Background: Diabetes is a chronic illness with silent manifestations, which can be better managed by the individual through self-care behaviors such as diet control, proper exercise, monitoring blood glucose, and adherence to dug. Objective: The present study was conducted to assess the prevalence of existing self-care behaviors among people with diabetes and its associated factors. Methods: It was a community-based, cross-sectional study conducted in an urban slum in Hyderabad. A total of 208 cases of diabetes mellitus were interviewed. The details of diabetes self-care activities were recorded by using the modified Summary Diabetes Self-care Activities Questionnaire. The data were analyzed by applying SPSS US at 24, and the factors associated with good self-care behavior were found. Results: The study revealed that the prevalence of good dietary behavior, good exercise behavior, good monitoring behavior, and good drug adherence was 29.8%, 30.3%, 44.2%, and 56.3%, respectively. Education of secondary class and above (odds ratio [OR] 3.001; 95% confidence interval [CI]: 0.139–6.447) was found to be associated with good dietary behavior, and male gender (OR 3.691; 95% CI: 1.965–6.936) was associated with good exercise behavior. Good monitoring behavior and good drug behavior were found to be associated with higher socioeconomic status (OR 4.540; 95% CI: 2.418–8.522) and age 50 years and above (OR 3.4; 95% CI: 1.731–6.675), respectively. Conclusion: Good dietary and exercise behavior were found poor in comparison to good monitoring behavior and drug adherence. The factors significantly associated were male sex, higher education, higher socioeconomic status, and age above 50 years.
Background: Nursing students are at extremely high risk for experiencing stress, anxiety, and depression due to their varied circumstances. Indian studies has revealed, moderate stress among 77-82% of nursing students. The better the nursing students can manage their stress and anxiety and adopt healthy coping strategy, the more successful they can be in their clinical training and academic performance. Objective of the current study was to estimate the prevalence of depression, anxiety, and stress among the BSc nursing students and its association with socio-demographic and academic factors and to find the coping strategies adopted by them.Methods: A cross sectional study was conducted among 149BSc nursing students in a teaching hospital in Hyderabad. The data was collected by pre-validated questionnaire with 3 parts. Part I: socio-demographic and academic parameters, part II: psychological information (DASS-21) and part III: coping strategies (brief COPE). Data was analysed using SPSS version 24.The percentages of stress, anxiety and depression was found and categorised to mild, moderate, severe and extremely severe and associations analyzed with Chi-square test. The mean score and percentages were calculated for coping strategies.Results: The mean age of nursing students was 20±1.6 years. The proportion having depression, anxiety and stress were 67.7%, 85.3% and 46.9% respectively. The coping strategies ‘used a lot’ were spirituality (43.6%), Information support (30.9%) and active coping (28.2%). The study showed depression (p=0.05) and stress (p=0.002) to be higher among 2nd and 4th year students. Lack of leisure time (p=0.036) and difficulty in academics (p= 0.017) were identified as stressors.Conclusions: This study noted high levels of psychological disturbances among nursing students. There is urgent need to plan stress management programmes with peer instructors, mentorship, more leisure and outdoor learning activities.
Health education of caregivers on feeding and care practices and on the optimal use of locally available foods, is among the nutritional interventions through which marked reductions in child under nutrition can be achieved. 1,5 Assessment of feeding practices of infants ABSTRACT Background: The level of child and maternal under nutrition remains unacceptable throughout the world. In India 48% of children are stunted, 20 per cent of children under five years of age suffer from wasting due to acute under nutrition. Methods: The present study was a cross-sectional study conducted on 211 children from 6 months-6 years of age. Data collection included socio-demographic characteristics, anthropometric measurements and assessment of infant and young child feeding practices. Results: A total of 211 (128 females and 83 males) children were included in the study. The prevalence of underweight, stunting and wasting was observed to be 84 (39.81%), 99 (46.92%) and 47 (22.27%) respectively. Proportions of stunting and underweight was significantly more among children whose mothers reported inappropriate feeding practices as compared to their study counterparts. Conclusions: Under nutrition of sizeable magnitude is prevalent in children less than six years; as revealed by results of the present study. Past and current Infant and young child feeding practices were found to be significantly associated with under nutrition.
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