Indian Journal of Surgical Nursing

Background: Chronic kidney disease (CKD) has a significant impact on a person’s social, emotional, and physical health. Understanding the factors influencing the health-related quality life and lifestyle (HRQoL) of this demographic is crucial for providing comprehensive patient care. Objectives: To investigate the main behavioral, psychological, clinical, and sociodemographic factors that affect HRQoL in CKD patients. Methods: 280 CKD patients who visited nephrology clinics at three tertiary hospitals participated in a cross-sectional study. The Kidney Disease Quality of Life (KDQOL-36) questionnaire was used to measure HRQoL. Information was gathered on lifestyle factors, laboratory parameters, comorbidities, sociodemographics, and psychological distress (as measured by the Hospital Anxiety and Depression Scale). To find independent determinants of HRQoL, multiple linear regression was employed. Results: Reduced HRQoL was significantly correlated with depression (β = -0.42, p < 0.001), unemployment (β = -0.25, p = 0.02), lower education level (β = -0.21, p = 0.03), diabetes (β = -0.27, p = 0.01), and physical inactivity (β = -0.19, p = 0.04). 61% of the variation in HRQoL was explained by the regression model (adjusted R2 = 0.61). Conclusion: In CKD patients, comorbid conditions, socioeconomic position, and psychological well-being have a major influence on HRQoL. To improve quality of life, integrated care that addresses both clinical and psychosocial aspects is advised. Author’

Background: Near about 80% of all hospitalized patient receiving intravenous therapy for their treatment and diagnostic procedure, 20-80% of them develop phlebitis. Phlebitis is a major issue which indicate lack of quality patient care. Objectives: To assess the effectiveness of magnesium sulphate compression on phlebitis and to find out association between level of phlebitis and sociodemographic variables among 30 hospitalized patient in medical and surgical ward of District Hospital Howrah, West Bengal. Design and methods: A one group pre-test post-test quasi-experimental study was adopted, the study based on general System Model proposed by biologist, Lodwig Von Bertalenffy in 1986. A valid reliable structured Visual Infusion Phlebitis (VIP) Scale and semi structured interview schedule was used to collect data from respondents who were selected through non-probability purposive sampling. Results: 40% of patients with intravenous therapy for 3-4 days in cephalic insertion (46.7%) having phlebitis among them 73.3% of patients received Isotonic solution through 20G cannula 86.7%. 63.3% of patients had 2 times attempt for insertion of cannula. Pre and Post-test Mean score level of phlebitis was 2.97 and 1.93 with mean difference of 1.04 which is statistically significant at 0.01. There were significant association between type of fluid and duration of administration and level of phlebitis at 0.05 level. Conclusion: The study concluded that magnesium sulphate and glycerine compression is effective for reducing the level of phlebitis. The study result has different level of implications in nursing practice, education, administration and nursing research.

Background: Renal Calculi, or commonly known as Kidney Stones, are hard deposits made of crystals that accumulate in the urinary tract. These crystals are primarily formed when calcium and oxalate combine. These stones usually start in the kidney and find their way out through the urinary system. Renal Calculi is a painful condition that cause obstruction of urine flow in the renal collecting system, ureters, or urethra and result in severe pain, bleeding, or local erosion of kidney tissues. Aims: To assess the knowledge of client regarding Renal calculi. Material and Methods: An systematic approach with one group pre-test and posttest design (pre- experimental) was adopted in order to evaluate effectiveness of structured teaching programme on prevention and management of renal calculi at Gandhi hospital, Secunderabad, Andhra Pradesh. Results: Majority of the sample belonged to age group 21 – 35 years (76.10%.), male (51.67), having intermediate school education (63.3%), doing business (50%), having family income of Rs 9001 – 12000 (66.7%), Hindu background (68.33%), Non-vegetarian (60%). There was a significant difference between pre-test and post-test knowledge scores (t(47) =32.81, P<0.05; Tabled value = 2.02). • There was significant association between pre-test and post test knowledge scores and age. mean score in pretest 9.50 and post test: 21.05 (36-50 years). Conclusion: kidney stones can have significant implications for kidney health, potentially leading to changes in kidney shape through various mechanisms. As prevention is better than cure so adequate knowledge and proper care should be taken to reduce Morbidity.

Background: This study is done to know knowledge and practical understanding of Lazarus syndrome. This helps as to know the level of practical understanding and helps in providing knowledge. This study will provide a clearer picture of critical emergency and provide more information on the unique characteristics of the epidemic in India. this research was carried out to evaluate the degree of and practical understanding of Lazarus syndrome among staff nurses in selected Hospital Coimbatore. Material and methods: The researcher adopted the quantitative approach. Purposive sampling technique was used in this study. Data were gathered from each sample using the purposive sampling technique based on the inclusion and exclusion criteria on level of knowledge and knowledge on practice towards Lazarus syndrome. It was assessed through questionnaires. Conclusion: Chi-square analysis was done to identify the relationship with demographic variables like age, gender, education, occupation, marital status, religion, area of living, type of diet, type of working at present, history of migration during lockdown, pre-existing co-morbid. The data are evaluated using descriptive and inferential statistical methods, and it is discovered that 13 (32.5) of them had inadequate knowledge, 10(25%) had moderate knowledge, and 17 (42.5%) had adequate knowledge.