RFP Journal of Gerontology and Geriatric Nursing

Abstract Depression is a potentially preventable disease if appropriate screening and prophylactic strategies are employed. However, lack of knowledge and awareness can result in underutilization of the preventive strategies. We assessed the knowledge among men and women in selected old age home of Surat district. We conducted a comparative study on men and women of selected area. Data were collected using a survey method and selfadministered questionnaire related to geriatric depression scale. Data analysis was done using descriptive and inferential statistics. Results. Data from 60 participants were included in the final analysis.Difference between men and women was 3.7, the median difference between men and women was 4.1, the mode difference between men and women was 2, the standard deviation difference between men and women was 0.54. That is indicate men have more depression rather than women. Conclusions. Our study population showed depression of men and women. Preventive interventions including education for individuals with chronic illness, behavioural activation, cognitive restructuring, problem-solving skills training, group support, and life review have also received support Keywords: WHO-World health organization; SD-Standard deviation; HO-Null hypothesis; H1-Research hypothesis.

Problem Statement: “A study to assess the effectiveness of structured teaching program on the knowledge of caregivers of schizophrenic patients in Psychiatric ward, New Civil Hospital, Surat.” Objectives • To assess the knowledge of caregivers of schizophrenic patients. • To implement a structured teaching program to the caregivers regarding schizophrenia. • To assess the effectiveness of a structured teaching program on caregivers of schizophrenic patients. • To correlate the demographic data of the caregivers of schizophrenic patients to Post test knowledgescore. Methodology: The research design is pre experimental one group pre test post test design; research setting selected was Psychiatric Ward, New Civil Hospital, Surat, 30 caregivers of schizophrenic patients were selected as sample. Structured questionnaire was used as tool for data collection, lesson plan was prepared which was used as intervention. Pre test was conducted and structured teaching program was administered and after a time of 7 days post test was done to assess the effectiveness of structured teaching program. Data Analysis: Collected data was presented and analysed in both descriptive and inferential statistics. Pre - test and post test results were assessed, then demographic variables were correlated with the post - test knowledge score. Results: The mean post test knowledge score was higher than mean pre - test knowledge score with the mean difference of 5.1 which was statistically proved and it revealed that the structured teaching program was effective. The calculated ‘t’ was greater than tabulated ' t ' and so the investigator concluded that there was significant increase in the mean post - test knowledge score as compared to the mean pre - test knowledge score after the administration of the structured teaching program . The calculated chi - square value was greater than tabulated value for selected demographic variables which proved that there was significant relationship between selected demographic variables and mean post test result. Conclusion: Knowledge deficit existed in all the caregivers of Schizophrenic patients regarding Schizophrenia admitted in Psychiatric ward of New Civil Hospital, Surat. The Structured teaching program was found to be effective in enhancing the knowledge of samples regarding Schizophrenia. Samples gained significant knowledge and enhance the skill after expose to Structured Teaching Program. There is significant relationship between selected demographic variables and the post test knowledgescore. Keywords: Schizophrenic patients; New Civil Hospital; Research design; Deficit existed

Context: Thyroid hormone causes significant changes on the regulation of glucose homeostasis including IR [Insulin resistance]. There are no remarkable studies researching IR in geriatric and nongeriatric patients of Subclinical Hypothyroidism [SCH] and the changes observed with thyroxine treatment. Aims: To analyse Insulin resistance in newly detected SCH and Thyroxine supplemented cases of SCH and its comparison in elderly. Settings and Design: It was an observational cross-sectional hospital-based study. Methods and Material: It involved 120 SCH patients aged more than 18 years. Group A comprised 60 cases of newly diagnosed SCH cases and Group B was 60 SCH patients on thyroxine treatment for at least 3 months. For both the groups FBS, Fasting Insulin levels and HOMA IR [Homeostatic model assessment -estimated Insulin resistance] was calculated. Statistical analysis used: Inferential statistics was done using Mann Whitney U test and Pearson product moment correlation tests. Results: Group A consisted of 17 geriatric patients and group B had 19. Females made up 71% in group A and 83% in group B in both age groups. Comparison of Fasting Insulin levels and HOMA IR between A and B groups showed a significant difference (at 0.01 level). The duration of treatment had inverse correlation with HOMA IR with p=0.007 in non-geriatric population but not in geriatric population. Conclusions: Insulin resistance is present substantially in patients with newly detected SCH and decreases after administration of thyroxine in both geriatric and nongeriatric population. Keywords: BMI; Fasting Insulin levels; Geriatric; HOMA IR; Non-geriatric; Subclinical hypothyroidism;