Corona Virus Disease-19 (COVID-19) has caused psychological distress in patients with chronic diseases, irrespective of whether they had contracted COVID infection or not. However, coping with such serious impact is necessary and the outcome varies based on the coping strategies adapted. Hence this research was conducted to analyze the perceived psychological impact of COVID-19 on patients affected with selected chronic diseases and their coping strategies. Following proportionate stratified Sampling technique 144 Subjects, who had not contracted COVID-19 during the study period but were admitted with history of selected chronic diseases such as diabetes, hypertension, heart disease in selected acute care, adult wards of a tertiary care hospital in India, were selected for the study. After obtaining consent, data was collected through interview using researcher prepared instrument. Majority of the study Subjects (57.6%) were above 50 years of age and 56.9% were females. 13.6% of the subjects expressed moderate psychological impact due to COVID pandemic. 64% of the study subjects reported to practice less amount of avoidant coping. Majority of them (62.5%) had followed high amounts of emotion focused coping and 34% of them had followed problem focused coping. As we continue to face ongoing threats of COVID, it is our vital responsibility to teach patients and public on positive coping strategies to reduce their psychological impact and to prevent them from taking resort with maladaptive coping strategies.
In advanced age, manifestation of Lower Urinary Tract Symptoms (LUTS) can be bothersome and also seriously affect the day-to-day activities leading to benign prostatic hyperplasia (BPH). In this descriptive study, 150 subjects with symptoms for more than six months were assessed using International Prostate Symptom Score (IPSS) questionnaire for their severity of symptoms. Data was collected using IPSS questionnaire before and after explanation in their own languages for literate population. The description on additional explanation of IPSS tool was assessed. Descriptive statistics and paired t test were used for statistical analysis. The study showed that 12 percent of the subjects had mild symptoms, 52 percent with moderate and 36 percent with severe symptoms. Storage symptoms were more severe than voiding symptoms. There was a significant difference in explanation of symptoms such as frequency, urgency and quality of life. Identifying LUTS is the most important challenge for the health care personnel. A simple screening can provide adequate information to determine further steps in assessment. Hence it is necessary to explain the tool for proper assessment in subjects with LUTS thereby preventing errors in judging their treatment modality.
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