Mader e Milat International Journal of Nursing and Allied Sciences

Effect of Preoperative Anxiety on Postoperative Hemodynamics and Recovery in Laparoscopic Cholecystectomy

2024-04-02T07:17:42+00:00

The present study investigates the impact of preoperative anxiety on postoperative hemodynamics and recovery in patients undergoing laparoscopic cholecystectomy. Preoperative anxiety is a common concern that may have detrimental effects on surgical outcomes and patient well-being. Understanding the relationship between anxiety levels and postoperative parameters is crucial for improving the quality of care provided to surgical patients. A total of 51 patients, including 29 females and 22 males, scheduled for laparoscopic cholecystectomy, participated in the study. Patients were categorized based on their preoperative anxiety levels. The gender distribution showed that females constituted approximately 56.9% of the participants, while males accounted for 43.1%.Preoperative anxiety was assessed using the Generalized Anxiety Disorder 7-item scale (GAD-7). The results revealed that 37.3% of patients experienced preoperative anxiety, with 2.0% categorized as minimal anxiety, 27.5% as mild, 51.0% as moderate, and 19.6% as severe anxiety. The postoperative recovery of patients was evaluated using the Post Anesthesia Discharge Scoring System (PADSS). The analysis demonstrated that 62.7% of patients achieved the necessary discharge score, indicating successful postoperative recovery. An association analysis was conducted to examine the relationship between anxiety levels and both postoperative recovery and hemodynamics. The results showed significant correlations between preoperative anxiety and postoperative recovery (p = 0.039) and hemodynamics changes (p = 0.040). Patients with lower anxiety levels exhibited same-day recovery with minimal hemodynamic fluctuations, while those with moderate to severe anxiety experienced delayed recovery and greater postoperative hemodynamic changes. The study's findings underscore the critical importance of addressing preoperative anxiety in laparoscopic cholecystectomy patients. By implementing interventions to reduce anxiety levels, healthcare professionals can enhance postoperative outcomes and promote improved patient well-being. Further research should explore additional factors contributing to preoperative anxiety and evaluate the effectiveness of interventions in reducing anxiety levels. By adopting comprehensive strategies to address preoperative anxiety, healthcare providers can optimize patient care and enhance overall surgical outcomes.

Impact of Advanced Technology on A Teenager’s Health

2024-04-02T07:27:21+00:00

This study investigates the influence of technology use on teenage health. A varied sample of teens took part, and their screen time, age, gender, race, and socioeconomic level (SES) were linked to overall health ratings. The results show a negative relationship between screen time and health, with each unit increase in daily technology usage resulting in a 0.50 point fall in health score. Age and health were shown to have positive connections, implying that with maturity comes improvement. Women scored lower on the health scale than men. Positive associations between race and socioeconomic status need more examination, which may hint to health disparities.

Dietary Behavior of Toddlers Between 2 To 6 Years in Pakistani Population-A Descriptive Study

2024-04-02T09:07:58+00:00

This research explores the dietary behaviour of toddlers aged 2 to 6 years in the Pakistani population, aiming to address the dearth of comprehensive studies in this crucial demographic. The study encompasses a cross-sectional design involving 200 children, combining anthropometric measurements, maternal and socioeconomic factors, breastfeeding practices, and dietary patterns to provide a holistic understanding of stunted growth.

The findings reveal a 38% incidence of stunted growth, emphasizing the multifaceted nature of child health. Demographically, the study includes a diverse gender distribution (54% males, 46% females) and an age range of 2 to 6 years. Anthropometric measurements showcase variability in weight (8 to 30 kg), height (59 to 118 cm), and BMI (20.683).

Maternal and socioeconomic factors play a crucial role, with 80.5% of mothers having some formal education, and 57.5% of parents belonging to the low socioeconomic group. Breastfeeding practices are prevalent (76.5%), but variations in exclusive breastfeeding duration (5.03 months) suggest potential influences on growth patterns.

The Food Frequency Questionnaire (FFQ) delves into dietary habits, indicating inadequate intake of fruits, vegetables, and proteins. Parental food restrictions (58.5%) are driven by concerns about potential indigestion, though no signs of intolerance are evident.

Statistical analysis establishes associations between stunted growth and socioeconomic status (p<0.001), inadequate intake of fruits (p=0.019), inadequate intake of vegetables (p=0.025), inadequate intake of proteins (p=0.014), and gender (p=0.567).

This research provides a comprehensive overview of stunted growth in Pakistani children, emphasizing the need for targeted interventions. Recommendations include enhancing maternal education, promoting breastfeeding, and implementing nutrition education for parents. Policy integration, community engagement, and regular growth monitoring are essential for addressing this complex public health challenge.

The Diabetic Patients and Their Physiological Complications at Bolan Medical Complex Hospital Quetta, Balochistan

2024-04-29T15:55:54+00:00

Diabetes is expanding all around the world and antagonistically influencing the personal satisfaction. Constant hyperglycemia prompts confusions like neuropathy, nephropathy and retinopathy and cardiovascular illnesses. The current review was worried about on a mission to screen the concern of confusions connected with diabetes in Bolan Clinical Complex (BMC) Medical clinic Quetta, Balochistan. Socio-segment and body mass index (BMI) gathered arbitrarily from 200 patients at BMC Medical clinic Quetta. Blood profile tests collected and examined cholesterol and glucose levelsin patients. Among these diabetic patients, 53 % were viewed as ongoing of activity while 47 % had an inactive way of life. 72 % observed in higher blood pressure where as 28 % had ordinary pulse. The patient’s predominance of various confusions connected with diabetes and illnesses. The pervasiveness pace of difficulties was tracked down more noteworthy in type 2 diabetes when contrasted with type 1 diabetes. Primary justification behind distinction observes more significant cholesterol and glucose levels in patients. Measurable investigation observed in connection persistent cholesterol and glucose. More elevated cholesterol and glucose levels less actual work are answerable for predominance of confusions connected with patients. Mindfulness the administration on clinical boundaries active work is essential for patients.

Prevalence of Asthma and Allergen in Bolan Medical Complex and Sendeman Provincial Tertiary Care Hospitals Quetta Balochistan

2024-04-29T16:15:39+00:00

The purpose of this study is to assessment in early childhood the allergen effects and asthma in under age of 10 years at Two Tertiary Care Hospitals BMC & SP in Quetta, Balochistan. To determine the risk factor involved in the development of childhood asthma in Quetta, Pakistan. This clinical-based study was conducted from March to August 2023, (06 months). Total 762 children of age 6 months to 10 yearswere enrolled in the study who attended the Pediatrics Department of BMC & SP in Quetta. Children were divided into two groups based on observations and clinical records, one group of asthmatic patients consist of 381 participants while the second control group contains 381 non-asthmatic patients. All 762 children were residents of Quetta and near by areas of Baluchistan. Children with good compliance between the ages of 6 months to 10 years who met the diagnostic criteria for bronchial asthma were part of the study. Children with primary or secondary immunodeficiency, combine with other serious diseases such as liver and kidney failure and arrhythmia. Children who had throat disease, pulmonary tuberculosis, bronchial pneumonia, congenital heart disease, and abnormal respiratory system structure were excluded from study. Patients had a history of allergies (OR= 3.78, 94% Cl= 2.79-4.77), and asthma (OR= 5.2, 94% Cl= 2.15-5.67, P<0.11) were strongly associated with the development of asthma in childhood. From the environmental factors passive smoking had great contribution to develop childhood asthma (OR= 3.17, 94%Cl= (2.63-4.47)), new house renovation (OR= 1.54, 94%CI=1.31-1.53), weather changes (OR= 0.37, 94% Cl= 0.73-0.97), and pet feeding history (OR= 1.39, 94% Cl= 0.31-1.72), also had significant association with childhood asthma. Modestly association was found with obesity (OR=1.04, 94%CI= 0.91-1.13), and cesarean section (OR= 0.28, 94% Cl= 0.16-1.39). Breast feeding (OR= 0.78, 94% Cl= 0.77-0.51) had no association with asthma while premature delivery (OR=3.37, 94%CI=2.65-3.16) low birth weight (OR=2.23, 94%CI=2.74-2.46) and early exposure to antibiotic in infant and young children (OR=1.48, 94%CI= 1.49-3.09) had significant association. Family history had a mean value 176.9 ± 0.68 with p-value <0.004 that means a patient with a family history of asthma were greater, similarly environmental factor was found more common in asthma patients 157.7 ± 0.83. Self-factor (139.5 ± 0.79) and pregnancy factor (94 ± 0.74) had significant impact p=<0.05. The current study indicates that asthma is a multi-factorial disease related to both familial and environmental influences. Childhood asthma was strongly associated with a family history, environmental factor and self –factor. Pregnancy factors were linked to varying degree of risk of developing asthma. Breast feeding had no significant impact on developing childhood asthma. Children living with at least one smoker were the worst risk factor among all the environmental factors that induce asthma in children. The study also highlights the need to educate the parents about the risk of smoking in development of Asthma.