Madridge Journal of Nursing

ISSN: 2638-1605

6th International Conference on Nursing and Health Sciences

December 2-3, 2019, Kuala Lumpur, Malaysia
Accepted Abstracts
DOI: 10.18689/2638-1605.a4.008

Experiences and Spiritual Care Perspectives of Nurses Handling Clients with Alzheimersʼ Disease in an Institutionalized House of Older Persons in Iloilo City

Louie Pinuela Hijalda

University of San Agustin, Philippines

Background: Nurses are challenged to meet the dynamic needs of older persons especially with health related disorder such as Alzheimerʼs disease.

Methodology: A descriptive phenomenological qualitative research with six participants involved. Privacy and confidentiality were considered. The rigor and validity of the study was based on Lincoln and Guba. Bracketing was utilized to ensure that rigor is not compromised due to researcher bias. The Colaizzi methodological approach was selected to investigate the phenomena of interest.

Results: Most of the nurses were worn out physically yet were happy and contented because of the communication and teamwork. Patience is really very important however they involve less their clients in praying and in religious activities. Spiritual care is also given less attention in relation to religious differences and beliefs.

Conclusion: Caring for clients with Alzheimerʼs disease is a demanding field for it requires compassion, understanding, patience and love of work. The nurses need to widen their spiritual care perspectives to allow them to render the kind of care that is suitable to the needs of their individual clients. The spiritual care perspective should be explored deeper and to review the relevance of transcultural nursing paradigm in dealing with clients.

Louie Pinuela Hijalda, Ph.D., RN, a nurse educator at the University of San Agustin, College of Health and Allied Medical Profession. Chairperson of University of San Agustin – Research Ethics Review Committee and Research Management Group - Nursing Program and a member of the Department of Science and Technology – Western Visayas Human Resource Development Committee (DOST–WVHRDC).

Organizational Downsizing, Job Satisfaction and Organizational Commitment Among Nurse Educators in Western Visayas

Louie Pinuela Hijalda

University of San Agustin, Philippines

Background: Higher Educational Institutions in the Philippines faced low program demand and pressure on competitive advantage because of the full implementation of K-12 and advent of Outcomes-Based Education; downsizing as one of the most popular strategies being used in an effort to compete in the current educational system scenario.

Methodology: The study employed a descriptive-co relational design utilizing a survey method. Qualitative data were obtained to enrich survey results. Ninety-one (91) nurse educators in various College of Nursing in Western Visayas were chosen as actual participants using a stratified random sampling. Data collected were analyzed using appropriate descriptive, inferential statistics and qualitative analysis.

Results: The results showed that majority of participants were 41 years old and above (65%), female (88%), married (88%), with masterʼs degree (81%), with a monthly salary of Php21, 000.00 and above (51%), having more than 10 years of service (78%) and assigned in both classroom and related learning experience (69%). The overall interpretation indicates a moderate level of job satisfaction (grand mean of 3.81) and organizational commitment (grand mean of 4.20) among nurse educators in Western Visayas; there is no significant relationship between organizational commitment versus profile variables except for area of assignment (χ2 = 16.217, p = 0.013). There is a significant relationship between job satisfaction versus organizational commitment (χ2 = 100.2, p = 0.000).

Conclusions: The study concluded that nurse educatorsʼ perception of organizational downsizing has little effect on their job satisfaction and organizational commitment and that organizational downsizing has no significant relationship to job satisfaction and organizational commitment among nurse educators in Western Visayas.

Louie Pinuela Hijalda, Ph.D., RN, A nurse educator at the University of San Agustin, College of Health and Allied Medical Profession. Chairperson of University of San Agustin – Research Ethics Review Committee and Research Management Group- Nursing Program and a member of the Department of Science and Technology – Western Visayas Human Resource Development Committee (DOST–WVHRDC).

Assessment of the Knowledge, Attitude, Practices, Perceived Barriers and Support Regarding Palliative and End of Life Care Among Critical Care Nurses at Tertiary Care Hospital, New Delhi,India

Luma Ghazi Al Zamel*, Khatijah Lim Abdullah, Chong Mei Chan and Chua Yan Piaw

University of Malaya, Malaysia

Introduction: An inevitable life event in the life continuum is death. As, nurses form the most valuable palliative care team members, a critical factor influencing a successful delivery of palliative health care is nursesʼ knowledge and experiences, which determine their procedure as well as behavior during care of patients.

Method: A cross sectional study was conducted among 386 ICU nurses of tertiary care hospital, New Delhi, India, selected through convenient sampling technique. Data was collected during Aug-Dec ‘2018, using standardized tool for attitude and pre tested self structured tools for other variables, analyzed using SPSS.

Result: Findings showed that only 7% nurses have good knowledge, 36.5% have satisfactory practice whereas 88.1% have favorable attitude towards palliative and EOLC. Major barrier in providing palliative and EOLC was being called for attending to other newly admitted patients as reported by 61.7% nurses. Knowledge scores were significantly associated to their gender (p=.016) and training (p=.001). Practice scores were significantly associated with their qualification (p=.021).There was a significant association of nurses attitude with their age (p=.038), training (p=.016), qualification (p=.002), experience (p= .025) and ICU in which they work (p=.016). Age was negatively correlated to their attitude (p= .014) whereas attitude was positively correlated to the practice (p=.001).

Conclusion: There is a huge gap between nurseʼs knowledge and practices, inspite of having good attitude. Due attention should be given to make nurses more responsive to palliative and EOLC needs. Perceived barriers reported by ICU nurses should be addressed to move towards holistic nursing.

Anjani Walia is an Indian nurse, pursuing Msc nursing since 2017 at All India Institute of medical sciences (AIIMS), New Delhi, India. She has completed her Bsc Nursing (2013-17) from AllMS, Jodhpur and Rajasthan, India. She has got all India 2nd rank in Msc entrance examination. She has done poster presentation at National Nursing conference at Jodhpur, 2018 and awarded as 3rd best poster. She has also been selected as Nursing officer at AIIMS, New Delhi, India; VMMC, New Delhi, India; AIIMS, Rishikesh, India; ESIC Baddi, India.

A Study to Assess the Knowledge and Attitude of Staff Nurses Regarding the Inhibition of Vertical Transmission of HIV at a Selected Maternity Hospital, Bangalore

Chanchal Huidrom

GNM School of Nursing, India

Introduction: Vertical transmission of human immunodeficiency virus (HIV) from mother to child, also known as perinatal transmission, accounts for almost all new HIV infections in children. Vertical transmission occurs when HIV is spread from an HIV+ woman to her baby during pregnancy, labor and delivery or breastfeeding. For an HIV+ woman not being treated for HIV, the chance of passing the virus to her child is about 25% during pregnancy, labor and delivery. If she breastfeeds her infant, there is an additional 12% chance of transmission. Vertical transmission can be Antepartum, Intrapartum and Postpartum. The transmission of HIV from an infected mother to her child can be reduced to less than two percent by intensive interventions in the antenatal, intranatal and postnatal periods. The methods includes primary prevention of HIV infection, early identification of seropositivity in pregnant women, prevention of unwanted pregnancies, prevention of mother-to-child transmission of HIV by appropriate antiretroviral therapy, special interventions in maternal management during labour, appropriate care and follow up of the newborn. Latex condoms, when used consistently and correctly, are highly effective in preventing the transmission of HIV.

Aims: To assess the knowledge and attitude of staff nurses regarding the inhibition of vertical transmission of HIV.

Methodology: Non-experimental – Descriptive co-relational design was adopted. Convenience sampling technique was used to select the 60 staff nurses Staff nurses who are working in selected maternity hospital, Bangalore.

Material: Structured knowledge questionnaire and 3 point Likert was used to obtain information regarding knowledge and attitude of staff nurses regarding inhibition of vertical transmission of HIV.

Results: The results revealed that majority 52 (86.7%) of the staff nurses have moderately adequate knowledge and 35 (58.3%) of staff nurses had unfavorable attitude. The demographic variables such as age and years of working experience in maternity ward shows significant association with the level of knowledge of the staff nurses regarding the inhibition of vertical transmission of HIV while the other demographic variables have no influence. Demographic variables does not have much influence with the level of attitude of the staff nurses except the age and years of working experience in maternity ward shows significant association with the level of attitude of staff nurses regarding the inhibition of vertical transmission of HIV.

Conclusion: Nurses are playing an important role in disease prevention and health promotion. In the present study, nurses have inadequate knowledge and this should be improved by providing in-service education, conducting workshops and conferences on this area and developing an Institutional protocol for the provision of awareness for a better future.

Keywords: Knowledge; attitude; inhibition of vertical transmission.

Chanchal Huidrom is currently working as Tutor in GNM School of Nursing, Churachandpur, under Government of Manipur since last October 4th 2018 till date. Completed my BSc. Nursing from Manipal College of Nursing, Manipal in 2011 and MSc. Nursing from Padmashree College of Nursing, RGUHS, Bangalore in 2014 with 77%. Have one year teaching experience in Royal college of Nursing, Imphal after BSc. Nursing and also worked as an Assistant professor in School of Nursing, Sharda University and Greater Noida – U.P for 4 years 2 months after MSc. (N).

Safe Medication Considerations in the Older Adult Population

Gigi Lim

The University of Auckland, New Zealand

Background and Aim: Adverse drug events are especially prominent in the older adult population for a variety of reasons and as a result, special attention is required to provide the safest possible care to this population group. This review aims to enhance nurses understanding of drugs that are highly likely to cause adverse drug effects in the older adult population.

Methods: Literature from MEDLINE and CINAHL databases was retrieved and appropriate articles selected for further review. Relevant references from bibliographies, Google scholar, MEDSAFE and the British National Formulary also provided additional information.

Results: Medications identified that commonly results to an adverse effects in the older adult population were antidepressants, atypical antipsychotics, cholinesterase inhibitors, benzodiazepines and statins. Dosing parameters found were specific to older patients and pharmacokinetic changes in renal and hepatic function accounted for these figures and justified certain choices of medications within a class. Each class of medication had a specific set of common adverse effects and more serious adverse drug effects such as falls, cerebrovascular adverse events and rhabdomyolysis were associated with some medications.

Conclusion: Safe medication management can only be achieved in the older population with an awareness of the common problems that arise with the use of specific drugs. Adequate pharmacovigilance involves early identification of adverse effects and appropriate dosing and monitoring of treatment.

Knowledge and Attitude towards Partograph Recording, Interpretation and Documentation Status by Health Professionals in Samdrup Jongkhar District, Bhutan

Kuenzang, Hari Prasad Pokhre*, Kezang Dorji and Dorji Rinzin

Khesar Gyalpo University of Medical Sciences of Bhutan, Bhutan

Introduction: Partograph is a graphical chart, which monitors the progress of labour, maternal and fetal wellbeing and assists health workers in decision-making. Studies have pointed out inefficiencies in recording and interpretation of partograph.

Objective: The study aimed to assess the knowledge and attitude of the health professionals and evaluate the partograph documentation status in Samdrup Jongkhar District, Bhutan.

Methods: A cross sectional study was conducted using a self-administered questionnaire among 56 health workers to assess their knowledge and attitude towards recording and interpretation of partographs. Pretest, conducted to obtain the baseline score. An educational session was conducted which was followed by a post-test to obtain the end-line scores and compared using paired sample T-test. Partographs complied for the last five years (2013-2017) were evaluated parameter wise and recorded as complete, incomplete or blank.

Results: Over one-third (37.5%) of the participants reported that lack of refresher courses as the key challenge in use of partographs. Majority (80.4%) of them had a poor level of knowledge at pretest, which reduced to 7.1% at posttest. Paired sample T-test detected significant difference in the knowledge scores (mean diff: 5.7) between the pretest and the posttest. Only 9.6% of the partographs found to be complete.

Conclusion: Refresher courses are essential at regular intervals to improve partograph recording and interpretation. Regular monitoring by the concerned authorities is required to improve the documentation status.

Keywords: Knowledge and attitude, partographs interpretation, Samdrup Jongkhar, Bhutan

Prevalence of Pressure Ulcers among Hospitalised Cancer Patients in Jordan

Ma'en Aljezawi

Al al-Bayt University, Jordan

Background: Although a plethora of studies exploring the prevalence of pressure ulcers have been reported in the literature, very few have focused on their prevalence in cancer patients as a special risk group.

Aim: To measure the prevalence of pressure ulcers in hospitalised cancer patients.

Method: A multi-centre, cross-sectional survey using the European Pressure Ulcers Advisory Panel Methodology in five hospitals in Jordan. Patientsʼ skin was examined and the risk of pressure ulcers was assessed.

Results: This study included 110 cancer patients. Their age mean was 50.65 ± 17.32 years, more than half were females (54.5%, n=60), the prevalence of pressure ulcers was 15.5% (7.3% when grade 1 was excluded). A total of 17 pressure ulcers were found; heel ulcers were the most frequent (n=11; 64.7%) and most of the ulcers were grade 1 (n=9; 52.9%). Only 26.9% of the at-risk patients received adequate prevention.

Conclusion: Results support the need to focus attention on pressure ulcer prevention in cancer patients and to further define specific guidelines aimed at prevention and treatment in such a vulnerable patient group.

Maen Aljezawi is an associate professor of gerontological nursing at Al al-Bayt University/ faculty of nursing in Jordan. I have earned my bachelor's degree and master degree in nursing science form Jordan University of science and Technology, my PhD in nursing science was from De Montfort University-UK. In Academia I have taught a number of nursing courses like community health nursing, gerontological nursing and psychiatric nursing. In the research area, I am interested in epidemiological studies, wound care, dementia and exploring health phenomena.

Assessing the Current Teaching Techniques and Resources at Faculty of Nursing and Public Health:Perception of Diploma and Midwifery Students in Bhutan

Manikala Moktan

Khesar Gyalpo University of Medical Science, Bhutan

Background: This is the first study undertaken to assess the nursing educationʼs two main component- teaching techniques and resources in Faculty of Nursing and Public Health (FNPH), Bhutan. FNPH is first and the oldest Nursing school in Bhutan and the nursing education, it imparted was never questioned. For evidence in nursing education, it was a necessity to do this baseline study. This nursing school started offering training in Diploma in Nursing and Midwifery since 1982 with few teaching facility, infrastructure and nurse educators. The training started as ‘hands onʼ in apprentice model and teaching techniques were chalk and blackboards. The teaching facility progressed to overhead projectors, white board, slide, Liquid Crystal Display and mannequins. The teaching techniques improved to quiz/debate, group work, videos and seminars.

Materials and Methods: A self-administered questionnaires that has parts on assessment of teaching techniques and physical facility was used to assess the study. The study participants were the students.

Results: Data received from questionnaires was entered in SPSS 20.0. Results used descriptive analyses in percentile and frequency where results demonstrate that majority of studentsʼ rated various teaching techniques and infrastructure as ‘Goodʼ and ‘Excellentʼ for computer labs and reading space in the library.

Conclusion: The rating ‘Goodʼ means that the present teaching practice could be continued, however, as rating is second in hierarchy, therefore new teaching techniques should be explored.

Designing a U.S. Hospital Competency- Based Orientation for Internationally Educated Nurses

Penelope N. Pattalitan

Cambridge College of Healthcare, USA

Nursing shortage remains to be one of the healthcare issues worldwide. Despite of the growing population of nurses, the demand of patient services and patient volume remain to be progressively increasing. This poses a challenge with supply and demand in healthcare. Recruitment ofinternationally educated nurses remain to be one of the solutions to the nursing shortage worldwide. Most internationally educated nurses recruited from other country undergo didactic and clinical orientation prior to clinical employment. Compliance with standards of practice and organizational policies are vital in healthcare organizations.

In the U.S. nursing community, heightened awareness of practice standards and competency-based staff-development programs make it imperative for U.S. hospitals offering employment to internationally educated nursesto plan their orientation programs for new hires based on the latterʼs summative self-assessment of clinical competencies. It is crucial to study the type of orientation program that will utilize their self-perceptions of clinical competencies prior to their employment and clinical practice in the United States.

Descriptive analysis of the self-assessment of clinical competencies of nurse graduates from the other countries in SE Asia was used to design a U.S. hospital competency-based orientation program. An extensive review of the literature provided an in-depth look into the clinical practice standards and clinical competency models in the United States. The survey findings identified specific content and instructional strategies tailored to the needs of internationally educatednurses recruited to work in U.S. hospitals. The following research questions were established to guide this research study: 1. What clinical competencybased professional-development models are used in the United States (e.g., the ANA model, the Benner novice-to-expert model adapted from the Dreyfus skills-acquisition model and the Lenburg competency COPA model)?; 2. How do clinical practice standards impact on clinical competency expectations in the workplace?; 3. Based on a summative clinical competency selfassessment survey of internationally educated nurses, what content should be included in the U.S. hospital competency-based orientation program?; 4. What are the factors influencing the workplace acculturation of internationally educated nursesin U.S. hospitals?

This study investigated how findings generated by a summative self-assessment of clinical competencies ofinternationally educated nurses recruited for U.S. employment were utilized in designing a competency-based U.S. hospital orientation program. A sample of foreign educated nurses in SE Asia and nurses with ages ranging between 20 and 65 years participated in the study. A modified clinical competency survey was used to assess the self-perceived clinical competencies of internationally educated nurses prior to practice in U.S. healthcare settings. Descriptive statistics were used to analyze the data.

Identification of the orientation needs of newly recruited internationally educated nurses will assist nurse educators and clinical coaches in developing professional development and educational programs that will enable internationally educatednurses to acquire mandated competencies based on U.S. clinical practice standards. The research study guided the development of a U.S. hospital competency-based nursing orientation program that took into consideration the clinical competency gaps identified by internationally educated nurse respondents, the instructional strategies that they preferred and their perceived acculturation needs.

Factors Associated with Tuberculosis Mortality in a State of Malaysia

Salmiah Md. Said*, Kaur Kirandeep Kulwant, Lim Poh Ying and Sharifah Nor Khadijah Syed Ismail

Universiti Putra Malaysia, Malaysia

Tuberculosis(TB) is one of the main causes of death from communicable diseases worldwide. In Malaysia,tuberculosismortality is still a public health problem and ranks among the top three main causes of death from communicable diseases. Thus, the objective of this study were to identify TB mortality and its associated factors among registered TB patients in Selangor State. A total 4343 TB cases were registered with the Malaysian National Tuberculosis (My TB) Surveillance Registry of the State of Selangorin 2014. Sociodemographic and clinical data were also retrieved from the surveillance registry. The mean (SD) age of TB patients was 40.0 (16.5) years with 13.9% was elderly and 16.6% non-Malaysia. More than half had sputum smear positive, whereas the extra-pulmonary TB and military TB was 16.0% and 3.0% respectively. The HIV co-infection was 6.4%. The percentage of TB mortality was 7.8%. The mean (SD) age of TB death patients was 52.4 (17.3) years. The factors associated with TB mortality were elderly with aged 60 and above (AOR: 5.0, 95% CI: 3.6, 7.0), Malaysian nationality (AOR: 3.5; 95% CI: 2.3, 5.3), extra-pulmonary TB (AOR: 3.0; 95% CI: 1.8, 4.8), sputum smear positive at diagnosis (AOR: 2.8; 95% CI: 1.3, 6.1); and HIV co-infection (AOR: 3.8; 95% CI: 2.2, 6.7). However, longer duration of treatment was protective against TB mortality (AOR: 0.51; 95% CI: 0.48, 0.54). In conclusion, the TB mortality in Selangor State was less than 10%. Intervention to reduce TB mortality should target those at higher risk.

Salmiah is an associate professor in the Department of Community Health, Faculty of Medicine and Health Sciences, University Putra Malaysia. She completed her Master in Community Medicine in 2007 and her undergraduate studies (Doctor of Medicine) at University Kebangsaan Malaysia in 1993. Salmiah has been registered as a Public Health Specialist with the National Specialist Register, Academic of Medicine of Malaysia since 2014.Thus, she has been involved in teaching public health subjects especially epidemiology and also medical statistics for undergraduate and post-graduate programme. She had conducted several studies and published her manuscripts on tuberculosis, hepatitis C and hand-foot-and-mouth diseases.

Assess the Knowledge and Attitude on Prophylactic Information of Postnatal Blues among Primipara Working Mothers

Sapam Debika Devi

Sharda University, India

Introduction: Postpartum period is the period that is associated with intense physical and emotional changes leading to anxiety and mood disturbances. There are three degrees of postpartum mood disorders, i.e., “baby blues”, postpartum depression (PPD) and postpartum psychosis. Postpartum blues (PPB), otherwise “baby blues,” are comparatively milder in nature and are the most common one. It generally begins 1 to 3 days after parturition and is distinguished by sudden mood swings, unexplained weeping, irritability and impatience, lack of sleep, crying spells, anxiety, loneliness and a feeling of vulnerability. Studies found 60-80% of all primi Para mothers affect by postpartum blues (who 2011 October). American psychiatric association estimated that one out of eight postnatal women may experience blues; it affects 11.5 million people every year. In India the prevalence of post partum psychiatric disorder was 33.4% and 6.5% major illness like depression and psychosis. Incidence is more in Goa and rural South Indian are detected 23% and 16% and causes are gender preference to male child, violence against women and poor social support.

Aim: To assess the knowledge and attitude on prophylactic information of postnatal blue among primipara working mothers in selected maternity hospital, Bangalore.

Methods: A Non-experimental descriptive design was adopted for the study to assess the knowledge and attitude of the primipara working mothers on prophylactic information of postnatal blue in Bangalore.

Materials: structured knowledge questionnaire and 3 point Likert scale was used to assess the attitude of the primipara working mothers regarding postnatal information on postnatal blues. Convenient sampling technique was used to select 60 primipara working mothers.

Results: The results revealed that majority obtained 45 (75%) of the primipara working mothers have moderately adequate knowledge and majority obtained 50 (83.3%) of the primipara working mothers have moderately favorable attitude. The demographic variable family income shows significant association with the level of knowledge of the primipara working mothers regarding prophylactic information on postnatal blue while the other demographic variables have no influence. Demographic variables do not have influence with the level of attitude.

Conclusion: In the present study primipara working mothers have moderate knowledge and this should be improved by providing information pamphlet on postnatal blues and its coping strategies.

Keywords: Knowledge; attitude; structured questionnaire; information pamphlet, postnatal blue.

Adverse Emotions and Its Influencing Factors in Patients with Breast Cancer during Chemotherapy

Shaoyong Wu

West China Hospital of Sichuan University, China

Background: Most breast cancer patients are middle-aged and elderly women with poor psychological resilience. The side effects caused by cancer diagnosis and treatment, as well as changes in family roles and relationships, have caused tremendous psychological pressure on patients and are prone to adverse emotions, moreover, the older the patient, the higher the incidence of adverse emotions. The bad mood can shorten the survival time of the patient and may even lead to suicide.

Objective: The incidence and influencing factors of adverse emotions during chemotherapy in patients with breast cancer were investigated.

Methods: The clinical data of 216 patients with breast cancer undergoing chemotherapy were collected and the adverse emotions (anxiety, depression and suicide) of the patients were screened by Huaxi Emotional Distress Index (HEI) (The scale is made by Huaxi Hospital, Sichuan University, China). Univariate and multivariate logistic regression analysis were carried out on the related factors that may affect the occurrence of adverse emotions, such as the patient's gender, age, cTNM stage, smoking history, drinking history, source of medical expenses, educational level, pain, sleep state, recent complications of chemotherapy, etc.

Results: The incidence of adverse emotions in 216 patients with breast cancer undergoing chemotherapy was 49.08% (106 / 216), 7 cases accompanied by suicidal ideation. Univariate analysis showed that gender, age, smoking, pain, insomnia and recent complications of chemotherapy were related to adverse emotions (P<0.05). and multivariate analysis showed that the independent influencing factors of adverse emotions in patients with breast cancer were pain, insomnia and recent complications of chemotherapy. (P<0.001).

Impact on Practice: The incidence of adverse emotions during chemotherapy was higher in patients with breast cancer and psychological assessment and psychological counseling of them need to be strengthened. and provide reference for further psychological intervention to improve the psychological state of patients.

Discuss: To strengthen the observation of patients with breast cancer who have pain, insomnia, recent complications of chemotherapy with adverse emotions and to provide continuous and standardized psychosocial support to improve their psychological endurance.

A Study to Compare the Lifestyle of Diabetic and Non-Diabetic Employees of Selected EducationalInstitutions of Ambala, Haryana

Simrat Kaur

Galgotias University, India

Diabetes mellitus is one of the most common non communicable diseases, playing a greater role in increasing the morbidity and mortality rate. A comparative study was conducted to compare the lifestyle of 100 diabetic and 100 non diabetic employees by using non experimental survey approach. Sample was selected by purposive sampling technique and semi structured questionnaire regarding lifestyle, which includes items on clinical parameters, dietary pattern, physical activity and perceived stress. The study findings indicate that there was a significant difference in the clinical parameters (χ2=10.76, df=2) of diabetic and non diabetic employees as diabetic employees were more obese. Daily intake of fruits (χ2=20.36, df=3), sugary drinks (>3/day) (χ2=16.38, df=3), regular intake of fenugreek seeds (χ2=14.92, df=3) and bitter gourd (χ2=46.54, df=3) was more common in diabetics. There was also significant difference in the physical activity of diabetic (mean=9.39) and non diabetic employees (mean=7.71), as diabetic employees did more physical activity as compared to non diabetics (mean difference=1.68, z=2.67). There was no significant difference in the perceived stress among diabetic (mean=18.32) and non diabetic employees (mean=19.1) (mean difference=0.78, z=0.295).diabetic and non diabetic employees have almost same level of perceived stress. Hence, there was a difference in the lifestyle of diabetic and non diabetic employees. The study can be replicated on larger sample of diabetic and non diabetic employees in different settings for making broad generalization.

Keywords: Lifestyle, Diabetic Employees, Non Diabetic Employees, Physical activity, Perceived stress

Miss Simrat Kaur, is currently working as an Assistant Professor at the department of Nursing at Galgotias University, Delhi NCR. She has done her Bachelorʼs degree in Nursing in 2009 from Baba Farid University of Health Sciences, Punjab. She has worked for one year after graduation at the post of clinical instructor in Parul School of Nursing, Jalandhar, Punjab. After that, she did her Masters in medical surgical nursing in 2012 from Maharishi Markendeshwar University, Haryana, India. She worked for 3 years at the post of Lecturer in Shivalik Institute of Nursing, Shimla, India. Since 2016, she is working as an Assistant Professor in Galgotias University. She is writing books of Medical Surgical Nursing and Nursing Research which are soon to be published. She is the active member of Trained Nurses Association of India, Delhi and completed her BLS for Healthcare Providers Course in 2018.

A Comparitive Study to Asess the Knowledge About Anorexia Nervosa Among Adolescent Girls in Selected Government and Private Schools of Delhi and Disseminate an Information Booklet on Anorexia Nervosa

Surabhi Verma

Galgotias University, India

Eating disorders, especially Anorexia Nervosa and Bulimia Nervosa have been classically described in young females in western population. Recent research shows that they are also seen in developing countries including India. The aim of this study was to assess and compare the knowledge about Anorexia Nervosa among adolescent girls in selected government and private school of Delhi. BMI and body image of adolescent girls of selected government and private school of Delhi were also assessed. Another aim was to assess the relationship between knowledge about Anorexia Nervosa and selected demographic variables and to develop and disseminate information booklet on Anorexia Nervosa to the subjects.60 adolescent girls, 30 each in government and private school between the age of 14 and 16 years were selected through non-purposive convenience sampling technique. The data was analyzed using descriptive and inferential statistics. According to the scores of the structured knowledge questionnaire on Anorexia Nervosa, it was revealed that in both government and private school, none of the adolescent girls scored more than 80%. In the government school, number of girls who fell in ‘Goodʼ (60-79%), ‘Averageʼ (35-59%) and ‘Poorʼ (<35%) categories of the scores of structured knowledge questionnaire on Anorexia Nervosa, were 30, 70 and 0% respectively, whereas in the private school, number of girls who fell in ‘Goodʼ (60-79%), ‘Averageʼ (35-59%) and ‘Poorʼ (<35%) categories were 30, 63.33 and 6.67% respectively. As per the BMI of the subjects in the government school, half of the subjects were found to be healthy whereas around 43% were found to be underweight, whereas in the private school, 40% were healthy and around 36% were overweight. According to the assessment of the body image, the results revealed that none of the subjects had “marked concern with their shape” both in the government and the private school.

Keywords: Structured knowledge questionnaire, Adolescent girls, Body shape questionnaire, Anorexia Nervosa, Body image

Miss. Surabhi Verma, is currently working as an Assistant Professor at the department of Nursing at Galgotias University, Greater Noida U.P . Pursuing her Bachelorʼs degree in Nursing in 2012 from College of Nursing and Safdarjung Hospital, New Delhi, she worked for 2 years and 10 months as a Nursing Officer at Indraprastha Apollo Hospital, New Delhi. She completed her Masters in Mental Health Nursing in 2017 from Jamia Hamdard University, New Delhi. Post that, she has been working at Galgotias University. Her research work has been published. She has completed her BLS for Healthcare Providers Course in 2018.

Nutritional Risk Screening and Risk Factors Analysis in Patients with Lymphoma UndergoingChemotherapy: A Prospective Study

Yishu Wang

West China Hospital of Sichuan University, China

Background: The Nutrition Risk Screening 2002 Scale (NRS 2002) was developed in 2002 by the European Society of Enteral and Parenteral Nutrition as an objective tool for nutritional risk screening. It has strong practicability and guiding significance in clinical practice. Relevant studies have shown that the incidence of under nutrition in cancer patients is generally high. With the increasing incidence of lymphoma in China, more and more attention has been paid to the related studies. Inadequate nutrition can prolong hospitalization time, increase hospitalization costs, increase infection and other complications and affect the prognosis of patients. Therefore, the nutritional status of lymphoma patients is a concern.

Objective: To investigate the nutritional status of patients with lymphoma during chemotherapy by NRS2002 scale and to study the influencing factors of the risk of under nutrition in patients with lymphoma during chemotherapy, so as to guide clinical nursing work.

Methods: 208 patients with lymphoma admitted to hospital during chemotherapy from May 2018 to May 2019 were selected by random sampling. Age, education level, tumor stage, chemotherapy cycle, diabetes mellitus and psychological distress scores were collected by self-made questionnaire. BMI, white blood cell count and blood were recorded. Objective nutritional indicators of hemoglobin and albumin. The nutritional status of patients was investigated by NRS2002. The NRS2002 score and the criteria for judging nutritional status were as follows: there was no nutritional risk in NRS2002 < 3, that is, good nutritional status and there was nutritional risk in NRS2002 < 3, that is, there was nutritional deficiency. The correlation between different demographic characteristics, psychological and disease status, objective nutritional indicators and nutritional status was analyzed.

Results: During chemotherapy, 64.9% (135/208) of patients with lymphoma had good nutritional status and 35.1% (73/208) had nutritional risk. Multivariate regression analysis showed that age, stage of cancer, diabetes mellitus, psychological distress score, BMI, white blood cell count, hemoglobin and albumin were independent influencing factors of nutritional status, but there was no significant correlation between education level, chemotherapy cycle and the occurrence of nutritional risk. The incidence of nutritional risk was positively correlated with age, tumor stage and psychological pain score (P < 0.05) and negatively correlated with BMI, WBC count, hemoglobin and albumin (P < 0.05).

Conclusion: The incidence of nutritional deficiency in lymphoma patients undergoing chemotherapy is higher. Age, stage of cancer, diabetes mellitus, psychological distress score, BMI, white blood cell count, hemoglobin and albumin are the influencing factors of nutritional risk. Nurses should screen patients nutritional status in time and strengthen nutritional intervention according to patients' condition so as to improve patients quality of life and prolong their life cycle.