December 2024 VOLUME: 10 ISSUE-4

NURSING JOURNAL

Effectiveness of Music Therapy on anxiety among patients undergoing Upper Gastro Intestinal Endoscopy

Mrs. Anju Krishna

  • Pages: 1-9
    • <p>The goal of the current study was to ascertain how well music therapy reduced anxiety in patients undergoing upper gastrointestinal (GI) endoscopies at specific Kanpur, Uttar Pradesh, hospitals. In a quasi-experimental pre-test and post-test design with a control group, there were 60 patients in total&mdash;30 in the experimental group and 30 in the control group. Data were collected using a socio-demographic questionnaire and the State-Trait Anxiety Inventory. The findings revealed that the majority of participants in both groups were females aged 30&ndash;40 years, with varying educational backgrounds and 1&ndash;3 months duration of GI symptoms. In the experimental group, pre-test assessment indicated moderate to severe anxiety (mean = 54.6), which significantly decreased to mild anxiety levels postintervention (mean = 35.2, mean difference = 19.4, SD = 9.2, t = 12.8, p &lt; 0.001). In contrast, the control group showed minimal change in anxiety levels (pre-test mean = 52.9, post-test mean = 50.1, t = 1.5, p &gt; 0.05). Post-test comparison between the groups demonstrated a significant difference (t = 7.2, p &lt; 0.001), confirming the effectiveness of music therapy. Further Pre-test anxiety ratings did not significantly correlate with demographic factors including age, gender, education level, or length of GI symptoms. The study concludes that music therapy is a safe, non-invasive, and cost-effective intervention that significantly reduces pre-procedural anxiety, improves patient comfort, and can be implemented as a complementary nursing strategy for patients undergoing upper GI endoscopy.</p>

A Study to Assess Knowledge Regarding Prevention and Management of Iron Deficiency and Iron-Deficiency Anemia Among Women in a Selected Rural Area of Kanpur, Uttar Pradesh

Mrs. Hina Parveen

  • Pages: 1-5
    • <p>Iron deficiency (ID) and iron-deficiency anemia (IDA) remain major public health concerns among women, particularly in developing regions. Variations in clinical practices and limited awareness often hinder effective prevention and management. This study aimed to assess knowledge regarding ID and IDA among women in a rural area using a descriptive approach. A structured methodology was applied, and women were assessed on their understanding of identification, prevention, and treatment of ID and IDA. Findings revealed that 45% of participants had moderate knowledge, 35% had inadequate knowledge, and only 20% demonstrated adequate awareness. The study highlights the importance of early recognition of symptoms and risk factors. Preventive strategies such as iron supplementation for pregnant women and other high-risk groups were identified as essential. Oral iron therapy was recognized as the primary treatment method. The findings emphasize the need for structured health education programs to improve awareness and promote standardized care practices.</p>

HYPERTHROIDISM [GRAVES’S DISEASE

Ms. Monika Awasthi

  • Pages: 1-6
    • <p>A medical condition known as hyperthyroidism occurs when tissue is exposed to high levels of thyroid hormone in the blood. Graves's disease is the most frequent cause of this illness, followed by solitary hyperfunctioning nodules and toxic multinodular goiter. thyrotropin-secreting tumors, drug-induced thyroid malfunctionand autoimmune postpartum and subacute thyroiditis. A frequent endocrine condition called hyperthyroidism is defined by an overabundance of thyroid hormones, which causes a hypermetabolic state that impacts several organ systems. The worldwide epidemiology, primary etiological causes, clinical symptoms, diagnostic techniques, and treatment options for hyperthyroidism are highlighted in this review of the literature. The most common cause is still Graves' disease, which is followed by toxic nodular goiter and several types of thyroiditis. Advances in biochemical testing and imaging modalities, including TSH suppression, elevated free thyroid hormones, thyroid antibodies, and radioiodine uptake scans, have improved diagnostic accuracy. Current management includes antithyroid medications, radioactive iodine therapy, and thyroidectomy, supported by symptomatic treatment with beta-blockers. Complications such as atrial fibrillation, osteoporosis, and thyroid storm underscore the need for early diagnosis and appropriate treatment. Recent literature emphasizes advancements in immunotherapy, genetic markers, and individualized treatment planning. Overall, this review synthesizes key findings from past and contemporary studies, providing a comprehensive understanding of hyperthyroidism and informing evidence-based clinical practice.</p>

E-MOTIVE Bundle for the Clinical Management of Postpartum Hemorrhage: Role of the Midwife – A Review

Prof. Dr.Jasmi Johnson, Mr. Manu Chacko

  • Pages: 1-3
    • <p>Postpartum haemorrhage (PPH) continues to be the primary cause of maternal mortality globally, responsible for around 27% of maternal fatalities, especially in low- and middle-income nations. Notwithstanding the presence of effective therapies, delayed identification and erratic care substantially exacerbate negative maternal outcomes (11,19). The E-MOTIVE bundle is a research-backed approach aimed at enhancing early identification and facilitating prompt, uniform management of PPH (5,17). This evaluation rigorously analyzes the elements, efficacy, and execution of the E-MOTIVE bundle, emphasizing the role of midwives. Evidence indicates that the bundle markedly decreases the incidence of severe postpartum hemorrhage and associated consequences via prompt diagnosis and concurrent implementation of treatments (5,6,16). Midwives are pivotal in the early identification, swift commencement of therapy, and coordination of care. Enhancing midwifery competence and guaranteeing resource availability are crucial for the effective implementation</p>

A DESCRIPTIVE STUDY TO EVALUATE THE AWARENESS OF RISK FACTORS AND PREVENTION METHODS OF CORONARY ARTERY DISEASE AMONG PATIENTS VISITING THE MEDICINE OUTPATIENT DEPARTMENT AT RAMA HOSPITAL AND RESEARCH CENTER IN MANDHANA, KANPUR.

Ms. Shivnetri Chauhan

  • Pages: 1-5
    • <p>Coronary Artery Disease (CAD) ranks among the top causes of illness and death globally. It happens because of the narrowing or obstruction of coronary arteries resulting from atherosclerosis. Key risk factors encompass high blood pressure, tobacco use, diabetes, excess weight, lack of physical activity, and poor eating habits. The main emphasis in preventing CAD is on changing one&rsquo;s lifestyle and identifying risk factors early. The main aim of the study was to evaluate the awareness of risk factors and prevention methods of coronary artery disease among patients visiting the medicine outpatient clinic. A research design that is descriptive was employed. Samples were chosen through a non-probability convenience sampling method. The overall number of participants was 100 patients. Information was gathered through a self-designed questionnaire. The results showed a notable correlation between knowledge scores and specific demographic factors including age, gender, educational level, and lifestyle practices at the 0.05 significance level. Consequently, hypothesis H1 is affirmed.</p>
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