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Knowledge and attitude regarding permanent pacemaker and the quality of life of patients after permanent pacemaker implantation
Deborah Snegalatha, Jasmin Anand, Bala Seetharaman, Bobby John
January-June 2019, 20(1):33-39
Cardiac pacing is an emerging lifesaving procedure that is being widely used in the recent times. Therefore, it is considered vital for the healthcare professionals to be aware of patients' knowledge and experience after the cardiac device implantation and also the impact these implanted devices have on their day-to-day life. This study was conducted with an aim to assess the knowledge and attitude of patients regarding permanent pacemakers (PMs) and their quality of life (QOL) after the permanent PM implantation. A descriptive cross-sectional study design was used in this study. A total of seventy patients were chosen by total enumerative sampling technique among those patients attending the cardiology outpatient department, PM clinic and selected cardiology wards of a tertiary care centre in South India. A knowledge questionnaire, an attitude scale and RAND Short-Form-36 health survey were used to collect data. The mean age of the study patients was 61.71 ± 12.42 years, and 60% accounted for men. The median duration of implantation was 2.9 ± 5.21 years. Majority of the participants (54.3%) had moderately adequate knowledge, 55.7% of the participants had moderately favourable attitude and 46% of them experienced moderate QOL. There were a positive correlation between the knowledge of participants and their QOL (r = 0.340; P = 0.004) and a statistically significant positive correlation between the attitude of participants and their QOL (r = 0.559; P = 0.001). A significant association between attitude and age was found. Conscious effort must be taken to help patients cope better and experience good QOL through systematic teaching after the PM implantation. This will help patients to function maximally and live life to their best capacities in the family and society.
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Distress and coping in cancer patients experiencing chemotherapy-induced alopecia
Rini Wils, Anandha Ruby Jacob, Emily Susila Daniel, Raju Titus Chacko, S Reka
January-June 2019, 20(1):60-64
Alopecia is a major issue related to body image. Hair symbolises life and identity, plays an important role in social communication reflecting the social class, sex, profession and religious belief. Chemotherapy-induced alopecia is a condition that can affect psychosocial well-being and quality of life of a cancer patient resulting in anxiety, depression, a negative body image and lowered self-esteem. This study was designed to assess the level of distress and coping in cancer patients experiencing chemotherapy-induced alopecia. A descriptive study design was used, and a convenience sampling technique was used to select 150 subjects experiencing chemotherapy-induced alopecia in the oncology wards of a tertiary hospital. Chemotherapy-induced alopecia distress scale was used to assess the level of distress and chemotherapy-induced alopecia coping scale was used to assess various coping strategies among subjects. A high level of distress was experienced by 59.3% of the subjects and 60% of them had moderate coping. There was a weak negative (r = −0.083) and a weak positive (r = 0.238) correlation between the level of distress and passive and active coping strategies, respectively. The significant factors associated with distress were gender, financial source for treatment, diagnosis, type of chemotherapeutic drug, number of cycles offered and major coping strategy adopted. Factors such as number of children, family income, duration of illness and occupation of the patient showed significant association with the coping strategies. This study highlighted the need for the health-care team to be more sensitive to the less explored area of cancer treatment which would lead to an improved quality of life throughout the patient's illness process.
  2 2,521 266
Job stress among nurses
J Hepsi Bai, Vinitha Ravindran
July-December 2019, 20(2):92-96
It is well known that nursing as a profession is considered stressful. Multiple factors such as patient-care demands, professional issues, work environment, organisation policies and procedures are associated with job stress in nursing. Personal- and family-related issues also play a vital role in causing stress for nurses. Job stress can inadvertently affect patient care as well as health of nurses. Appropriate coping strategies are needed to mitigate job stress and ensure optimal patient-care outcomes. Organisational and nurse supervisor's support is essential to enable nurses to cope with job stress. In this article, the prevalence and associated factors of job stress and the general coping strategies adopted by nurses are discussed.
  1 2,236 251
Gynaecological cancers
Diana David, Ebenezer E Benjamin
January-June 2019, 20(1):46-56
Gynaecological cancers are cancers of the female reproductive system, mainly including uterine/endometrial cancer, ovarian cancer, cervical cancer, vaginal cancer, vulvar cancer, fallopian tube cancer and trophoblastic tumour. Gynaecological cancers are often detected as a result of general screening procedures. Very few women are compliant with routine examinations; therefore, it is imperative that women are aware of some indicators of these cancers and get help at an early stage if needed. Some of these indicators are unusual bleeding, pain or pressure in the pelvis; unusual vaginal discharge; change in the toilet habits or itching, burning or soreness in the perineum. Treatment depends on the type of cancer, stage, location and general health of the woman. The decision for a single treatment or a combination becomes very challenging, especially when the woman is young and cancer is advanced. Nurses need to be knowledgeable about gynaecological cancers and proficient in caring for women with gynaecological cancers.
  1 2,372 186
A comparative study on quality of life of older adults
Lidziisa Mao, Kasturi Mondal, Madhushree Manna
January-June 2019, 20(1):73-77
Old age is a critical period which requires special attention in adapting to the changes of life. A descriptive comparative research study was conducted to assess the quality of life (QOL) and its components among the older adults staying in old-age home and staying with family in selected area of Kolkata, West Bengal. A total of 100 senior citizens above the age of 60 years were selected as samples for the study, of which 50 were from old-age home and 50 from those staying with family. Standardised tool Short-Form 36 Version 2 - Health Survey and Multidimensional Scale for perceived social support were used to measure the QOL. Descriptive and inferential statistics were used to analyse the data. The study findings showed that there was a significant difference in the mean scores of QOL and the different domains of QOL of older adults staying in old-age home and family at (P < 0.05). Older adults staying in old-age home perceived better QOL as compared to those staying with family.
  1 4,208 342
Data analysis in qualitative research
Vinitha Ravindran
January-June 2019, 20(1):40-45
Data analysis in qualitative research is an iterative and complex process. The focus of analysis is to bring out tacit meanings that people attach to their actions and responses related to a phenomenon. Although qualitative data analysis softwares are available, the researcher is the primary instrument who attempts to bring out these meanings by a deep engagement with the data and the individuals who share their stories. Although different approaches are suggested in different qualitative methods, the basic steps of content analysis that includes preparing the data, reading and reflection, coding, categorising and developing themes are integral to all approaches. The analysis process moves the researcher from describing the phenomenon to conceptualisation and abstraction of themes without losing the voice of the participants which are represented by the findings.
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