school, relationship and social factors influence on the students while learning. All people have minimum stress but excessive stress may cause anxiety and it’s harmful for health. A co relational Study on Academic Stress and Self-Esteem among Higher Secondary Students in selected Schools of Guwahati City, Assam, India was conducted. Descriptive Co relational research design was used for the study and it was conducted on 250 students selected by using ‘multi-stage random sampling technique’ from five randomly selected Government Higher Secondary Schools of Guwahati city, Assam. Data were collected by using ‘Educational Stress Scale for Adolescents’ (ESSA) and ‘Rosenberg Self-Esteem Scale’. Results: Findings of the study revealed that out of 250 students, 169 students (67.6%) had moderate level of stress, 41 students (16.4%) had low level of stress and 40 students (16.0%) had high level of stress. Also that 177 students (70.8%) had moderate level of self-esteem, 37 students (14.8%) had low level of self-esteem and 36 students (14.4%) had high level of self-esteem. It was found that the level of academic stress and the level of self-esteem were negatively correlated with one another with r = -0.165 (P=0.004, <0.05) at .05 level of significance. Conclusion: Therefore, appropriate strategies for ‘stress management’ are highly recommended.
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Addiction severity, social functioning, and life satisfaction of patients diagnosed with substance use disorders p. 13
Baruah Aditi, Baruah Arunjyoti
DOI:10.4103/2231-1505.262434  
Aim: Present study was conducted to examine the levels of addiction severity, social functioning and life satisfaction of the patients diagnosed with Substance Use Disorders (SUDs) and to see the relationship among them. Methodology: This descriptive study was conducted at the OPD of a tertiary care psychiatric hospital, of Assam, between months of October to November, 2017. Fifty patients with SUDs who comply with the inclusion criteria were selected by purposive sampling technique and interviewed by using a Socio-demographic questionnaire, Leeds dependence questionnaire, Self-structured tool for assessment of social functioning of patients with SUDs and satisfaction with life scale. Results: There were 42% of participants who were severely dependent, their social functioning also deviated from a normal satisfactory level and 24% of them were slightly satisfied and also 24% were dissatisfied with life. A significant negative correlation between addiction severity and life satisfaction of patients with SUDs (p=0.001) and a significant positive correlation between social functioning and life satisfaction of patients with SUDs (p=0.011). Conclusion: Interventional study could be done to implement some activities, social functioning and life satisfaction of patients diagnosed with SUDs.
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The effect of assertiveness training program on nurses p. 19
Amol Kanade
DOI:10.4103/2231-1505.255708  
Background: Assertiveness is one of the essential skills in the modern working environment, there are many benefits of being assertive such as; better time management, increased self-esteem and the ability to negotiate more effectively. Nurses are confronted with the daily responsibility of assessing, intervening and evaluating client responses to stress and client interactions. Some nurses may have learned to express their needs honestly, to use anger constructively, to improve personal and work relationships and to build self-confidence through assertive behaviour. So the aim of this study was to assess the effect of assertiveness training program on nurses’ self-esteem. Methods: The study was conducted at selected Hospitals of the Pune city on 60 nurses (30 in control groups and 30 in experimental groups), tools were used for data collection, namely: Socio-demographic data structured interview schedules, self-esteem inventory, assertive communication skills checklist (ACs-list). Results: Highly statistically significant difference was noticed between before and after training program regarding practice about communication skills and assertiveness. Also s a significant change was found in self-esteem of nurses after the training program. Conclusion: Implementation of assertiveness training program had positive effect on their self-esteem.There is need to implementassertiveness training program for nurse.
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Knowledge of care givers of mentally ill patients on psychotropic drugs and various therapies in selected hospitals with a view to develop self instructional module p. 24
V Usha Rani, M Benedict Shyla Heema, K Kiranmayi
DOI:10.4103/2231-1505.262446  
Caregiver plays an important role to provide care for mentally ill patients. This study was conducted to assess the knowledge of care-givers of mentally ill clients on selected therapies at Asha hospital, Hyderabad with a view to develop self instructional module. Descriptive research design was used for the study. A total of 100 subjects were selected using convenient sampling technique method. Socio demographic data and questionnaire method was used to collect the information for period of one week. Results: showed that the most (95%) care-givers had overall knowledge about conventional and alternative therapies. The results also revealed majority 84% care-givers had average and above average knowledge about conventional therapies and 93% care-givers had average and above average knowledge regarding alternative therapies. Hence the researcher felt that overall 5% of care-givers need health education with regard to conventional and alternative therapies and 16% regarding conventional therapies and 7% regarding alternative therapies.
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The stress experienced and coping strategies adopted by the mothers of children suffering from Leukemia p. 27
Gita Purkait, Sonali Ganguly, Toma Dey
DOI:10.4103/2231-1505.262447  
The main purpose of the study was to identify the stress experienced by the mothers of children suffering from leukemia and the related coping strategies. Methods: A descriptive co-relational design was chosen for the present study to find relationship with the level of stress experienced and coping strategies adopted by the mothers of the children suffering from leukemia, relationship between stress and selected variables and relationship of coping and selected variables. The sample subjects of the study were 70 mothers of the children suffering from leukemia at the outpatient and inpatient departments of the institution(N.C.R.I.), Kolkata. Tools were: Tool 1) A Structured scale to measure the stress of the mothers (4 points rating scale) and 2) A Structured questionnaire to assess Coping Strategies adopted by the mothers (a check list). Results: Most of the mothers i.e. 28 out of 70 (40 %) of the mothers of children suffering from leukemia were in the age group 20-30 years, majority mothers 43 out of 70 (61.43 %) were from lower socio-economic group. From the major findings of the study it is shown that majority of the mothers of children suffering from leukemia had been experiencing moderate level of stress and coping strategies adopted by them in most of the samples also were moderately successful. There is negative correlation between the experienced stress and adopted coping strategies; i.e. when stress experience is increasing, coping is decreasing and significantly as well. There was no association found between stress and selected variables and coping strategy also has no association with selected variables.
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Effectiveness of an educational package on “Prevention Of Substance Abuse on Knowledge, Attitude And Practice Of Girls In Selected Colleges Of Delhi p. 36
Jyoti Singh, Santosh Mehta, RG Mathur
DOI:10.4103/2231-1505.262448  
A study to determine the extent of substance use and to assess the effectiveness of an educational package on prevention of substance use in terms of knowledge, attitude and practice of girls in selected colleges of Delhi. The research design adopted was pre experimental one group pre test post test design. Data was collected from 200 students of Delhi University with the help of structured knowledge questionnaire, attitude scale and practice checklist. The obtained data was analysed and interpreted using descriptive and inferential statistics in terms of frequency, percentage, mean, median, standard deviation and “t value”. Findings suggested that 33.5% girls used tobacco, and 45.5% girls used alcohol. The obtained mean difference (8.7) for knowledge was found to be statistically significant as evident from ‘t’ value 41.43 for Df=199 at 0.05 level of significance.The obtained mean difference for attitude was found to be statistically significant as evident from ‘t’ value 42.74 for df=199 at 0.05 level of significance. The obtained mean difference (3.13) for practice was found to be statistically significant as evident from ‘t’ value (10.1)for df= 199 at 0.05 level of significance. Conclusion: Educational package in the form of a booklet, pamphlets, power point presentation and games related to substance abuse was an effective method of teaching college girls about prevention of substance abuse as it not only provided them with the necessary learning and interactive material but also serves as a source of reference for them and their peers.
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Prevalence of depression among geriatric population p. 42
Sindhu Gopal, Meena Chacko, Punita A Sharma, D Mitra
DOI:10.4103/2231-1505.262450  
Background:Life expectancy has increased in India, elderly population is currently the second largest in the world and 20% of illness in the elderly is due to mental or a neurological illness and the most common being dementia and depression. Aim of the study was to assess the prevalence of depression among geriatric population attending OPD of selected tertiary hospitals. Methods: A cross sectional descriptive study was conducted on 120 geriatric population attending Out Patient Departments of selected tertiary care hospital selected by stratified simple random sampling method. Tools: The questionnaire included section I, socio demographic data and section II Geriatric Depression Scale Short Form(GDS-SF). Ethical clearance obtained from institutional research ethical committee. Permission was obtained from tertiary hospital and informed consent was taken. Results: Prevalence of depression was 24.2%. Conclusion: with the gradual greying of population expected in India over the coming time, maintaining a good quality of life for the senior citizens is the need of the hour.
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Effectiveness of standardized psycho-education for primary caregivers of patients in Tertiary Care Hospital p. 46
Yumnam Surbala Devi, Rajesh Konnur
DOI:10.4103/2231-1505.262451  
Background: Many people are still unaware that there are effective treatments for schizophrenia. A combination of regular medication, family education and support can reduce the relapse rate from 50% to10%. Aim: To assess effectiveness of standardized psycho-education for primary caregivers on care of chronic mentally ill patients. Method: One group pre-test post-test design with pre-experimental approach was used. 50 primary caregivers of patient with schizophrenia were selected using purposive sampling technique. Data was collected using structured knowledge questionnaire from two selected hospitals of Mangalore. A 45 minutes standardized psycho education was given to primary caregivers in small group of three.Results: Mean knowledge score at pre-test was 25.82±5.35 and 36.28±3.607 at post-test. There was significant difference in knowledge scores of pre-test and post-test (t= 21.676, p<0.01). In area wise analysis, 29.35% gain in knowledge score in drug treatment and its side effect, followed by27.6% increase in relapse prevention, 25% in mental illness and its causes, 17.86% was increased in communication, and social interaction and minimizing psychosis. There was no association between knowledge score and selected demographic variables. Conclusion: There was significant gain in knowledge score of primary caregivers. The study concluded that standardized psycho education was effective in increasing the knowledge of primary caregivers of care of chronic mentally ill patients. Psycho education of the family members is the key to understand about the illness and provide better care to the patient.
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Specific health effects of care-giving stress and its management p. 53
Manju Dhandapani, Sandhya Gupta
DOI:10.4103/2231-1505.262442  
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The interpretations for the rights of persons with disabilities Act, 2016 in context of mentally ill p. 61
Sandhya Gupta
DOI:10.4103/2231-1505.262444  
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