scholarly journals Reasons for Poor Medication Adherence in Patients with Depression

2016 ◽  
Vol 3 (2) ◽  
Author(s):  
D. Sri Chaitanya ◽  
S. Mounika ◽  
M. Chiranjeevi ◽  
Sk. Shafiya Begum ◽  
N. Uma Jyothi
Keyword(s):  
Medication Adherence ◽  
Prospective Observational Study ◽  
South India ◽  
Tertiary Care ◽  
Adherence Rate ◽  
Inclusion Criteria ◽  
Adherence Scale ◽  
Self Administered Questionnaire ◽  
Poor Medication Adherence

Background: Depression is one among the disorders that have always been targeted by researchers in India. In South India the prevalence is 15.1%. Large number of studies has been published from India revealing various aspects of this commonly prevalent disorder, but there is limited evidence for the non-adherence to anti depressants in India. Aim: To assess the reasons contributing for non adherence in patients with depression. Method: This is a prospective, observational study, conducted in a tertiary care teaching hospital, Guntur. Medication adherence was assessed using the eight-item Morisky Medication Adherence Scale (MMAS-8) and a self administered questionnaire during the period of 1st February 2015 to 31st July 2015(i.e. 6months). Results: A total of 60 patients met the inclusion criteria; 68.3% are females and 31.6% are males. Among those, 3 (5%) are highly adherent, 17 (28.33%) are moderately adherent and 40 (66.67%) are poorly adherent. Conclusion: The overall Non adherence rate is found to be high in the study. The results presented suggest that pharmacist instructions may improve adherence in depression. Clinical pharmacist in this regard has a major role to play in uplifting and improving the quality of life of the patient.

A STUDY ON ASSESSMENT OF RISK FACTORS, COMPLICATIONS AND QUALITY OF LIFE OF PATIENTS WITH HYPOTHYROIDISM IN A TERTIARY CARE HOSPITAL

2021 ◽  
pp. 38-40
Author(s):  
CH. Sridev ◽  
Samhitha Karnati ◽  
Likhitha Madari ◽  
Liyaqath Ali ◽  
Raviteja Nethula
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Prospective Observational Study ◽  
Tertiary Care ◽  
Care Hospital ◽  
Inclusion Criteria ◽  
Total N ◽  
Sf 36 ◽  
High Bmi

Background: Hypothyroidism is a syndrome which results from decreased production of thyroid hormones from thyroid gland and hence it can also be termed as underactive thyroid disease. Objectives: To assess the quality of life in patients with denovo hypothyroidism. To assess risk factors, complications in patients with hypothyroidism. Materials and methods: There was a total (N=100) number of participants enrolled in the study and are evaluated for risk factors and complications and among 100, 40 patients are Denovo hypothyroid who are assessed for quality of life. This is a prospective observational study in which the risk factors, complications and quality of life of patients is evaluated for those patients who are willing to give informed consent and meet the inclusion criteria. Results and Discussion: Referring to the ndings, the patients with high BMI, females and age around 20-30 are more prevalent. Patients who do not adhere to medications develop complications such as goiter and cvs problems but mostly obesity is seen and QOL of patients was studied using SF-36 and HADS scales. The initial mean was found to be less compared to the nal mean in SF-36 whereas in HADS the initial mean is high compared to the nal mean. The Patient's BMI was high initially and then reduced to normal.This implies that after educating the patient about the disease and need of medication the nal result shows there is improvement in the patient's QOL. P values of SF 36 and HADS are 0.0001 and 0.0314 respectively, which by conventional criteria was found to be statistically signicant. Conclusion: This study simply showed that the females, patients with high BMI and age around 20-30 are the major risk factors. Proper patient education, care and medication adherence are the cornerstones to help avoid complications and improve patients quality of life.

scholarly journals Migraine in Nursing Students—A Study from a Tertiary Care Center in South India

2021 ◽  
Vol 12 (01) ◽  
pp. 129-132
Author(s):  
Bindu Menon ◽  
Nikethana Remadevi
Keyword(s):  
Nursing Students ◽  
South India ◽  
Care Center ◽  
Tertiary Care ◽  
Work Productivity ◽  
Primary Headache ◽  
Tertiary Care Center ◽  
Headache Severity ◽  
Accompanying Symptoms

Abstract Objective Nursing profession is subject to occupational stress, which can be a trigger for headaches. Our study aimed to study the prevalence of migraine, its characteristics, triggers, and relieving factors among nursing students in a tertiary care center. Materials and Methods This study was performed in a super-specialty hospital in South India. A structured questionnaire captured data on the occurrence of headache, demographics, aura, triggering factors, relieving factors, and lifestyle habits. Results are presented in numbers and percentage. Results A total of 20% of nursing students in the study had headache of which 85% had migraine. Weekly and daily attacks were reported in 12 and 4% students, respectively. Twenty-two percent had headache severity of more than 5 visual analogue scale. Most common accompanying symptoms were photophobia (80%), phonophobia (70%), nausea (75%), vomiting (71%), neck pain (25%), and vertigo (20%). Thirty-nine percent had auras. Ninety-five percent reported triggers with 70% students having more than one trigger. Sleep was the relieving factor in 69%, head massage in 50%, and relaxing from work in 48%. Conclusion The most common type of primary headache in nurses in our study was migraine. More than three-fourths nurses reported triggers and relieving factors. Addressing these factors could help in managing migraines and help in improving the quality of life and increased work productivity of nurses.

scholarly journals Assessing the completeness of perioperative anesthetic record documentation in a tertiary hospital

2020 ◽  
Vol 24 (6) ◽  
Author(s):  
Hayatul Akma Bolhan ◽  
Nurlia Yahya ◽  
Azarinah Izaham ◽  
Wan Rahiza Wan Mat ◽  
Raha Abdul Rahman ◽  
...  
Keyword(s):  
Prospective Observational Study ◽  
Tertiary Care ◽  
Tertiary Hospital ◽  
Policy Statement ◽  
Anesthetic Record ◽  
Standard Guideline ◽  
Tertiary Care Institution ◽  
American Society ◽  
American Society Of Anesthesiologists

Background and Objective: Many previous studies assessing the completeness of perioperative documentation of surgical patients were reported to be inadequate and unsatisfactory. The aim of this study was to compare the perioperative anesthetic record (PAR) at our tertiary care institution to a standard guideline and have an audit of its completeness. Methodology: It was a prospective, observational study, done in the general operating theater of Universiti Kebangsaan Malaysia Medical Centre (UKMMC). We compared our PAR to the American Society of Anesthesiologists (ASA) policy statement on documentation of anesthesia care. We audited the completeness of PAR documentation of 358 patients by using a self-generated checklist which was created in accordance to the PAR parameters. A total of 44 parameters were studied covering three phases; preoperative, peroperative and post-operative phases. Results: Although the UKMMC PAR varied from the ASA guidelines, various salient parameters were identical in both. None of the perioperative forms were completely filled throughout the three perioperative phases. Out of 44 parameters studied, only 2 parameters were completely filled, which were medications administered and fluid therapy. Conclusion: Parameters given in the UKMMC PAR varied with the ASA guidelines and the documentation was found to be only partially complete. Hence, necessary modification of the current PAR in our institution, and the stress on filling it completely is needed to improve the quality of perioperative anesthetic documentation. Keywords: Audit; Completeness; Perioperative; Anesthetic record; Documentation Citation: Bolhan HA, Yahya N, Izaham A, Mat WRW, Rahman RA, Musthafa QA. Anaesth. pain intensive care 2020;24(6):--- Received: 23 April 2020, Reviewed: 17 August 2020, Revised: 18 October 2020, Accepted: 27 October 2020

scholarly journals Anxiety and Depression among nurses working in a tertiary care hospital in South India

2019 ◽  
Vol 6 (5) ◽  
pp. 1611
Author(s):  
Ashley Shajan ◽  
Catherin Nisha
Keyword(s):  
Nursing Staff ◽  
South India ◽  
Health Workers ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Anxiety And Depression ◽  
Human Society ◽  
Care Hospital ◽  
Factors Influencing

Background: Nursing binds human society with a bond of care and affection. Nurses are often the first healthcare professional that patients meet. Quality of care for patients is strongly linked to the performance of the nursing staff. If the mental health status of these nurses is troubled, then they will not be able to give their full attention to this demanding task. Nowadays, all efforts to fight health workers’ illnesses are extremely important. This descriptive cross-sectional study will give us knowledge regarding the anxiety and depression status among nurses and give the nursing staff an opportunity to express their difficulty in professional life working in a tertiary care hospital in South India. Objective of this study was conducted to assess the prevalence of anxiety and depression among nurses working in a tertiary care hospital and to assess the correlation between various factors influencing the level of anxiety and depression among nurses.Methods: Nurses were selected by simple random sampling till the sample size was obtained. A standardised questionnaire was handed over to the participants to collect relevant data and was assessed by Hospital Anxiety and Depression Score (HADS) and analysed using SPSS software.Results: The participants consist of 120 nurses. The study gives frequencies of nurses with anxiety as 48(40%) and depression as 43(35.8%). There does not exist any significant correlation of anxiety and depression with various factors influencing them.Conclusions: Anxiety and depression levels are increased in the younger and less experienced nurses. Thereafter, interventions can be planned to improve the quality of work-life of nurses that can improve patient care and in turn benefit the society.

scholarly journals A study on prevalence of depression in patients of vitiligo in tertiary care centre in South India

2019 ◽  
Vol 6 (1) ◽  
pp. 80
Author(s):  
Sneha R. Rathi ◽  
Ambresh S. Badad ◽  
Ashok S. Hogade
Keyword(s):  
South India ◽  
Tertiary Care ◽  
Specific Treatment ◽  
Severe Depression ◽  
Emotional Stimuli ◽  
Mild Depression ◽  
Tertiary Care Centre ◽  
Co Morbidity ◽  
Prevalence Of Depression

<p class="abstract"><strong>Background:</strong> Skin is an organ that has a primary function in tactile receptivity and reacts directly upon emotional stimuli. The effects on the quality of life as a result of acquiring vitiligo is highlighted.</p><p class="abstract"><strong>Methods:</strong> 100 patients with vitiligo were included in this study. A survey was done on the basis of Hamilton score of depression (HAM-D) having 17 different points that were supposed to be asked.<strong></strong></p><p class="abstract"><strong>Results:</strong> The majority of the patients in this study were in 3<sup>rd</sup> to 5<sup>th </sup>decade. Mean age is 42 years. Of these, males were 44 and females were 56. Of these, 25 (25%) patients did not show any signs of depression, 45 (45%) patients showed mild depression, 20 (20%) patients showed moderate depression and 10 (10%) patients showed severe depression on HAM-D scale.</p><p class="abstract"><strong>Conclusions:</strong> Vitiligo is a secondary psychocutaneous disorder which definitely has psychiatric co morbidity inthe form of depression. Treatment of vitiligo should include psychiatric counselling along with specific treatment.</p>

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