A True Experimental Study to Assess the Effectiveness of Kriya Yoga Therapy on Reduction of Anxiety Level among the Covid Nursing Staff at Selected Covid Hospitals

Aim of the study: The study aims to find out theeffectiveness of music therapy on the level of anxiety during first stage of labour among pregnant woman. Problem statement: Effectiveness of music therapy on the level of anxiety during first stage of labour among pregnant woman in selected hospitals. Primary objective: Primary objective of study was to find out the effectiveness of music therapy on the level of anxiety during first stage of labour among pregnant woman in selected hospitals. Secondary objective: 1) To assess the level of anxiety in control group during first stage of labour among pregnant women in selected hospitals. 2) To assess the level of anxiety in experimental group during first stage of labour among pregnant women in selected hospitals. 3) To assess the effectiveness of music therapy on the level of anxiety in experimental group during first stage of labour among pregnant women in selected hospitals. 4) To compare the level of anxiety among control group and experimental group. 5) To find out the association between study findings with selected demographic variables. Method: The research methodology adopted for the study was exploratory descriptive research approach. The investigator used quantitative quasi experimental control group research method. The study was conducted in the selected hospitals. Accessible population was all women in labour during first stage from selected hospitals. 60 women in labour during first stage were selected with the help of non probability convenient sampling as per the inclusion criteria from the selected hospitals. Semi structured questionnaire was developed and observational checklist for assessment of effectiveness of music therapy on the level of anxiety during first stage of labour among pregnant women. Results: Analysis shows that the levels of anxiety during the pretest and posttest are compared to prove the effectiveness of music therapy. Significance of difference of level of anxiety at 5% level of significance is tested with paired `t` test. Also the calculated `p` values are compared with acceptable `p` value, i.e. 0.05. Mean pre test level of anxiety score was 1.560.50 in experimental group and 2.30.87 in control group, at post test in 1 st three hours it was 3.360.71 in experimental group and 1.800.76 in control group, at post test in 2 nd three hours it was 5.360.71 in experimental group and 1.460.57 in control group and at post test in 3 rd three hours it was 6.630.71 in experimental group and 1.200.76 in control group. By using student's paired t test statistically significant difference was found in experimental group at post test in1 st three hours (t=13.80,p=0.0001), at post test in 2 nd three hours (t=25.85,p-value=0.0001) and at post test in 3 rd three hours (t=30.59,p-value=0.0001) which is highly significant and significant difference found in Control Group.Hence Music therapy is an effective for reducing the level of anxiety among pregnant women.Mean pre test level of anxiety score was 1.560.50 in experimental group and 2.30.87 in control group, at post test in 1 st three hours it was 3.360.71 in experimental group and 1.800.76 in control group, at post test in 2 nd three hours it was 5.360.71 in experimental group and 1.460.57in control group and at post test in 3 rd three hours it was 6.630.71 in experimental group and 1.200. in control group. Hence it interpreted that in experimental group in post test after administration of music therapy to pregnant women the level of anxiety reducing subsequent. Result shows there is association of level of anxiety with age, education, types of family, income per month. Interpretation and conclusion:The result of this study reveled that the most of the pregnant women had moderate anxiety before music therapy.After administration of music therapy there is reduction in anxiety level among pregnant women's.There was no association of anxiety score with their selected demographic variables.

The prevention of anxiety is of prime importance for patients undergoing surgeries. This experimental study was designed to find out the effectiveness of preoperative education on anxiety of patients undergoing orthopaedic surgeries. In this study, 46 patients who fulfilled the inclusion criteria were recruited and randomly allocated to experimental and control groups. On the previous day of surgery, the demographic and clinical data were collected with a specially designed pro forma, the pre- and post-operative anxiety level was assessed by using the state-trait anxiety inventory form Y-1 questionnaire and factors influencing anxiety were assessed by a self-developed questionnaire. The mean change in the level of anxiety from pre-operative to the post-operative period in the control group was 8.10 (standard deviation [SD] = 11.12). Whereas in the experimental group this was 9.08 (SD = 15.28). The difference in change of anxiety level from control to experimental group is −0.98 (95% confidence interval:-8.94, 6.98), which is not statistically significant (P = 0.805). There is no significant association between the level of anxiety and demographic variables. The fear about post-operative pain was the factor experienced by most of the patients (78.3%) both in the control and experimental group to cause anxiety. The study concluded that almost all the patients had one or more reasons for anxiety in the pre-operative period. Both control and experimental groups had reduction in anxiety level from pre-intervention to post-intervention. However, the difference in mean anxiety scores was not significant between control and experimental group. Most of the patients in both groups gave positive feedback on teaching, which made them feel at ease and was helpful in overcoming anxiety. The structured education did not produce any unique impact on the post-operative anxiety in patients undergoing orthopaedic surgery. Other factors related to perioperative anxiety warrants exploration.

“Lower back pain” refers to any pain or discomfort experienced in the bottom region of the spinal cord or lumbar spine. This region supports most of the upper body’s weight. Additionally, this specific type of lower back pain is extremely widespread, affecting around 80 % of adults and ranking as the number one cause of job-related disability. Luckily, there are many effective treatments eliminate lower back pain. Objective: To assess the effectiveness of Spinal Extension Exercises on lower back pain among the staff nurses in the experimental group. methods Research design was experimental & adopted the consecutive sampling technique. 332 staff nurses with LBP and 166 samples in each group (experimental and control) & research setting was PBMH, Bhubaneswar. Pretest-Posttest control group design was adopted. In this study dependent variable was Lower back pain and independent variable was spinal extension exercise. Intervention was only provided to the experimental group. Pretest and three posttests mean score have been observed periodically from the experimental and control group. The data was analyzed by using the Chi-Square, Fisher’s-exact and t-test. Results & Discussion: 54.55% male staff nurse in both control and experimental group. Maximum 79.51% staff nurses were under 20-30 age group in control group. Most 69.87% staff nurse’s height between 5.1-6 feet in control group & there maximum 66.26% staff nurse’s height between 5.1-6 feet in the experimental group. Maximum 54.21% are having weight between 51-60 kg in control group. (51.47%) nurses with B.Sc. nursing in the control group & experimental group (51.20%). Among the staff nurses in control group maximum (92.16%) were having 6hrs duty & experimental group (83.73%). In pretest, pain score was 4.71 ± 1.21(Mean ± SD) in control group and 5.09 ± 1.29 (Mean ± SD) in experimental group. After exercise, intervention mean score level is significantly decreased at after 2 weeks 4.62 ± 1.29(Mean ± SD), after 4 weeks 3.58 ± 1.30 (Mean ± SD) and after 6 weeks 4.04 ± 2.28 (Mean ± SD) with p value of ˂ 0.001. Only work experience is having significant association among staff nurses with LBP. Conclusion Staff nurses with lower back pain have a greater functional improvement after exercising the spinal extension exercise. The study result shows that highly significant in the experimental. Spinal extension exercise is an effective and simple strategy to reduce lower back pain among the staff nurses.

As children grow, they learn each day, of how to live tomorrow watching the grace and disgrace that surround them. The utilization of imaginative strategies to treat mental issues and upgrade emotional well-being is known as art treatment. Art treatment is a strategy established in the possibility that inventive articulation can cultivate recuperating and mental prosperity. Craftsmanship, either making it or survey others' specialty, is utilized to assist individuals with investigating feelings, create mindfulness, adapt to pressure, help confidence, and work on social abilities. Postoperative care may be an emotional and developmental set back to the child. It causes anxiety and pain due to imbalance between environmental and societal demands and child's coping abilities. The present study aims to assess the effectiveness of art therapy on anxiety and pain level among postoperative children. A quantitative true experimental research design was conducted among 30 postoperative children by using a simple random sampling technique and 15 were divided in control and experimental group. The demographic data were collected using structured interview questionnaire. The pre-test was done to assess level of anxiety by five facial anxiety scale and pain by numerical pain scale for both the experimental and control group. The experimental group was given art therapy, the control group was given a routine care and then the post test was done. The study results show that the level of pain and anxiety was considerably reduced in the experimental group than the control group in the post test at p<0.005. This indicates SART therapy is effective non-pharmacological method and cost effective method to treat pain and anxiety among postoperative children. The result of the study is it was concluded that art therapy as no side effects and it is an easy and comfortable method which can be practiced to treat pain and anxiety.

The Effectiveness of a Human Patient Simulator in the ATLS Shock Skills Station

Aim of the study: The study aims to find out the effect of self-instructional module on telenursing among staff nurses. Problem statement: What is the Effect of Self-Instructional Module (SIM) on Telenursing among Staff Nurses Working in Selected Tertiary Care Hospitals at Vidarbha Region, Maharashtra? Primary objective: The primary objective was used to find out the effect of self-instructional module on telenursing among staff nurses. Secondary objectives: 1) To assess the knowledge of staff nurses regarding telenursing in experimental and comparison group before intervention. 2) To assess the knowledge of staff nurses regarding telenursing in experimental and comparison group after intervention. 3) To find out the effect of SIM on telenursing among staff nurses. 4) To find out the association between post-test knowledge scores and selected demographic variables of staff nurses in experimental group. Method: A quasi-experimental design with non-randomized comparison group was used to assess the effect of Self-Instructional Module on knowledge regarding telenursing among 160 staff nurses. The data was collected by using self-administered questionnaire. Results: From the findings, it was observed that the pre-intervention demographic variables of staff nurses in control and experimental group were more or less similar revealing both the groups had similar characteristics. It was observed that the percentages of knowledge (control group; 23.7 & experimental group; 37.1%) on telenursing among staff nurses were more or less similar before intervention. However, after an intervention, the percentage of knowledge on telenursing was significantly increased from 37.1% to 79.2% in experimental group whereas it was almost remained unchanged in control group. There was a significant difference (p<0.0001) between pre-test and post-test knowledge scores in experimental group. And, there was also a significant difference (p<0.0001) between the post tests of control and experimental group. No significant association (p>0.05) was found between knowledge on telenursing and age, religion, qualification, professional experience, & income of staff nurses. But significant association (p<0.05) was found between knowledge on telenursing and gender. Interpretation and conclusion:The data were analyzed by applying descriptive and inferential statistic.The result of the study indicated that after intervention there was an improvement in the knowledge score.Analysis of data shows that highly difference found between the pre-test and post-test knowledge scores at the level of (p<0.05).The hypothesis proved and accepted.

Background: Cardiovascular heart disease still remains high in Indonesia. Various interventions have been implemented as an effort to deal with cardiovascular disease. However, little is known about intervention to reduce anxiety in patients with cardiovascular disease although anxiety is related to angina attack in this patient. Psychoeducation is considered effective in decreasing anxiety.&#x0D; Objective: To examine the effect of psychoeducation in decreasing anxiety in patients with coronary heart disease (CHD) at the General Hospital of Semarang, Indonesia&#x0D; Methods: This was a quasi-experimental design with pretest posttest control group design. The study was conducted in the inpatient wards of the General Hospital of Semarang on 17 January until 8 March 2017. Fifty-six respondents were recruited using consecutive sampling, with 28 assigned in the experiment and control group. Hamilton Anxiety Rating Scale (HARS) was used to measure anxiety levels. Paired t-test and Independent t-test were used for data analysis.&#x0D; Results: Paired test showed that there was a statistically significant effect of psychoeducation on anxiety level in the experiment group with p-value 0.001 (&lt;0.05), and significant effect of given a brochure of CHD on the anxiety level in the control group with p-value 0.001 (&lt;0.05). Independent t-test showed a statistically significant difference of anxiety level after intervention in the experiment and control group with p-value 0.001 (&lt;0.05). The mean anxiety level in the experiment group (22.46) was lower than the mean anxiety level in the control group (41.54).&#x0D; Conclusion: Psychoeducation is effective in reducing anxiety levels in patients with CHD. It is suggested that psychoeducation can be used as one of nursing intervention in an effort to reduce anxiety in patients with CHD.

Chronic kidney disease (CKD) is a term used to describe a permanent loss of kidney function. In renal failure, there is a decrease in glomerular filtration rate. The number of health problems and other diseases may cause either form of renal failure to occur. The Objectives of this study:&nbsp; (1) To assess the level of anxiety among experimental and control groups of patients undergoing hemodialysis. (2) To determine the effectiveness of foot reflexology on anxiety among experimental group of patients undergoing hemodialysis. (3) To find the association between level of anxiety and selected sociodemographical variables among experimental and control groups of patients undergoing hemodialysis. The evaluative research approach was used for this study, and the research design was a quasi-experimental design. The research was carried out in the dialysis unit of Krishna Hospital in Karad. The sample comprises of 40 hemodialysis patients divided into two groups: 20 in the experimental group and 20 in the control group. The sample was chosen using a convenient sampling procedure. The experimental group received foot reflexology twice a week for three weeks, with each session lasting 20 minutes, whereas the control group received hospital regular care. The mean post-test anxiety score in the experimental group was 16.6, while it was 22.55 in the control group, which was considerably higher. The t-test value was 3.50, which was deemed to be significant at the p&lt;0.001level. In the post-test, the values demonstrated a statistically significant difference in anxiety levels between the experimental and control groups. According to the findings of the study, foot reflexology was efficient in reducing anxiety levels.

Objectives • To assess the intensity of labor pain and outcome of labor among the control group. • To assess the effectiveness of ambulation on intensity of labor pain and outcome of labor among the experimental group. • To assess the usefulness of ambulation by opinionnaire among experimental group. • To compare the effectiveness of ambulation on the intensity of labor pain and outcome of labor among experimental and control groups. • To find an association between the intensity of labor pain with selected demographic variables. Materials and methods An experimental research approach was used for the study. Random sampling technique was used to allocate the subjects into experimental and control groups. Visual analog scale was used to assess the intensity of pain and observational check list was used to assess the outcome of labor. The study comprised of 40 primigravida mothers and they were grouped as experimental and control through randomization. One group received ambulation treatment, the other did not. The researcher then observed the groups to determine the effect of the treatment. Results The collected data was analyzed by descriptive and inferential statistics. The intensity of pain revealed that 40% in the experimental and 55% in the control groups experienced severe pain. The labor augmentation revealed that both oxytocin and cerviprime gel was used for 30% in the experimental and 35% in the control groups. On the mode of delivery, majority of mothers (60%) had normal vaginal delivery both in experimental and control groups. On the duration of the first stage of labor revealed that 50% in the experimental and 20% in the control groups were between 10 to 12 hours. Second stage of labor revealed that majority were between 1 and 2 hours in both the control and experimental groups. The opinion of experimental group mothers on ambulation revealed that half of the mothers (50%) agreed for recommending the ambulation for their neighbors and friends and less than half (35%) of them have agreed for comfort during first stage of labor and 40% of them have agreed for ambulation should be made as a routine in labor room. In the experimental group, mean pain score (6.8) is less than the control group (7.5). The calculated Mann-Whitney Z-value (2.045) is greater than the Z α-value of 1.960 at 0.05 level of significance. In the experimental group, the mean duration of first stage of labor score (3.95) is significantly higher than the control group mean score (3.00). The mean outcome of labor in experimental group (13.95) is greater than the control group. Conclusion There was a significant difference in the duration of first stage of labor between the experimental and control groups. But, there was no significant difference in the overall outcome of labor between experimental and control groups. There was no significant association between intensity of labor pain with selected demographic variables. This may be because of small sample size. How to cite this article Savitha V, Nayak S, Paul S. Effect of Ambulation during First Stage of Labor on Labor Pain and Outcome of Labor among the Primigravida Mothers in a Selected Hospital, Mangalore. J South Asian Feder Obst Gynae 2013;5(1):1-3.

A study to evaluate the effectiveness of guided imagery on examination anxiety among adolescents in selected schools at Asaripallam with the following objectives: To assess the pre-test and post-test levels of examination anxiety among adolescents in experimental group and control group. To evaluate the effectiveness of guided imagery on examination anxiety among adolescents. To find out association between pre-test level of examination anxiety and selected demographic variables (age, sex, socio-economic status, type of family, medium of instruction in school) of adolescents in experimental and control groups. Research Approach: A quantitative approach was used for this study. Research Design : True experimental pre-test–post-test control group design was adapted. Sample: Adolescents who are studying in 10th standard with examination anxiety and those who fulfil the inclusion criteria in selected schools at Asaripallam. Sample Size: Total sample size was 60, among whom, 30 in experimental group received guided imagery, and 30 in control group received no intervention. Sampling Technique: Randomly the schools were assigned to the experimental and control groups by lottery method. The following results were drawn from the present study: Most of the adolescents in the experimental and control groups suffered from examination anxiety. Guided imagery was effective in reducing the level of examination anxiety among adolescents. The mean post-test level of examination anxiety (22.5) was lesser than the mean pre-test level of examination anxiety (33.8) in the experimental group. The obtained t-value (9.02) was statistically highly significant at 0.05 level. This illustrates the mean difference of 11.3, which was a true difference and has not occurred by chance. This may be due to the effect of guided imagery. The mean post-test level of examination anxiety in experimental group (22.5) was lesser than the mean post-test level of examination anxiety in control group (33.5). The obtained t-value (9.16) was statistically highly significant at 0.05 level. This illustrates the mean difference of 9, which was a true difference and has not occurred by chance.

On the &lt;em&gt;GeoGebra&lt;/em&gt; Supported Collaborative Learning

Zmiany metylacji i oksydacji w próbkach DNA bydła bytującego w środowisku zanieczyszczonym metalami ciężkimi

To Assess the Effectiveness of Hypertonic Saline Nebulized Suctioning On Airway Clearance Among Patients On Mechanical Ventilator In Selected Hospitals

Background: Deep breathing is one of the best ways to lower stress and pain in the body. This is because when you breathe deeply, it sends a message to your brain to calm down and relax. The brain then sends this message to your body those things that happen when you are stressed, such as increased heart rate, fast breathing and high blood pressure, all decrease as you breathe deeply to relax. Aims and Objective: To assess the post operative pain of patient after abdominal surgery among experimental and control group. To evaluate the effectiveness of rhythmic breathing exercise on post operative pain after abdominal surgery among experimental group. To determine the post-test score of post operative pain among experimental and control group. To findout the association of post operative pain with selected demographic variable in control and experimental group. Methods: A quantitative approach using Quasi-experimental research (Nonrandomized control group design.) 40 patients were selected using non probability purposive sampling in selected hospitals of North Gujarat. International numerical pain scale used for subjective pain assessment. Results: study show that out of 40 subjects in 20 experimental group, group 1(5%) belongs to the age group between 18-27 years, 2(10%) belongs to the age group between 28 -37 years, 5(25%) belongs to the age group between 38-47 years, 9(45%) belongs to the age group between 48-57 years and 3(15%) belongs to the age group of 58 years. and out of 20 In control group 5(25%) belongs to the age group between 18-27 years 3(15%) belongs to the age group between 28-37 years, 4(20%) belongs to the age group between 38-47 years, 4(20%) belongs to the age group between 48-57 years, and 4(20%) belongs to the age group of 58 years and above. In experimental group, majority in pre test19 (95%) reported severe pain, after intervention of rhythmic breathing exercisesin post test 18 (90%) reported mild pain. in control group, majority in pre test 20 (100%) reported severe pain, without intervention of rhythmic breathing exercises in post test reported severe pain 15 (75%). reveals that in experimental group the pre test mean was 7.21 and post test mean was 3.22. The pre test standard deviation was 1.44 and the posttest standard deviation was 1.02. The mean difference was 3.98 and the obtained t-value was 10.18 which are significant at 0.05levels. Hence, the stated hypothesis was accepted. In control group the pre test mean was 8.35 and post test mean was 6.56. The pretest standard deviation was 0.79 and the post test standard deviation was 0.94. The mean difference was 1.78 and the obtained t- value was 6.45 which are not significantat 0.05levels. Hence the stated hypothesis was accepted. Keywords: Assess effectiveness; Rhythmic breathing exercises; Post operative pain; Abdominal surgery patients

Statement of the problem: A research titled “A Comparative Study to Assess the Effectiveness of Helfer’s Skin Tap Technique Versus Routine Technique on Pain Reduction among Patients Receiving Intramuscular Injections in Selected Hospitals in Greater Noida.Aim: The aim of study is to assess the effectiveness of Helfer’s Skin Tap Technique Versus Routine Technique on Pain Reduction among Patients Receiving Intramuscular Injections in Selected Hospitals in Greater Noida.Objectives of the study · To assess the level of pain experienced by the patients receiving intra muscular injection using routine technique. · To find out an association between levels of pain experienced with selected demographic variables.Methodology: A qualitative research approach was used and the research design adopted for the present study was Experimental research design. The target population for the study was patients who all are receiving IM injection in selected hospitals, greater Noida. Convenient samplingTechnique was used during study. Simple size 60 data analysis was done based on objectives and hypothesis of study.Results: In this research the findings show that maximum number of patients under experimental group selected for the study who satisfied the inclusion criteria were N=12 (40%) where in control group N=13(43.4) were among 40-49 years, followed by N=8(26.7%) in both experimental and control group, were from 30-39 years further N=8(26.7%) in experimental and in control N=7(23.3) were of 20-29 years and N=2(6.7%)in both experimental and control group were of 50-60 years. In this research the researcher has selected N=60 (100%) as adult males both in experimental and control group. The majority of the patient N=22 (73.3%) experimental group N=28(93.3) control group were married, whereas N=8(26.7%) experimental group N= 2(6.2) control group were unmarried. Widower and divorced were N=0 in both experimental and group.The most of the patients lived in rural areas where as N=26 (86.7) experimental group and N=25(83.3) control group, followed by patient lived in urban areas where as N=4(13.3) experimental group N=5 (16.7) control group. Majority were N=11 (36.7%) in experimental group & N=16(53.3%) in the control groups subjects were can read and write & the experimental group N=10 (33.3%) and N=8 (26.7%) of subjects in the control group have no formal education. Whereas N=7 (23.3%) of the subjects in the experimental group and N=5 (16.6%) of the subjects in the control group have middle education. And N=2 (6.7%) experimental group N=1 (3.3%) in control group. Most of the patient were working in experimental group N=16(53.3) same in control group N=19(63.3) whereas N=14(46.7) experimental group N=11(36.6) control were not working. The level of pain perception during IM injection in Experimental group. Majority of the samples (100%) perceived minor pain with Helfer’s skin tap. whereas majority (53.3%) moderate and (46.7%) had minor pain with routine technique.Conclusion: The present study revealed that there was a significant reduction in pain among patients after administration of Helfer's skin tap technique. Thus it proved to be an effective treatment for pain.