iosr-JNHS   Volume-8 ~ Issue-4 ~ July-August 2019

Abstract: The present study investigated the effectiveness of constraint induced movement therapy on sensory and motor functions of upper extremity among patients with cerebrovascular accident admitted in a tertiary care hospital, Kottayam. A quantitative approach with quasi experimental pre-test post-test control group design was used for the study. The conceptual framework, Betty Neumann's system model theoretically supported the study. Sixty patients with cerebrovascular accident were selected using non probability purposive sampling technique. The data were collected using socio personal and clinical data sheet, action research arm test sensory and motor function........

[1]. Mayfield Brain & Spine [Internet]. Ohio; Tonya Hines; 2015[updated 2017 Dec 23; cited 2018 Jan 2] Available from: https://www.mayfieldclinic.com/pe-anatbrain.htm.
[2]. Lewis S l, Heitkember M C, Drikson S R, O Brien P G, Butcher L. Textbook of medical surgical nursing. 7th edition. New Delhi: Elsevier; 2007, p.1466-1471.
[3]. Brunner & Suddarth's. Textbook of medical surgical nursing. 12th edition. New Delhi: Wolter Kluwer; 2011, p.1895-1900.
[4]. Stroke [Internet]. Wikipedia; 2017[updated 2017 Dec 10; cited 2018 Mar 15]. Available from: https://en.wikipedia.org/wiki/Stroke.
[5]. Hickey V Joanne. The clinical practice of neurological and neurosurgical nursing. 4th edition

Abstract: For people with mental illness, sense of being cared for, loved, accepted and supported sufficiently by others lead to increase life satisfaction of patients. Aim of the Study:This study aimedtoassess the level ofsocial support and life satisfaction among persons with mental disorders andinvestigate the relationship between them.Study design:descriptive cross-sectional design was utilized.Setting:The study was conducted at two settings; outpatient's clinic in Tanta Mental Health Hospitaland psychiatric outpatient clinicinTanta Universityhospital. Subjects: The........

Key words: life satisfaction, Social Support, mental disorders

[1]. Galuppi A, Turola M, and Nanni M. Schizophrenia and quality of life: how important are symptoms and functioning. International Journal of Mental Health Systems 2010; 4:31–38
[2]. Tamannaeifar, M. R., Behzadmoghaddam, R., 2016, Examination of the Relationship between Life Satisfactioand Perceived Social Support. International Academic Journal of Organizational Behavior and Human ResourceManagement, 3(3): 8-15.
[3]. Galuppi A, Turola M, and Nanni M. Schizophrenia and quality of life: how important are symptoms and functioning. International Journal of Mental Health Systems 2010; 4:31–38
[4]. Tough, H., Siegrist, J., Fekete, C., 2017, Social relationships, mental health and wellbeing in physical disability: a systematic review. BMC Public Health, 17(1): 414.
[5]. Medici C, Vestergaard C, et al. Quality of life and clinical characteristics in a non-selected sample of patients with schizophrenia. International Journal of Social Psychiatry 62(2016): 12-20

Abstract: Human Immunodeficiency Virus (HIV) is a disease that require new approaches in terms of bio-psycho-socio-spiritual. HIV disease has become a world pandemic that cause anxiety. Individuals who are HIV positive with high resilience will be having a spirit for life. Self-esteem refers to a thorough overview of the relevant individual self-esteem. This study aims to determine the relationship of self-esteem with the resilience of people living with HIV in the Karo health center. This research is an analytic survey research using cross sectional design which aims to make the measurement or observation at the same time. sample for this study based on kriteria.Populasi in this study as many as 514 people from the years 2010-2016 with the criteria of samples to be taken are not rehabilitated, sex, male and female, aged over 20 years. By statistical analysis Spearman correlation test.......

Keywords:Self Esteem, resilience, HIV

[1]. Djoerban, Z., &Irawan, H. Quality of life people living with HIV / AIDS: 128 Outpatient Hospital in Kramat Jakarta. Acta Med Indones, 44 (4),2012. 310-316.
[2]. Owens, TJ, Stryker, S., & Goodman, N. Extending self-esteem theory and research: Sociological and psychological current.New York: Cambridge University Press,201)
[3]. Grotberg, EH (2015). Resilience for today: Gaining strength from adversity. Greenwood Publishing Group.2015
[4]. Du, H., Li, X., Chi, P., Zhao, J & Zhao, G, Relation of Self-Esteem, psychological and social support in children affected by HIV. Journal of health psychology, 20 (12). 2015 1568-1578.
[5]. Dinas kesehatan Kabupaten Karo,2016

Abstract: Background: Burns are one of the most physically and psychologically devastating forms of trauma in children. They are also one of the most common household injuries and thus an important cause of morbidity and mortality. In both developed and developing countries, burn injuries have a significant impact on pediatric patients and may affect a range of body systems. The impact of these injuries on children and families is often long lasting. Aim: was to determine the effect of educational program on nurses' knowledge and practice related to care for children with moderate burn degree. Settings: The study was conducted at two sitting, Pediatric burn ward at Emergency Hospital of Main Tanta University and Pediatric burn unit at Sporting Hospital of Alexandria affiliated to the........

Keywords: Educational program, nurses' knowledge and practice, children moderate burn

[1]. Freidman E, Mallappallil M. Present and Future Therapies for Burn Patients. Singapore: World Scientific Publishing Co., 2010; 34-8.
[2]. Phillips D. Quality of life, concept, policy and practice. 1st ed. United States: Routledge Co., 2012; 14-28.
[3]. Connolly S, Hynes C, Mustapha A Murray D, Wallis B, Singer Y, Wood F, Burn Prevention Committee. 2010; 4: 1-13.
[4]. World Health Organization. Violence and injury prevention and disability 2016. Available at http://www.who.net/ voilenceinjury/burns. Retrieved on: 16/8/2018.
[5]. Agbenorku P, Fiifi-Yankson K. Pediatric burns mortality risk factors in a developing country's tertiary burns intensive care unit. Int J Burns Trauma 2013; 3: 151–8.

Abstract: Constipation is the most common chronic gastrointestinal disorders in adults. Among patients who undergo surgery, it is one of the common complication experienced by majority of the patients. Starvation, decreased mobility, effect of anaesthesia and drugs, decreased intake of food and preoperative anxiety lead to constipation. This causes discomfort and sometimes prolongs the hospital stay. This study was done to assess the knowledge and attitude of patients undergoing orthopedic surgeries regarding postoperative constipation. The findings reveal that 53.33% of patients have inadequate knowledge and 66.7% of the subjects had positive attitude towards the management of postoperative constipation.

Keywords: postoperative, constipation, knowledge, attitude, orthopedic

[1]. American College of Gastroenterology. (2005). An evidence based approach to the management of chronic constipation in North America, American college of Gastroenterology chronic constipation Task force PMID 16008640 Dol; 10.1111/ j. 1572- 0241.100 suppl: S 1 – 4 (pubMed)
[2]. Bharuchu AE, Dorn, SD, Lombo A, Pressman A (2013). American Gastroenterological Association Medical position statement on Constipation Review, 144 (1) 211- 217.
[3]. Trades M, Pedersen (2015) constipation defecation pattern the first 30days after hip fracture, Quasi – experimental design was applied, Nordic college of caring science, Denmark 21: 598 – 604.
[4]. Nyrop KA, Palsson OS, Levy RL et.al (2007) Costs of Health care for irritable bowel syndrome, chronic constipation, functional diarrhea & functional abdominal pain . Aliment pharmacol 26 : 237 – 48 (pubmed) https://www.ncbi. nlm.nih. gov
[5]. Fragakis A (2018) , Association between drug usage & constipation in the Elderly population of Greater Western Sydney Australia, Int. J. Environ, Res, Public health 15 (2) , 226; https:// doi.org / 10.3390 / ijerth 15020226

Abstract: Background: Assessments of patient satisfaction have become widely accepted as a legitimate and worthwhile approach to improvethe service quality. Satisfaction studies are common in areas such as general practice or midwifery, but the approach has hardly been applied to assess care for cancer patients. The healthcare goal is to provide the patient with the best health care and service possible. The service providers are in constant effort to better meet the patients' needs and expectations. Method: The study used a quasi-experimental research design. Setting: The study was conducted at the Oncology Center in Mansoura University Hospitals, Mansoura city, Dakahlia Governorate. The study sample was 94 women with breast cancer attending the previously mentioned setting for chemotherapy........

Key words: protocol, cancer, chemotherapy

[1]. Bonfiglioli, R., Musti, M. A., Collina, N., Stivanello, E., Giansante, C., De Lisio, S.,&Pandolfi, P. (2018). 1278 Work ability in breast cancer women survivors: a questionnaire-based study.
[2]. Early Breast Cancer Trialists' Collaborative Group. (2015). Aromatase inhibitors versus tamoxifen in early breast cancer: patient-level meta-analysis of the randomised trials. The Lancet, 386(10001), 1341-1352.
[3]. Timmermans, M., van der Aa, M. A., Lalisang, R. I., Witteveen, P. O., Van de Vijver, K. K., Kruitwagen, R. F., &Sonke, G. S. (2018). Interval between debulking surgery and adjuvant chemotherapy is associated with overall survival in patients with advanced ovarian cancer. Gynecologic oncology, 150(3), 446-450.
[4]. Bauersfeld, S. P., Kessler, C. S., Wischnewsky, M., Jaensch, A., Steckhan, N., Stange, R., &Michalsen, A. (2018). The effects of short-term fasting on quality of life and tolerance to chemotherapy in patients with breast and ovarian cancer: a randomized cross-over pilot study. BMC cancer, 18(1), 476
[5]. Klafke, N., Mahler, C., von Hagens, C., Blaser, G., Bentner, M., &Joos, S. (2016). Developing and implementing a complex Complementary and Alternative (CAM) nursing intervention for breast and gynecologic cancer patients undergoing chemotherapy—report from the CONGO (complementary nursing in gynecologic oncology) study. Supportive Care in Cancer, 24(5), 2341-2350

Abstract: Background: HIV virus is a leading cause of morbidity and mortality in the world with 36.7 million people living with the virus globally (UNAIDS 2017). Its managed through ART treatment whose success greatly depends on high levels of adherence (>95%). Purpose: This study was to determine the factors influencing antiretroviral therapy (ART) adherence among adult HIV positive patients attending a rural hospital in Kenya. Methodology: An institutional based cross-sectional study was conducted at Mang'u Integrated AIDS Program. Systematic Simple sampling was......

Key words: ART, Adherence, Factors influencing adherence

[1]. Achappa et al. (2013). Adherence to Antiretroviral Therapy among people living with HIV: North American Journal of Medical Sciences vol. 5(3).
[2]. Chaiyachati,etal.(2014).Interventionstoimproveadherencetoantiretroviraltherapy;arapidsystematic review,pdf.
[3]. EyassuA.,TebogoM.,MbamboK.,(2015).AdherencetoantiretroviraltherapyamongHIVand AIDS patients at the Kwa-Thema clinic in Gauteng Province, South Africa
[4]. Heestermans, T., Browne, J. L., Aitken, S. C., Vervoort, S. C., & Klipstein-Grobusch, K. (2016). Determinants of adherence to antiretroviral therapy among HIV-positive adults in sub-Saharan Africa: A systematic review. BMJ Global Health, 1(4), 1–13. https://doi.org/10.1136/bmjgh-2016-000125
[5]. Kalichman, C. &Grebler, T. (2010). Stress and poverty predictors of TreatmentAdherence among people with low-literacy living with HIV/AIDS. National Institutes ofHealth.

Abstract: Triage is an essential step in providing quality emergency care. More than 16 million patients are present each year in the emergency's departments of the Kingdom of Saudi Arabia (KSA). Objective of the work: to evaluate the implementation of the triage and acuity's scale of Emergency Department in Canada . Research design: an exploratory quantitative descriptive design. Setting: Prince Mutaib Bin Abd El Aziz Hospital in Al-Jouf Region. Sample:31 nurses attending the emergency room patients of this hospital included in the study. Tool : a structured questionnaire for interviews and the perception scale of nurses on the implementation of the triage system in the emergency unit.......

Key Concepts: perception, triage, emergency department.

[1] Aiken, L. H., Havens, D., S., Sloane, D., M. (2000). Magnet nursing services recognition programme. Nursing standard, 14:41–47.
[2] Al-Arabi, Y., Al-Shimemen, A. (2003). Improving resource utilization in intensive care units, a challenge for Saudi hospitals. Saudi Medical Journal, 24:131–137.
[3] Aljohani, M. (2011). Emergency department triage in Saudi Arabia: towards a standardised national triage system. Monash University. Faculty of Medicine, Nursing and Health Sciences. School of Nursing and Midwifery; Australasian Emergency Nursing Journal, 11(4).
[4] Almes, E., Davis, B. A., Elder, R. & Littlepage, N. (2004). Patient satisfaction with triage nursing in a rural hospital emergency department, Journal of Nursing Care Quality, 19(3)263–268.
[5] Aragon, D. (2010). Nurse staffing and patient outcomes in critical care: a concise review. Critical Care Medicine, 38 (7): 1521-1528.

Abstract: Aim of the Work: The purposes of this study were to assess the prevalence and the levels of depression on family members for cardiac patient in Prince Mutaib Bin Abd El Aziz Hospital in Aljouf. Subjects and Method: A descriptive design was used to detect the prevalence and the levels of depression among family member of cardiac patient. A convenience sampling procedure was used to recruit participants for this study. Tools: 1) A self-administrated questionnaire. 2) Beck's Depression Inventory. Result: The current study showed that 55.7% of the study sample had severe level of depression. Also, the result findings illustrates that patient gender, age and education, as a sociodemographic variables have no effect on total depression scores,.......

Keywords: depression, family members, admission, cardiac Diseases

[1] L. Żywko, and D. Gazda, Anaesthesiology intensive therapy, 44, (3), 2012,145–149 .
[2] T. Paparrigopoulos, A. Melissaki, A. Efthymiou et al,Short-term psychological impact on family members of intensive care unit patients. Journal of Psychosomatic Research,61, 2006, 719–722
[3] F, Pochard ,Symptoms of anxiety and depression in family members of intensive care unit patients before discharge or death. A prospective multicenter study. Journal of critical care,1(20), 2005, 90–96.
[4] T. Kinrade, C.Jackson , and E. Tomnay, The psychosocial needs of families during critical illness: comparison of nurses' amd family perspective. Australian Journal of Advanced Nursing, 27, 2009, 82–88.
[5] S. Verhaeghe , T. Defloor, F.van Zuuren, M. Duinstee,and M. Grypdonck , The needs and experiences of family members of adult patients in an intensive care unit: a review of literature. Journal clinical nursing, 14,2005, 501–509

Abstract: This study aims to analyze the relationship of resources and the relationship of bureaucratic structures to the implementation of regional policies without smoking. The design of this study used a descriptive analytical design with a cross sectional study approach to determine the relationship of resources and bureaucratic structure to the implementation of regional policies without smoking. The sample in this study uses a total sampling technique so that the entire population is sampled as many as 196 respondents. The research data were analyzed using univariate analysis and bivariate analysis with the help of SPSS version 21 software. The results showed that: (1) sufficient resources had no relationship to the successful implementation of regional policies without smoking, and (4) a good bureaucratic structure had no relation to successful implementation of regional policies without cigarettes.

Keywords: resources, organizational structure, implementation of policies, areas without cigarettes

[1]. Agustino, L. P. (2016). Dasar-Dasar Kebijakan Publik (Edisi Revisi). Bandung: Penerbit ALFABETA Bandung.
[2]. Almeida, L., Szklo, A., Sampaio, M., Souza, M., Martins, L. F., Szklo, M., Malta, D., Caixeta, R. (2012). Global Adult Tobacco Survey Data as a Tool to Monitor the WHO Framework Convention on Tobacco Control (WHO FCTC) Implementation: The Brazilian Case Environmental Research and Public Health, 9, 2520-2536.
[3]. Armayati, L. (2014). Faktor-Faktor yang Mempengaruhi Kepatuhan Mahasiswa Dan Karyawan Terhadap Peraturan Kawasan Tanpa Rokok di Lingkungan Kampus Fakultas Psikologi Universitas Islam Riau. Jurnal RAT, Volume 3 Nomor 3, 543-550.
[4]. Azkha, N. (2013). Studi Efektivitas Penerapan Kebijakan Perda Kota tentang Kawasan Tanpa Rokok (KTR) dalam Upaya Menurunkan Perokok Aktif di Sumatera Barat Tahun 2013. JurnalKebijakan Kesehatan Indonesia, 2(4), 171-179.
[5]. Azmi, F. Z., Istiarti, T., Cahyo, K. (2016). Hubungan Penerapan Kawasan Tanpa Rokok (KTR) Dengan Perilaku Merokok Mahasiswa Kesehatan Masyarakat di Kota Semarang. Jurnal Kesehatan Masyarakat, Volume 4 Nomor 3, 995-1004

Abstract: This study aims to determine the effect of factors that influence the behavior of pregnant women on the incidence of LBW which includes parity, LILA, occupation of pregnant women, distance of pregnancy, consumption of Fe tablets, and ANC examination. The research method used is a survey method with a Cross Sectional Study approach. The number of samples in this study were 88 people based on the Slovin formula of as many as 112 study populations. Data analysis methods used logistic regression using the SPSS program (Statistical Package for Social Sciences) version 21.Based on the results of the study it can be concluded that:(1) Parity does not affect the.....

Keywords: parity, LILA,job status of mother,consumption of Fe tablets,ANC examination, LBW.

[1]. Bansal, Prerna, Sandeep Garg, Hari Prasad Upadhyay. (2018). Prevalence Of Low Birth Weight Babies And Its Association With Socio-Cultural And Maternal Risk Factors Among The Institutional Deliveries In Bharatpur, Nepal 2018
[2]. Bhoknal, Kavita. (2018). Effectiveness of Health Education Package on Knowledge and Practice Regarding Care of Low Birth Weight Babies (LBW) Among Post Natal Mothers 2018
[3]. Bhue, Pradip Kumar, Himansu Prasad Acharya, Subrat Kumar Pradhan, Pratima Biswal, Amit Pritam Swain, Durga Madhab Satapathy. (2018). Socio-Demographic Factors Associated With Low Birth Weight In A Tertiary Care Hospital Of Odisha 2018
[4]. Bililign N, Legesse M & Akibu M. (2018). A Review of Low Birth Weight in Ethiopia: Socio-Demographic and Obstetric Risk Factors 2018
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Abstract: This study aims to determine the risk of the child's self concept and the role of peers in the incidence of sexual violence in children in Palopo City. The design of this study is quantitative research using analytic observational methods with a case control study design for 39 respondents. Data analysis techniques used univariate analysis, bivariate analysis, and multivariate analysis with logistic regression and data processing using SPSS version 23. The results showed that: (1) children's self-concept is a risk factor for sexual violence in children in Palopo City where children with a high-risk self-concept, the risk is 8.311 times compared to children who have a positive self-concept, and (2) the role of peers is a risk factor for the incidence of sexual violence in Palopo City with a negative peer role (high risk) 4,750 times compared to positive peer role (low risk).

Keywords: self-concept, peers, sexual violence, children

[1]. Abshor,MK.2018. Faktor Risiko Terjadinya Pelecehan Seksual Pada Anak (Studi Kasus pada Anak Laki-laki Korban Pelecehan Seksual).Surakarta ,Universitas Muhammadiyah.
[2]. Agustiani,Hendriati.2006. Psikologi Perkembangan. Bandung, Refika Aditama.
[3]. Boney-McCoy, S., & Finkelhor, D. (1995). Prior victimization: A risk factor for child sexual abuse and for PTSD-related symptomatology among sexually abused youth. Child Abuse & Neglect, 19(12), 1401-1421.
[4]. Carrol,Annemaree,Stephen,D.K & H.J.A. 2009. Adolescent Reputations and Risk, New York. Springer Science Business Media.
[5]. Darmayanti, Yuniar Lestari, Mery Ramadani. 2011. Peran Teman Sebaya Terhadap Perilaku Seksual Pra Nikah siswa SLTA Kota Bukittinggi. Jurnal Kesehatan Masyarakat 6(1),24-27.

Abstract: Objective: To investigate the effects of Pilates mat exercises on postural stability, ventilatory functions and functional capacity in patients with chronic obstructive pulmonary diseases(COPD) Methods: a randomized controlled study involving 38 COPD patients were recruited from Elmataria teaching hospital, cairo, Egypt : 19 patients represents the study group and performed Pilates mat exercises for 12 weeks (three 60-min session per week) in addition to diaphragmatic breathing exercises and 19 patients represented the control group and performed diaphragmatic breathing ex only. The variables studied (before and after the intervention) were postural stability indices, ventilatory functions (FVC% of predicted and FEV1 % of predicted), and functional capacity (6 MWT).........

Keywords: Pilates exercises, postural stability, ventilatory functions, functional capacity, COPD

[1]. Garcia-Aymerich J, Lange P, Benet M, Schnohr P, Anto JM. Regular physical activity modifies smoking-related lung function decline and reduces risk of chronic obstructive pulmonary disease: a population-based cohort study. Am J Respir Crit Care Med 2007; 175: 458–463.
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[5]. Walker PP, Burnett A, Flavahan PW, Calverley PM. Lower limb activity and its determinants in chronic obstructive pulmonary disease. Thorax 2008; 8: 683–689.