Journal of Psychiatric Nursing

Introduction:   Sleep disturbances have been a major concern of physicians, psychologists and social scientists especially since last few decades because of the rising trend of different sleep disorders. Sleep is clearly necessary for survival, because prolonged sleep deprivation leads to physical and cognitive impairment. Objectives: A study was conducted to evaluate the effect of yoga on insomnia among post-menopausal women in selected areas of Vadodara.  Material and Method: The research approach used was Quantitative. The study was conducted using pre-experimental design with one group pre-test and post-test, on 30 post menopausal women in rural area of Vadodara using non-probability convenient sampling. The data were tabulated and analyzed in terms of objectives of the study, using descriptive and inferential statistics. Results: In the pre-test post-menopausal women had 55. 83% level of insomnia and mean score was 40.20 ±8.24. In the post-test post- menopausal women had average 35.28% of insomnia and mean score was 25.40±5.73. The post-test mean insomnia score was significantly lesser than the pre- test mean insomnia score, indicating the effectiveness of yoga. Conclusion:  The study findings revealed that yoga was highly effective in improving sleep quality of post-menopausal women.  
Keywords: Evaluate; Effect; Yoga; Insomnia; Post

Background: The health care system is changing incrementally and becoming more complex. As a result, many consumers seeking to take more responsibility for their health are turning to complementary and alternative therapies. The increased number of health care consumers choosing complementary therapies to augment treatment regimens and enhance health makes it imperative that the nurses become informed of these therapies and their utilization in the nursing practice.  Objectives: A study was conducted to assess the knowledge of nurses on complementary therapies to evaluate the effectiveness of educational intervention on complementary therapies among nursing professionals, and to find out association of knowledge with their socio demographic characteristics.  Material and Methods: Hundred nursing professionals above 20 years of age were studied. They were assessed for the level of knowledge on complementary therapies before the education/training, followed by the educational intervention carried out in relation to Therapeutic Yoga, Progressive Muscle Relaxation Therapy and Massage. The post test was carried out after the intervention by using structured questionnaire. The data were analyzed with descriptive and inferential statistics wherever required. Results: The results revealed that there was an improvement in the knowledge on complementary therapies (pre test mean score 8.79±2.12 and post test score was 16.19±2.65) with effectiveness of 37.05% was statistically significant (t=11.39, p<0.05). Nurses exhibited a positive attitude and valued the significance of complementary therapies. The knowledge had significant association with socio demographic variables like age, education and occupation. Conclusion: The educational intervention/training was useful in improving knowledge and enhancing the attitude on complementary therapies in nursing practice. It is essential to raise the awareness on significance of complementary therapies in health care practice and seek behavioral change among health care professionals to improve the health care services. 

Keywords: Educational intervention; Complementary therapies; Nursing professionals.

Aggression and violent behaviour can be attributed primarily to lower levels of serotonin. Apart from it there are other causes like family rearing practices, psychiatric illness or being under the influence of psychoactive substances. The risk factors in the potential for violence identified are past history of violence, client diagnosis and current behaviours. Working closely with aggressive and violent patients places the nurse at risk for being victimised. Rapid and efficient management of aggressive, violent and potentially violent patients is a critical skill. Effective violence management programs (that can be given as in-service education or induction program for nurses new to psychiatric units) can reduce the incidence of violence. Management of aggressive behaviour can be implemented to empower nurse practitioners to take precautions whenever necessary in a quick and efficient manner when dealing with aggressive, violent and potentially violent patients. Not all violence can be prevented, but with instruction, precaution, and training, violence can be successfully and effectively managed.
Keywords: Aggression; Violence; Debriefing; seclusion.

Psychosis is a state of having lost touch with reality. The chief symptoms of psychosis include hallucinations, which are false sensory perceptions of stimuli which are actually not present, and delusions, which are false and fixed beliefs not rooted in reality. Psychosis that develops in older individuals can be the result of a primary psychiatric disorder or secondary psychotic disorders including delirium, psychotic symptoms secondary to an identifiable medical condition or chemical agent (drugs or alcohol toxicity). Nurses make the assessment by taking history of the patient through interview, as well as by using formal questions and screening tools like Folstein’s MMSE. In case of secondary psychosis, it is important to treat the underlying cause. Nurses have to establish trust with the elderly patient through active listening, promote medication compliance by educating patient and family members. They need to provide training in social skills and family and community living, adaptation and adjustment.

Keywords: Morbidity; Psychosis; Older adults; Mental health.

Background: Alcoholism carries with it a host of social problems. Both the drinker and the family unit are affected. When the wife is a co-dependent it  interferes with the recovery of the alcoholic. Objectives: A study was conducted to assess the level of co-dependency and depressive symptoms among wives of alcoholics.   Methods: A descriptive Co-relational design was used to assess the co-dependency and depressive symptoms. Sample size was 100.  Non Probability Convenience sampling technique was used for selecting the samples. Results: 52% of the subjects were found to be moderately Co-dependent and 48% were found to be highly co-dependent. 75% of the samples had shown severe depression symptoms. Findings showed a positive correlation between co–dependency and depression. Significant relation was found between co-dependency and demographic variables like age, number of children, type of family, duration of married life, duration of alcohol consumption by husband and alcoholic history in parents .Significant relation was found between depressive symptoms and demographic variables like age, number of children, educational status, occupational status, type of family and duration of alcohol consumption by husband. Conclusion: The present study revealed positive correlation between co – dependency and depression among wives of alcoholics.  

Keywords: Co-dependency;  Depressive symptoms; Alcoholics.