Depression, Anxiety, Stress and its Association with Socio-Demographics Characteristics among Patients Waiting Prior to Elective Coronary Angiography
Sonia Jasmine, Amjad Ali, Sadaqat Ali, Dr. Tahir Saghir, Samrin Sadiq, Ammar Khan, Subia Naz
Page Numbers : 296-300
DOI : 10.36348/sjnhc.2022.v05i11.001
Objective: To estimate prevalence of depression, anxiety, stress and its association with socio-demographic characteristics among patients, waiting prior to elective coronary angiography. Methodology: This cross-sectional analytical study was conducted in National Institute of Cardiovascular Diseases (NICVD). A total of 349 adult patients, waiting for elective angiography were part of this study. DASS-21(Depression, Anxiety, Stress scale-21) was used to assess depression, anxiety and stress among study participants. Data were by using SPSS version 21.0. Chi-square test was performed to estimate the association of demographics characteristics with stress, anxiety and depression. Conclusion: This study concludes that depression and anxiety were significantly associated with educational level and monthly income. Furthermore, stress level was significantly associated with only educational level of the study participants.
Original Research Article
Oct. 26, 2022
Stress Management Strategies Used by Nurses to Regain Energy at Work Place
Background: Nursing is known to be stressful. Stress detrimentally can influence job satisfaction, psychological well-being, and physical health. There is a need for increased understanding of the stress that nurses experience and how best to manage it. The best coping predictors of mental health were escape–avoidance, distancing, and self-control. Other significant predictors of mental health were support in the workplace, the number of years worked in the unit, and workload. Method: Quantitative cross-sectional study design was used to determine the stress level and coping strategies at tertiary care hospital. 120 nurses working at gastro, medical and surgical wards were selected as sample. Data was collected through the standardized well adopted 31 item questionnaires. Results: results revealed that only (62) 57% nurses are suffering from stress and the used different strategies to manage the stress such as Prayers 55%, Sleeping 9%, exercise 2%, Spending times with friends 5%, Silence during problem 2%, Plan for tour 8%, Music therapy 10%, Walking 1%, Painting 3%, Set prioritises to avoid stress7%. Conclusions: Thus, the process of identifying nurses’ coping with job stress which is linked with the deep and authentic experiences of nurses in relation to job stress, the hidden and visible factors, strategies and methods of nurses’ coping, and also the factors and conditions affecting the coping process of nurses, provide backgrounds and necessary knowledge in order to adopt strategies that reduce or control occupational stress and stressors.
Original Research Article
Oct. 23, 2022
Factors affecting place of Delivery at a Rural Community of Lahore, Pakistan
Nabiha Ameer, Maria Ashraf, Sania Jamil, Saira Abdul Rehman, Aniqa Hayat, Uzma Firdous, Ms. Kashifa Khatoon, Ms. Misbah Zafar
Page Numbers : 284-289
DOI : 10.36348/sjnhc.2022.v05i10.010
Background: This study was conducted at a rural Community of Lahore Pakistan in 2021, to assess the different factors that affect place of delivery and delivery practices. The different factors that affect delivery choices were financial problems, gender role issues and traditional practices, cultural and ethnic values, access to health centers due to distance. Study design and method: A descriptive cross sectional quantitative study design was used. Data was collected from married females through convenient non probability sampling technique and interviews. 70 married females participated in this study. Results: Fear of hospital due to no exposure in health centers , lack of maternal education and cultural values major influence their delivery choice, According to the results approximately 70% of the population had cost issues and 58% preferred to deliver at home because of psychological satisfaction and convenience. Conclusion: The findings of the Research emphasize the need of building maternal health centers to overcome the cost and distance issues. Educating females regarding maternal health. Maternal health centers may effectively reduce the risk of precipitate delivery and traditional delivery practices.
Original Research Article
Oct. 23, 2022
Assessment of Health Literacy Level among Clients Attending King Salman Armed Forces Hospital, Tabuk
Wejdan Saad Alqahtani, Hayfa Oudah Albalawi, Abdullah Saeed Alzahrani, Dr. Tareq Shaqran
Page Numbers : 273-283
DOI : 10.36348/sjnhc.2022.v05i10.009
A cross sectional study will be done among a convenience sample of clients attending surgical, medical out-patient clinics of King Salman Armed Forces hospital (KSAFH) in Tabuk city. A pretested structured questionnaire will be utilized in data collection included demographic characteristics and HLS-Q12 Arabic version after its validation.
Original Research Article
Oct. 20, 2022
Discharge Against Medical Advice (DAMA) Among Inpatients with Cardiac Problems in CCH
Background: The instance of a patient already in hospital wishing to leave against clinician’s advice is referred to as self-discharge or discharge against medical advice. DAMA is a relatively common problem in health care systems. Because lengths of stay (LOS) are commonly several days, these patients often remain acutely ill at the time of self-discharge, and they may remain exposed to the risk of inappropriately treated medical problem, resulting in the need for readmission. It is not surprising that DAMA poses a major problem for many clinicians who treat inpatients, particularly those with cardiac problems because incomplete therapy in conditions such as ischemic heart disease may exert a negative impact on health outcome. Additionally, consequent care will be probably associated with more challenges and higher overall costs over time. Avoiding DAMA is, thus, likely to be beneficial for both patients and health systems. Methods: Study Design -Non-experimental, cross-sectional research design which will identify the reasons influencing DAMA among inpatients with cardiac problems is CCH. The study will describe the reasons by using a quantitative method. Setting of the study - The research will be conducted in Cardiac Center Hail, Ha’il Region, Kingdom of Saudi Arabia, and will focus on inpatient departments. Sample - In order to get accurate result of study, all discharged patients will be asked to participate in this study optionally. Data collection procedures - After getting approval from ethical committee in CCH and Hail Health Cluster, the questionnaires will be kept in nursing station, and explanation of a purpose of study will be demonstrated to all participants. Then, a collection box of questionnaires will be provided in the nursing office. Thereafter, data will be stored within one week from distribution to be ready for analysis. Data analysis - The ‘Patient Satisfaction Survey - DAMA form’ was designed on the basis of the reasons cited by patients in the past for self-discharge and the potential reasons are provided in this form. Demographic information was comprised of such biological characteristics as age, gender, and nationality. Finally, the prospectively collected data were analysed. The data are presented as n = % for the quantitative variables and are summarized by absolute frequencies and percentages for the categorical variables. Results: For approximately 45-day period, there were 102 discharges, of which 19 (18.63%) were cases of DAMA. Analysis was conducted in 17 patients after the exclusion of 2 patients due to missing data. Modes of admission were the emergency department, hospital transfer, and routine or elective admissions. The most prevalent reason cited by the study was feeling well (88.24%), followed by the desire to be transferred to other hospital (5.88%) and financial problems (5.88%). The baseline characteristics of the DAMA cases, for male and female separately, are depicted in Table 1. The range age of study population is above 18 to over 60 years with a male to female ratio of 16:1. Nearly one third of the study patients were in the age group of 51-60 years. The most common age group was 51-60 years in the men and over 60 years in the women. Conclusion: The most frequent self-reported reasons for DAMA in inpatient cardiac patients included feeling well, desire to be transferred to another hospital and financial problems respectively. We believe that explaining the importance of proper medical treatment and benefits versus risks of medication compliance may lessen impulsive decision of DAMA. Providing strategies for decreasing the rate of DAMA by analysing the current circumstances and developing effective interventions may benefit both patients (improving their health) and health care systems (decreasing unnecessary readmissions). There will be a continuous monitoring of the patient satisfaction survey both in regular and monthly basis by the Nursing Service Department. Proper coordination with social health workers, medical and nursing staff will be done. Multidisciplinary collaboration through regular committee meetings shall be implemented.
Original Research Article
Oct. 20, 2022
Effectiveness of an Educational Program on Intensive Care Unit Nurses' Knowledge Regarding Systemic Inflammatory Response Syndrome
Background: During triage in the emergency room, observations of vital signs and identification of organ failure are increasingly frequently employed to diagnose systemic inflammatory response syndrome (SIRS) and sepsis. However, there is less emphasis on early detection technologies of systemic inflammatory response syndrome (SIRS) in the critical care unit. Method: This is A prospective research design study, A convenience sample technique utilized consists of (45) nurses working in the intensive care unit at King Khalid general hospital, KSA. Participants completed the electronic questionnaire sheet to assist knowledge of nursing staff about Systemic Inflammatory Response Syndrome by pre, immediate, and post educational program consisting of twenty questions. Results: The findings show a highly statistically significant increase in the mean score in a knowledge level of knowledge before and immediately after the educational program, then it slightly decreases one month after the educational program. There was no statistically significant relationship between the total knowledge of studied nurses and their Sociodemographic Characteristics. Conclusion: Criteria for systemic inflammatory response syndrome (SIRS) are very important to know and, unfortunately, they are not well used in ICU. It is recommended that educational programs be provided for intensive care nurses to help them with the detection of sepsis in the early stages.
Original Research Article
Oct. 20, 2022
Difficulties Experienced by Psychiatric Nursing in Mental Health Hospitals and Clinics and Their Relationship to Performance Improvement
Nurses in the kingdom of Saudi Arabia work in a significantly challenging work environment. This research explored difficulties experienced by psychiatric nursing in mental health hospitals and clinics and their relationship to performance improvement. The study followed the correlation, the descriptive design, the study sample was randomly selected (201) participants from the psychiatric hospitals in Saudi Arabia – Hafar Al –Batan. The researcher used two questionnaires to answer the study questions and achieve their objectives. The first one is the Nurses Work Functioning Questionnaire (NWFQ) it consists of fifty items self-reported survey it contains seven subscale to measure the obstacle arises in work due to common mental illness. The other questionnaire is to measure difficulties and problems it consists of nine items and the scoring system is a five-scale point. Data were analyzed using SPSS 26 version. Results showed that 56% were males while 44% were females. The large percentage according to age was 47.8% to the range age group from 20-29. Then the age group from 30–39 with total number 42 and percentage 20.2%. regarding study sample years of experience, the high percentage was from 5 years- 7 years with 57%. Also , showed that nurses faced a lot of difficulties such as depression, stress and anxiety during their work shift. These symptoms can adversely affect work performance and care quality. But in the current research in general, the results indicate that there is no statistically significant relationship between the overall degree of the mental health scale and the professional performance scale.
