No abstract

Incontinence is a common problem among hospitalised patients and has been associated with multiple health complications, including incontinence-associated dermatitis (IAD) and hospitalacquired pressure ulcers (HAPUs). IAD is one of the clinical manifestations of moisture- associated skin damage (MASD). IAD is a common problem in aged patients with faecal and/or urinary incontinence. In this study it was sought to reduce the incidence of IAD among critically ill patients admitted in ICU from 5.94 rate to <2.00 by implementing Nursing Interventions of IAD protocol. A one group pre-test post-test design was selected using consecutive sampling technique. The data was obtained by using an audit checklist prior and post-interventions. Results showed that the compliance to IAD protocol increased from 37.94 percent to 77.33 percent. Incidence of IAD reduced from 5.94 to 2.02 in the last 3 months. Healing status of IAD was 100 percent in June & July 2017. Thus nursing interventions are effective in the prevention and healing of IAD among critical care patients. To conclude incontinence associated dermatitis is a prevalent but under-recognised form of skin damage in the critically ill patients with urinary or fecal incontinence. Prevention and treatment focus on treatment of underlying incontinence and protection of skin exposed to urine or stool-based on a structure skin care regimen.

Postpartum depression (PPD) is a mood disorder that can affect women after childbirth. The ill effects of PPD include maladaptive mother-infant interactions, negative effect on cognitive and behavioural development of infants. There are wide variations in reported prevalence of PPD ranging from 0.5 percent to 60 percent among various countries as estimated by the Edinburgh Postnatal Depression Scale (EPDS). PPD screening is not a routine part of postpartum care in India and postpartum women suffering from PPD may remain largely unrecognized and untreated. The study aimed to assess the prevalence of depression and its risk factors in postpartum women attending well-baby clinic at 6 weeks postpartum at a tertiary hospital in India. A total of 284 women who came for immunisation of their babies in well baby clinic at 6 to 8 weeks postpartum were assessed for PPD using the EPDS, after taking consent. Ethical approval was taken from the ethics committee of the organisation. Demographic pro le was collected and women were assessed for risk factors of PPD using a self-developed performa. The point prevalence of PPD was 21.5 percent with a cut off EPDS score of 12 (mean=7.67±5.94). Presence of congenital malformation or neonatal morbidity, problems related to feeding, sleep, satisfaction with marital relationship, violence in the family, relationship with mother-in-law, and presence of stressor in the family were signi cantly associated with PPD. The study brings out the importance of screening for PPD at accessible points like well-baby clinic. Maternal health programmes need to address the mental wellbeing of postpartum women

Hospitalization of COVID- 19 patients may lead to the development of varied levels of anxiety, depression, and sleep disturbances. The present study was conceptualized to investigate the effect of guided meditation on anxiety, depression, and sleep quality among the hospitalized Covid-19 patients in a tertiary care facility. Materials and Methods: A total of 60 COVID-19 patients were conveniently enrolled and randomized to experimental (30) and control arms (30) using a computer-generated random table and opaque sealed envelope technique in a selected COVID unit of a tertiary care facility. The subjects were enrolled in accordance to the inclusion criteria. Intervention: The guided meditation was an audio recording of Sri Sri Ravi Shankar of 20 minutes duration. The intervention was provided twice a day to the experimental group for consecutive 5 days. A close watch was kept on the vital signs of the subjects during the intervention using a pulse oximeter. At the same time, the control group continued to receive the standard routine care. Results: There was a significant difference observed in the post-test anxiety and depression scores in the experiment and control groups (4.83±3.68 vs. 12.37±3.9 p=0.001 and 7.90±2.41 vs.12.67±2.65 p=0.001). A significant difference was also observed in the global sleep quality index (median (IQR)) in the experimental and control groups (11(9-14) vs. 15(10.75-17) p= 0.01). Conclusion: The guided meditation was effective in improving the global sleep quality index and alleviating the anxiety and depression to great extent as compared to the standard routine care provided to COVID-19 patients admitted in a tertiary care facility.