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Effectiveness of Empowerment Programme on Stress and Care Giving Burden among Care Givers of Chronically Ill Patients Admitted in MMIMS&R Hospital, Mullana Ambala, Haryana Shalini Youssouf; Jyoti Sarin; Eenu; Bindu Joseph
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.16654

Background- One of the most compassionate and self-sacrificing things a person can do is care for a sickloved one. Caring for a family member with impaired mental and behavioral functioning presents the moststressful of care giving situations. Keeping family caregivers healthy and able to provide care is crucial tomaintaining our nation’s long-term healthcare system.Aims – To assess the effectiveness of Empowerment programme regarding stress and care giving burdenamong care givers of chronically ill patients in experimental and comparison group.Material and Methods - A Quasi Experimental non Equivalent control group pretest post test design. 95care givers of chronically ill patients (50 in experimental and 45 in comparison group) selected from hospitalby using convenience sampling technique. Empowerment programme was administered in experimentalgroup. Selected demographic characteristics, standardized perceived stress scale and standardized care giverburden scale were used to collect data.Results- The study showed that the mean post test 1 and post test 2 stress score was 12.44 ± 2.10 &12.26±2.05 and 14.11 ± 3.11 & 14.40± 3.12 in experimental and comparison group respectively. There wasno significant correlation between stress and care giving burden .There was no association of care givingburden score of the care givers in experimental and comparison group with their selected patient demographiccharacteristics and there was no significant association of care giving burden scores with their selected caregiver demographic characteristics in experimental group and in comparison group except gender.Conclusion- Empowerment programme was effective in reducing stress and care giving burden among caregivers of chronically ill patients

Determination of Learning Styles among Nursing Students Pooja Gill; Parul; Yogesh Kumar; Jyoti Sarin
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.17025

Nursing education furnishes students with the learning qualities required for their profession and also makesstudents lifelong learners. Aim of the study was to evaluate the learning styles among nursing students. Aquantitative approach with descriptive design was applied. A total of 122 students were recruited by purposivesampling from two nursing colleges, selected by convenient sampling. In addition, tools used for the studywere structured questionnaire for sample characteristics and Kolb’s Learning Style Inventory. Learningstyles were assessed after collecting baseline data. Results indicated that the most preferred learning stylewas turned out to be Accommodator (35%). Findings concluded that there is a diversity of learning stylesamong nursing students as the students were having all the types of learning styles.

Effectiveness of Nurse Led Intervention Regarding Management of Hypertension on Awareness, Treatment Compliance, Life Style and Quality of Life among Hypertensive Adults: A Systematic Review Eenu; Poonam Sheoran; Jyoti Sarin
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14289

Introduction: Hypertension is one of the most common conditions affecting the health worldwide and isalso the leading cause of death around the globe. There is a persistent need for effective nurse led interventionfor interrupting the further spreading roots of the hypertension in the community. There is also a great needfor creating awareness, ensuring the compliance with the treatment, modification of lifestyle and improvingthe quality of life for the sufferers of this condition.Methods: The study design was systematic review and it includes studies from databases of PUBMED,MEDLINE, Cochrane library, SCOPUS, Science direct, and Google scholar (2008-2019). The includedstudies were focusing on the management of hypertension among hypertensive adults in terms of awareness,treatment compliance, life style and quality of life.Result: The data was grouped and analyzed in terms of meta-analysis. Total 20 relevant articles wereundertaken. Abstracted information is related to study design, population characteristics, intervention andoutcomes.Conclusion: The nurse led intervention in the management of hypertension is an effective strategy inimproving the health outcomes in terms of creating awareness, ensuring the compliance with the treatment,modification of life style and improving the quality of life among hypertensive adults.

Dissection of Learning Opportunities and Obstacles While Learning Through Video Conferencing Platform (VCP) - During Covid 19 Lockdown Jyoti; Khina Sharma; Jyoti Sarin
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14295

Background- COVID 19 pandemic has influenced our lives in all the aspects, even the younger generationsare also not left untouched, specially their studies. Professional courses like nursing has integrated theorywith practical learning and due to the lock down situation both aspects of learning - theory as well asthe clinical learning are suffering. Though the teaching institutes have come up with the solutions likeonline lectures, using the video conferencing platform (VCP). This has expanded the horizon of traditionalclassroom. Though it is widely practiced in developed countries but in India it is still a new trend of learning.Purpose - of this study was to assess learner’s satisfaction level while learning through video conferencingplatform and various opportunities and obstacles learner’s faced were explored. Methods – nursing studentswere the participants and online self-reporting method was adopted for the data collection. Self-developedquestionnaire was completed by 138 participants and questionnaire had 36 items to respond on VideoConferencing Platform related to learner’s satisfaction, also opportunities & obstacles encountered whilelearning through VCP.Results – Majority (63%) of the participants were somewhat satisfied, learning through VCP and 26.1% werehighly satisfied. Observation of the opportunities were found to be better learning outcome – brainstormingstimulation, self-motivated learning, able to ask and clear doubts and lecture was reported to be captivating.Another opportunity reported was comfort while learning which included the learning in personal space,no compulsion of physical presence at teaching institute and freedom to choose which lecture to attend.Obstacles reported were related to the classroom environment where the chances avoiding questions andfooling the instructor was reported by majority participants, technical challenges like slow internet disturbedthe lecture and made it difficult to articulate lecture and also missed part of lecture. Other obstacles reportedwere decreased social interaction, participants found learning through VCP to be tiresome as compared totraditional classroom, connectivity issues disturbance create due to the surroundings. Association betweenthe course of study with satisfaction level, opportunities and obstacles were found to be significant, whereasthe association between the time spend on VCP was found to be significant only with obstacles.

Quality of Life Among Chronic Liver Disease Patients: An Exploratory Cross Sectional Survey Jyoti; Manisha Saklani; Jyoti Sarin
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14296

Background: QOL is the general well-being of individuals and societies, outlining negative and positivefeatures of life. It observes life satisfaction, including everything from physical health, family, education,employment, wealth, religious beliefs, finance and the environment.1 Quality of life has an important statusin patient management suffering from chronic liver disease.Objectives: The present study was done to assess the quality of life among patients suffering from ChronicLiver Diseases.Material and Methods: A descriptive explorative cross-sectional research design was used. Data wascollected from 165 patients using purposive sampling technique. The quality of life Scale (QOLS) was usedto assess the quality of life among chronic liver diseases patient admitted at Institute of Liver and BiliarySciences. MELD and CTP score was used to assess the mortality and survival rate among chronic liverdiseases patient. The study participants and their care givers were informed that the study is harmless; all thegathered data was treated confidentially and used for research purpose only.Results: The results of the study revealed that 0.6 percent of the patients have poor, in 35.2 percent of thepeople have moderate whereas 64.2 percent of the people have good quality of life. In terms of physicalwellbeing of patient 11.52 percent of the people have poor, 73.93 percent have moderate while only 14.55percent have good quality of life. In relation with social wellbeing of the patient 0.61 percent of the peoplehave poor, 27.88 percent have moderate while only 17.51 percent have good quality of life. As per emotionalwellbeing of the patient 3.03 percent of the people have poor, 87.88 percent have moderate while only 9.09percent have good quality of life. In terms of functional wellbeing of patient 3.03 percent of the peoplehave poor, 60 percent have moderate while only 36.97 percent have good quality of life. The quality of lifein terms of cost showed that 11.52 percent of the patient had poor, 73.93 percent had moderate, and 14.55percent of the patient has good quality of life. The quality of life in terms of limitation due to signs andsymptoms showed that 1.21 percent of the patient have poor, 81.82 percent have moderate whereas 16.97percent of the patient had good quality of life. The weak positive correlation (r=0.48) was found betweenMELD and CTP score.Conclusion: The study concluded that only 35.2 percent of the patient have moderate quality of life, morethan half (64.2%) of the patient have good quality of life. So, the effective steps need to be taken to improvethe quality of life among patients with Chronic Liver Diseases.

Knowledge of Students Regarding COVID-19 Amid its Hasty Expansion Manisha Saklani; Parvinder Kaur; Jyoti Sarin
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14332

Background: The pandemic of COVID-19 has been spreading around the world very rapidly and has took aterrible shape. The one of the better ways to deal with this terrible pandemic is to have thorough knowledgeabout it and act consequently.Objectives: The present study aim at assessing and comparing the knowledge of Students about COVID 19and its hasty expansion.Material and Methods: Descriptive cross-sectional research design was adopted for the study. Data usingonline structured knowledge questionnaire was collected from 316 participants which was selected usingconvenient sampling technique from selected University of Ambala. The data was collected from studentsof Nursing, Physiotherapy and IT department.Results: The mean age of participants among Nursing was 21.75 + 1.77, 23.43 + 2.62 among physiotherapywhereas 23.22+ 2.28 among IT department. In relations to Gender it was found that most (76 %) of theparticipants were female and only 24 percent were male among Nursing, 66 percent’s participants werefemale, and 34 percent were male among physiotherapy while 56 percent were female and 44 percentwere male in the IT department. 47 percent participants from the Nursing, 40 percent participants fromphysiotherapy and 20 percent participants form IT were having good knowledge. The knowledge scoreamong Nursing Participants ranged from 17 to 46, 15 to 47 among Physiotherapy whereas it was 17 to 47among IT participants. The mean knowledge score of the Nursing participants was 33.84 + 5. 48, 32.91+6.67among physiotherapy and it was 31.63+5.98 among IT. Repeated measure ANOVA was calculated whichshows a statically significant difference (F=1.07, p=0.00) among three groupsConclusion: The study concluded that continuing teaching experience is required to the students regardingpreventive measures as well as change in the treatment regimen

Predicting 10-year Cardiovascular Risk Using WHO/ISH Risk Prediction Chart among Rural Population in Haryana, India Pooja Jaswal; Pabalpreet Kaur; Jyoti Sarin
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14359

Background: CVD are leading cause of premature Deaths worldwide. Coronary vascular disease (CVD)risk estimation tools are a simple means of early identifying those at high risk in a community. It seems to bea cost-effective strategy for CVD prevention in developing countries. The WHO /ISH risk prediction chartsestimates risk of people having CVD’s for next ten years, who do not develop coronary heart disease orstroke. Methods: A total of 100 subjects between 40 to 70 years of age were included in this cross sectionalstudy. Total 100 families were visited and subjects were selected randomly. CVD risk was calculated byasking information from the subjects regarding Age, gender, smoking status, measuring their blood pressure,history of diabetes. The chart classifies an individual into different risk of having CVD’S that categorizedinto low (<10%), moderate (10% to <20%), high (20% to <30%), and very high (>30%) risk groups. Results:Less than two-third (62%) of population has less than 10% CVD risk, followed by less than one-third (31%)of the population had CVD risk of between 10- to <20% for the next 10 years. Only 6 subjects had 20-<30%of risk followed by 1% CVD risk between 30-<40%.Age, More SBP, Abdominal obesity, smoking, diabetesmellitus and More BMI (p<0.0001) were significantly associated with higher CVD risk. Conclusions:WHO/ISH Chart should be used by peripheral health workers for early identification of people with a highrisk for CVD and provide timely services in reducing the complications and premature deaths related toCVD in India.

Perception of Nursing Students Regarding Clinical Learning Environment, Supervision (CLES) Poonam Sheoran; Simarjeet Kaur; Neha Patyal; Neetu; Hemlata; Jyoti Sarin
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14362

Background: In nursing education, clinical placement is a vital part of nursing students’ education. Theclinical learning environment is considered as first place of professional practice for nurses and student’sopinion contributes to its improvement. Theaim of the current study was to assess the perception of nursingstudents regarding clinical learning environment supervision in obstetric and gynecological department.Method: A quantitative research approach with descriptive survey research design was used to collect datafrom 222 nursing students using total enumerative sampling technique from September 2017 to April 2018.Clinical Learning Environment and supervision scale (CLES) was used to assess the perception of nursingstudents with their clinical learning environments. Results: The study results showed that the sub domainof supervisory relationship (90.62%) was having highest mean percentage and relationship between student,staff and teacher sub domain has lowest mean percentage (84.38%). The nursing students evaluated the subdomain of relationship between student, staff and teacher (22.07%) as ‘need to improve’ andintegrationof theory and practice (67.57%) as ‘good.’There is significant positive co-relation between all domains ofclinical learning and supervision.Conclusion: It was found that the student valued supervision, pedagogical and learning environment.Majority of nursing students experienced the content of supervisory relationship was the most importantdimension in CLES. This means that nursing students were oriented tounit settings/ wards by clinicalinstructor/teacher, they felt that they receive individualized supervision and continuous feedback andsuggestions of improvement from clinical instructors/teacher and there were frequent bed side rounds.

The Effectiveness of Breathing Exercises on the Physiological and Psychological Variables of Patients with Pulmonary Tuberculosis Shakuntala; Jaspreet Kaur; Monisha.K.Masih; Jyoti Sarin
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14413

A study to evaluate the effectiveness of breathing exercises on physiological and psychological variables of patientswith pulmonary tuberculosis in selected hospital at Ambala, Haryana.TB is a 7th killer disease in the world and one of the top 10 causes of death. Pulmonary tuberculosis (PTB) is aninfection, which causes widespread pulmonary fibrosis and cavitation, and often leaves the patient with a chronicrespiratory deficit as a result.Aims and Objectives: The aim of the study was to evaluate the effectiveness of breathing exercises on physiologicaland psychological variables of patients with pulmonary tuberculosis.Material and Methods: A quasi experimental design using non-equivalent control group pretest- posttest designwas conducted on 110 pulmonary tuberculosis patients (55 in comparison group and 55 in experimental group) inDOTS center of UPHC RavidasMajriInderpuri colonyAmbala city, UPHC Baldev NagarAmbala city, UPHC DurgaNagar Ambala city and CHC Mullana. The dependent variables were physiological variables (dyspnea, spo2, heartrate, respiratory rate) and psychological variables (anxiety, quality of life). Pretest was taken in UPHC Durga NagarAmbala city and CHC Mullana on day 1 and posttest was taken inUPHC RavidasMajriInderpuri colonyAmbala cityand UPHC Baldev NagarAmbala cityon day 30. In experimental group, breathing exercises were administered by theresearcher two times a week. Each session was of 30 minutes including 4 breathing exercises (pursed lip breathingexercise, diaphragmatic breathing exercise, deep breathing exercise and segmental breathing exercise) and eachexercise was performed for 6-8 times. Other days patients were estimated to perform breathing exercises themselvesat home and on day 30, posttest was taken.Results: Both the groups were homogenous with respect to physiological and psychological variables before theadministration of breathing exercises. On day 30, the mean dyspnea score and anxiety score of experimental groupwas significantly lower than comparison group (p<0.05). The quality of life of patients in experimental group wassignificantly better than comparison group at day 30.Conclusion:Based on the findings of the study, it can be concluded that breathing exercises are effective in reducingthe dyspnea, anxiety, HR and RR. Breathing exercises are effective in improving theO2saturation, blood pressure andquality of life among pulmonary tuberculosis patients.

Learning Styles: An Overview Amita Sood; Jyoti Sarin
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.15271

Learning styles aim to know variations in individuals’ learning. As per most of the theories, humans may be classified in line with their‘style’of learning. The term “learning styles” speaks to the understanding that each student learns uniquely. Learning is a vital experience for individuals of all ages. Based on Howard Gardner’s Theory of Multiple Intelligences, there are eight varieties of learning styles that everybody falls into which include visual, aural, verbal, physical, logical, social, solitary and naturalistic learning. Learning style inventories are designed to assist respondents verify learning style they have. These inventories usually take the form of a questionnaire that focuses on how folks prefer to learn. Learning style inventories are based on the thought that individuals have completely different strengths and preferences when it involves learning. Learning style inventories remain a preferred classroom tool despite the actual fact that research has found very little proof that matching a student’s learning preferences to instructional methods produces better educational outcomes. These are a few popular types of learning style inventories such as Kolb’s Learning Style Inventory (LSI), Fleming’s VARK Learning Style Questionnaire, Jackson’s Learning Styles Profiler (LSP), Learning Style Quizzes.In short, it is important to remember that there are a number of learning styles and learning style inventories. Each learning style has its own advantages and disadvantages. Knowing your learning style is not meant to limit you, instead to expand you – by helping you to learn, understand, work and live more efficiently.

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