International Journal of Nursing and Medical Science (IJNMS) ISSN 2454-6674
International Journal of Nursing and Medical Sciences (IJNMS) International Journal of Nursing and Medical Sciences is an international scholarly referred research journal of Nursing & Medical Education and Research published quarterly. Areas of publication are: Adult medical-surgical nursing, Ethics and legal issues in nursing, Geriatric nursing, Maternal-child nursing, Medication administration, Midwifery, Nursing theory, Pediatric nursing, Psychiatric nursing, Anatomy, Biochemistry, Biomechanics, Biostatistics, Biophysics, Cardiology, Community medicine, Cytology, Dentistry etc.
A STUDY TO ASSESS THE EFFECTIVENESS OF PILATES EXERCISE TRAINING ON SELECTED POSTMENOPAUSAL WOMEN WITH NON-SPECIFIC LOW BACK PAIN IN IMPROVING PAIN, FLEXIBILITY AND ENDURANCE IN SELECTED VILLAGE AREA OF NEMAWAR
Low back pain is a major global health concern affecting individuals across all age groups. However, postmenopausal women are particularly vulnerable due to physiological changes that occur during menopause. The decline in estrogen levels during menopause contributes to decreased bone density, reduced muscle strength, and degenerative changes in the vertebral column. These changes increase susceptibility to musculoskeletal problems, particularly non-specific low back pain. Non-specific low back pain refers to pain in the lumbar region that is not associated with identifiable pathological causes such as fracture, infection, or malignancy. It is usually related to muscular imbalance, poor posture, weak core muscles, and reduced flexibility. Among postmenopausal women, prolonged household activities, agricultural work, lifting heavy loads, and lack of regular physical exercise can further aggravate spinal discomfort.
Copyright (c) 2024 Preeti Pal, Preeti Pal, Dr. Sneha Sahay Youtham , Dr. Sneha Sahay Youtham https://creativecommons.org/licenses/by/4.0
A STUDY TO EVALUATE THE EFFICIENCY OF DESIGNED EDUCATION PROGRAMME ON KNOWLEDGE REGARDING CONSTITUTIONAL RIGHTS OF MENTALLY ILL AMONG ANCESTORS OF MENTALLY ILL CLIENTS AT A SELECTED HOSPITAL, UTTAR PRADESH
Mental illness is commonly associated with stigma, discrimination, and inadequate awareness of constitutional rights, especially among family members responsible for the care of mentally ill individuals. Lack of knowledge of legal safeguards can lead to human rights violations and delayed treatment. The present study aimed to evaluate the efficiency of a designed education programme on knowledge regarding constitutional rights of mentally ill among ancestors of mentally ill clients in a selected hospital of Uttar Pradesh. A pre-experimental one-group pre-test post-test design was adopted. Forty ancestors of mentally ill clients were selected using purposive sampling at Shantanu Multi-Specialty Hospital, Lucknow during March 2024. Findings revealed a significant difference between pre-test and post-test knowledge scores after implementation of the designed education programme. The programme was found to be highly effective. The study suggests the need for continuous educational interventions in psychiatric care settings to empower families and ensure protection of legal rights.
Copyright (c) 2024 Mr. Ajay Kumar https://creativecommons.org/licenses/by/4.0
A STUDY TO ASSESS THE EFFECTIVENESS OF PLANNED TEACHING PROGRAMME ON KNOWLEDGE REGARDING HUMAN RIGHTS OF MENTALLY ILL AMONG B.Sc. NURSING STUDENTS AT SELECTED COLLEGES IN PRATAGARH, UTTAR PRADESH
Violation of human rights of mentally ill individuals remains a major social and healthcare concern in India. Mental Healthcare Act (MHCA) 2017 ensures dignity, autonomy, and legal protection for individuals with mental illness, yet nursing students—the upcoming mental health professionals—still demonstrate limited awareness of these rights. The present study aimed to assess the effectiveness of a planned teaching programme on knowledge regarding human rights of mentally ill among B.Sc. Nursing students in selected colleges of Pratagarh, Uttar Pradesh. A pre-experimental one-group pre-test post-test design was adopted. A total of 60 B.Sc. Nursing students were selected using purposive sampling. Data were collected with a structured knowledge questionnaire. The result showed that the post-test mean score (24.83) was significantly higher than the pre-test mean score (11.62). A paired t-test value of 18.45 revealed statistically significant improvement (p < 0.05), confirming that the planned teaching programme was highly effective.
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A NURSE-LED WEB-BASED HOME ASTHMA EDUCATION PROGRAM FOR CHILDREN AND THEIR FAMILIES IN SELECTED RURAL AREAS OF DEWAS, MADHYA PRADESH
Bronchial asthma is a chronic inflammatory disorder of the airways characterized by recurrent episodes of wheezing, breathlessness, chest tightness, and coughing. The condition often begins during childhood and can significantly affect physical activity, school attendance, and overall quality of life. Asthma remains a major public health concern globally due to its increasing prevalence and the burden it places on healthcare systems. According to the World Health Organization, more than 262 million people worldwide suffer from asthma, and the disease contributes to a significant number of hospitalizations and healthcare visits each year. Among these, children represent a substantial proportion of affected individuals.
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A STUDY OF HEPATITIS B POSITIVITY DETECTED BY MOLECULAR METHODS AND ITS CORRELATION WITH LABORATORY FINDINGS AMONG HEPATITIS B POSITIVE PATIENTS IN A SELECTED HOSPITAL OF UJJAIN, MADHYA PRADESH
Background: Hepatitis B virus (HBV) infection remains a significant global public health challenge due to its potential for chronic infection and severe hepatic complications. Molecular diagnostic methods such as polymerase chain reaction (PCR) offer high sensitivity and specificity for detecting HBV DNA and estimating viral load. Correlating HBV positivity with routine laboratory findings can enhance clinical interpretation and guide patient management. Objective: To determine the prevalence of hepatitis B positivity using molecular methods and assess its correlation with laboratory parameters among hepatitis B positive patients in a selected hospital of Ujjain, Madhya Pradesh. Methods: A cross-sectional descriptive study was conducted among 120 patients who tested positive for Hepatitis B surface antigen (HBsAg) at [Hospital Name], Ujjain. HBV DNA detection and quantification were performed by real-time PCR. Laboratory parameters including liver function tests (ALT, AST, ALP, total bilirubin), platelet count, and prothrombin time were collected and analyzed. Statistical correlation between viral load and laboratory markers was assessed using Pearson’s correlation coefficient; p < 0.05 was considered statistically significant. Results: Out of 120 HBsAg positive patients, 92 (76.7%) demonstrated detectable HBV DNA by molecular methods. Elevated ALT and AST levels were noted in patients with high viral load. Significant positive correlation was observed between HBV DNA levels and ALT (r = 0.64, p < 0.001) and AST (r = 0.58, p < 0.001). Platelet count showed an inverse correlation with HBV DNA levels (r = –0.42, p = 0.002). No significant correlation was detected between HBV DNA levels and total bilirubin or ALP. Conclusion: Molecular detection of HBV DNA demonstrated a high positivity rate among HBsAg positive patients. Significant correlations between viral load and key liver enzymes suggest that elevated liver enzymes reflect active viral replication. Integration of molecular diagnostics with routine laboratory findings enhances clinical assessment and decision-making in HBV management.
AN EMPIRICAL INVESTIGATION TO DETERMINE THE IMPACT OF SYSTEMATICALLY DESIGNED HEALTH-FOSTERING NURSING INTERVENTIONS ON THE RECONFIGURATION OF BEHAVIORAL PATTERNS AND AUGMENTATION OF MEDICATION ADHERENCE AMONG CLIENTS WITH ALCOHOL DEPENDENCE SYNDROME RECE
Alcohol dependence syndrome (ADS) represents a chronic, relapsing disorder characterized by compulsive alcohol consumption, impaired control over drinking, tolerance, withdrawal symptoms, and persistent use despite harmful consequences. Globally and nationally, alcohol dependence has emerged as a major public health concern, exerting profound biological, psychological, social, and economic burdens on individuals, families, and health systems. In India, rapid urbanization, changing socio-cultural norms, occupational stressors, and easy availability of alcohol have contributed to a steady rise in alcohol use disorders, particularly among adult males in urban and semi-urban regions. Alcohol use disorders constitute a significant proportion of the global burden of disease and are increasingly recognized as a major public health and socio-economic challenge, particularly in low- and middle-income countries. Globally, alcohol consumption accounts for approximately 3 million deaths annually, representing about 5–6% of all global mortality. Alcohol use is a major risk factor for more than 200 disease and injury conditions, including liver cirrhosis, cardiovascular diseases, neuropsychiatric disorders, cancers, and injuries due to violence and road traffic accidents. The Global Burden of Disease estimates attribute nearly 5% of total disability-adjusted life years (DALYs) lost worldwide to alcohol use, underscoring its profound impact on population health.
A STUDY TO ASSESS THE EFFECT OF DESIGNED HEALTH-FOSTERING NURSING INTERVENTIONS ON THE BEHAVIORAL PATTERNS AND AUGMENTATION OF MEDICATION ADHERENCE AMONG CLIENTS WITH ALCOHOL DEPENDENCE SYNDROME RECEIVING TREATMENT AT A SELECTED DE-ADDICTION CENTRE IN UJJ
Background: Alcohol Dependence Syndrome (ADS) contributes significantly to morbidity and socio-economic burden, especially in rural settings. Poor medication adherence and maladaptive behavioral patterns are common challenges faced by clients undergoing de-addiction treatment. Nursing interventions that enhance self-care, reinforce adherence, and foster health-promoting behaviors may improve treatment outcomes. Objective: To assess the effect of designed health-fostering nursing interventions on behavioral patterns and medication adherence among clients with ADS receiving treatment at a selected de-addiction centre in Ujjain, Madhya Pradesh. Methods: A quasi-experimental one-group pre-post design was used. A purposive sample of 50 clients diagnosed with ADS and undergoing treatment at a rural de-addiction centre was selected. Baseline assessment of behavioral patterns and medication adherence was conducted using validated scales. Participants received structured health-fostering nursing interventions (HFNI) including motivational counseling, relapse prevention education, daily adherence monitoring, and supportive follow-ups over 8 weeks. Post-intervention behaviors and medication adherence were re-assessed. Descriptive and inferential statistics were used for analysis. Results: Post-intervention scores showed significant improvement in adaptive behavioral patterns (Mean difference = 10.24, p < 0.001) and medication adherence (Mean difference = 1.98, p < 0.001) compared to pre-intervention scores. Conclusion: Structured health-fostering nursing interventions significantly improved behavioral patterns and medication adherence among clients with ADS. Integrating these interventions into de-addiction care can enhance treatment success and long-term recovery.
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A STUDY TO DETERMINE THE IMPACT OF A COMPREHENSIVE HEALTH PROMOTION PROGRAM ON OBESITY-ASSOCIATED METABOLIC RISK FACTORS AMONG COLLEGE STUDENTS IN SELECTED COLLEGES OF BHOPAL, MADHYA PRADESH
Background: Obesity among young adults is increasingly associated with metabolic risk factors such as hypertension, impaired glucose regulation, and central adiposity. College students are particularly vulnerable due to sedentary lifestyles, irregular dietary habits, and academic stress. Objective: To determine the effectiveness of a comprehensive health promotion program on obesity-associated metabolic risk factors among college students in selected colleges of Bhopal, Madhya Pradesh. Methods: A pre-experimental one-group pretest–posttest design was used. A total of 70 college students (39 males and 31 females) were selected using purposive sampling. Baseline assessment included Body Mass Index (BMI), waist circumference, blood pressure, and fasting blood glucose levels. A 12-week comprehensive health promotion intervention consisting of nutrition education, structured physical activity, lifestyle counseling, and behavioral modification strategies was implemented. Post-test measurements were conducted after completion of the intervention. Data were analyzed using descriptive and inferential statistics. Results: Significant reductions were observed in mean BMI, waist circumference, systolic and diastolic blood pressure, and fasting blood glucose levels after the intervention (p < 0.05). The program demonstrated overall effectiveness in improving metabolic risk profiles among participants. Conclusion: The comprehensive health promotion program significantly reduced obesity-associated metabolic risk factors among college students. Structured institutional interventions can play a critical role in preventing long-term metabolic disorders in young adults.
A SCHOOL-BASED, NURSE-LED STUDY TO DETERMINE THE IMPACT OF A COMPREHENSIVE HEALTH PROMOTION PROGRAM ON OBESITY-ASSOCIATED METABOLIC RISK FACTORS AND HEALTH-RELATED BEHAVIORS AMONG ADOLESCENTS IN SELECTED SCHOOLS OF PUNJAB
Background: Adolescent obesity is a major public health concern associated with increased metabolic risk factors and unhealthy lifestyle behaviors (World Health Organization [WHO], 2023; Gupta et al., 2012). School-based interventions led by nurses may play a crucial role in prevention and management. Objective: To evaluate the effectiveness of a comprehensive nurse-led health promotion program on obesity-related metabolic risk indicators and health-related behaviors among adolescents in selected schools of Madhya Pradesh. Methods: A pre-experimental one-group pretest-posttest design was used. Fifty adolescents aged 13–17 years were selected through purposive sampling. Baseline data on Body Mass Index (BMI), waist circumference, blood pressure, fasting blood glucose, and health-related behaviors were collected using standardized tools. A 12-week nurse-led intervention comprising nutrition education, structured physical activity, behavioral counselling, and parental involvement was implemented. Post-intervention assessments were conducted using the same tools. Data were analyzed using descriptive statistics and paired t-tests. A p-value < 0.05 was considered statistically significant. Results: Paired t-test analysis showed statistically significant reductions in BMI (p < 0.001), waist circumference (p < 0.001), systolic blood pressure (p < 0.01), and fasting blood glucose (p < 0.01). Significant improvements were also observed in physical activity levels, dietary practices, and reduction in sedentary behavior (p < 0.001). Conclusion: The nurse-led comprehensive health promotion program significantly improved metabolic risk indicators and health-related behaviors among adolescents. School-based nurse-led interventions can serve as an effective strategy to combat adolescent obesity.
Copyright (c) 2023 Jasvir Kaur https://creativecommons.org/licenses/by/4.0
AN EVALUATIVE STUDY TO DETERMINE THE EFFECTIVENESS OF A DESIGNED INSTRUCTIONAL INTERVENTION IN AUGMENTING AWARENESS AND READINESS FOR BEHAVIORAL CHANGE RELATED TO ABUSIVE CONDUCT AMONG INDIVIDUALS WITH ALCOHOL USE IN A SELECTED COMMUNITY
Background: Alcohol use is a major public health issue and is strongly associated with abusive and violent behavior. Limited awareness and poor readiness for behavioral change among individuals with alcohol use contribute to the persistence of abusive conduct within communities. Objectives: To evaluate the effectiveness of a designed instructional intervention in enhancing awareness and readiness for behavioral change related to abusive conduct among individuals with alcohol use. Methods: A quasi-experimental one-group pretest–posttest design was adopted. The study was conducted among individuals with alcohol use in a selected community. A structured questionnaire was used to assess awareness regarding abusive conduct and readiness for behavioral change. Following the pretest, a designed instructional intervention was administered. Posttest assessment was conducted after the intervention. Data were analyzed using descriptive and inferential statistics. Results: The findings revealed a significant improvement in awareness and readiness for behavioral change following the instructional intervention. A statistically significant difference was observed between pretest and posttest scores (p < 0.05). Conclusion: The designed instructional intervention was effective in improving awareness and readiness for behavioral change related to abusive conduct among individuals with alcohol use.
EFFECTIVENESS OF A DESIGNED INSTRUCTIONAL INTERVENTION IN ENHANCING AWARENESS AND READINESS FOR BEHAVIORAL CHANGE RELATED TO ABUSIVE CONDUCT AMONG INDIVIDUALS WITH ALCOHOL USE IN A SELECTED COMMUNITY
Background: Alcohol use is a major public health concern and is frequently associated with abusive and violent behavior. Individuals with alcohol use problems often lack awareness regarding the consequences of abusive conduct and show low readiness for behavioral change. Aim: This study aimed to determine the effectiveness of a designed instructional intervention in enhancing awareness and readiness for behavioral change related to abusive conduct among individuals with alcohol use in a selected community. Methods: A quasi-experimental pretest–posttest research design was adopted. The study was conducted among individuals with alcohol use residing in a selected community. Participants were assessed using structured questionnaires measuring awareness of abusive conduct and readiness for behavioral change. Following the pretest, a designed instructional intervention was administered. Posttest assessment was conducted after the intervention. Data were analyzed using descriptive and inferential statistics. Results: The findings revealed a significant improvement in awareness regarding abusive conduct and an increased level of readiness for behavioral change after the instructional intervention. A statistically significant difference was observed between pretest and posttest scores. Conclusion: The designed instructional intervention was effective in improving awareness and readiness for behavioral change related to abusive conduct among individuals with alcohol use. Community-based educational interventions can play a vital role in preventing alcohol-related abuse and promoting healthier behaviors.
A REVIEW OF KNOWLEDGE AND ATTITUDE REGARDING ELECTROCONVULSIVE THERAPY AMONG THE GENERAL PUBLIC
Background: Electroconvulsive Therapy (ECT) is an established and effective treatment for several severe psychiatric disorders. Despite its clinical efficacy and improved safety profile, ECT continues to be surrounded by stigma, misconceptions, and negative public attitudes. Objective: This review aims to analyze existing literature on the knowledge and attitude of the general public toward Electroconvulsive Therapy and to identify factors influencing public perception. Methods: A narrative review of published literature was conducted using articles from psychiatric, medical, and public health journals. Studies focusing on public knowledge, awareness, beliefs, and attitudes toward ECT were included. Results: The reviewed literature indicates that public knowledge about ECT is generally inadequate. Negative attitudes are common and are often influenced by lack of mental health literacy, media portrayals, cultural beliefs, and educational level. Studies consistently report misconceptions regarding pain, safety, memory loss, and coercion. Conclusion: The general public continues to hold limited knowledge and unfavorable attitudes toward ECT. Public education initiatives and accurate media representation are essential to improve awareness, reduce stigma, and promote informed decision-making regarding mental health treatments.
AN ASSESSMENT OF AWARENESS TOWARD ELECTROCONVULSIVE THERAPY AMONG COMMUNITY PEOPLE
Background: Electroconvulsive Therapy (ECT) is an effective and evidence-based treatment for several severe psychiatric disorders. Despite its proven clinical benefits, ECT continues to be surrounded by myths, stigma, and misinformation, particularly among the general community. Aim: The present study aimed to assess the level of awareness and attitudes toward Electroconvulsive Therapy among community people. Methods: A descriptive cross-sectional study was conducted among community people using a structured questionnaire consisting of socio-demographic variables and items related to knowledge and attitudes toward ECT. Data were analyzed using descriptive and inferential statistics. Results: The findings revealed that a majority of participants had limited awareness of ECT. Misconceptions regarding pain, memory loss, and safety were commonly reported. Awareness levels were significantly associated with educational status and previous exposure to mental health information. Conclusion: The study highlights inadequate awareness and prevalent negative perceptions of ECT among community people. Educational and awareness programs are essential to improve public understanding and reduce stigma associated with ECT.
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A STUDY TO EVALUATE THE EFFECTIVENESS OF A STRUCTURED TEACHING PROGRAM ON IMPROVING KNOWLEDGE AND ATTITUDES ABOUT CERVICAL CANCER AMONG WOMEN ATTENDING SELECTED PRIMARY HEALTH CENTERS
Background: Cervical cancer is one of the leading causes of morbidity and mortality among women worldwide. Early detection and preventive measures, including awareness and positive attitudes, are essential for reducing its burden. Structured health education programs have been shown to enhance knowledge and attitudes, promoting early screening and prevention behaviors. Objective: To evaluate the effectiveness of a structured teaching program in improving knowledge and attitudes regarding cervical cancer among women attending selected primary health centers. Methods: A quasi-experimental one-group pretest–posttest design was used. A total of 50 women attending selected primary health centers were recruited using convenience sampling. Data were collected using a structured knowledge questionnaire and an attitude scale regarding cervical cancer. The structured teaching program included information about cervical cancer risk factors, signs and symptoms, prevention strategies, and the importance of screening. Posttest assessment was conducted one week after the intervention. Data were analyzed using descriptive statistics and paired t-tests. Results: The study demonstrated a significant increase in knowledge and positive attitudes after the structured teaching program. Mean posttest knowledge and attitude scores were significantly higher than pretest scores (p < 0.05). Conclusion: The structured teaching program was effective in improving knowledge and attitudes regarding cervical cancer among women attending primary health centers. Incorporating such educational interventions into routine primary care can promote preventive behaviors and early detection.
A RIGOROUSLY DESIGNED EXPERIMENTAL INQUIRY AIMED AT SYSTEMATICALLY EXAMINING THE EFFECTIVENESS OF A STRUCTURED TEACHING INTERVENTION IN AUGMENTING KNOWLEDGE LEVELS AND EFFECTING ATTITUDINAL CHANGE REGARDING CERVICAL CANCER AMONG WOMEN AVAILING SERVICES AT
Cervical cancer remains a preventable yet prevalent cause of morbidity and mortality among women in India. This study investigated the effectiveness of a structured teaching intervention in enhancing knowledge and modifying attitudes towards cervical cancer among women attending selected Primary Health Centers (PHCs) in Madhya Pradesh. A quasi experimental, pre test post test design was employed with 30 women participants. Results demonstrate statistically significant improvements in both knowledge and attitudes post intervention, underscoring the value of structured health education in community health settings.
Copyright (c) 2023 Supriya Chaturvedi https://creativecommons.org/licenses/by/4.0
` A STUDY TO CRITICALLY EVALUATE THE EFFICIENCY OF A DELIBERATE INSTRUCTION PROGRAMME IN ENHANCING KNOWLEDGE RELATED TO THE INHIBITION OF COMPUTER VISUALIZATION SYNDROME AMONG SECONDARY SCHOOL STUDENTS IN SELECTED SCHOOLS OF RATLAM
Background: The increasing use of digital devices among adolescents has led to a rise in Computer Vision Syndrome (CVS), manifesting as eye strain, headaches, and blurred vision. Despite awareness campaigns, secondary school students often lack structured knowledge to prevent CVS. Objective: This study aimed to critically evaluate the effectiveness of a deliberate instruction programme in enhancing students’ knowledge regarding the inhibition of CVS. Methods: A quasi-experimental, pre-test–post-test design was employed among 30 secondary school students in selected schools of Ratlam. A structured knowledge questionnaire on CVS prevention was administered before and after a 4-week deliberate instruction programme, which included interactive lectures, demonstrations, and practice sessions on eye care strategies, ergonomic use of computers, and screen-time management. Data were analyzed using descriptive statistics, paired t-tests, and effect size calculations. Results: The mean pre-test knowledge score was 8.4 ± 2.1, which significantly increased to 16.7 ± 1.8 post-intervention (p < 0.001). The effect size (Cohen’s d = 3.96) indicated a large and practically significant improvement. Students reported increased awareness of ergonomic practices, regular breaks, and eye exercises. Conclusion: The deliberate instruction programme was highly effective in improving knowledge related to the prevention of CVS among secondary school students. Implementation of structured educational interventions in schools is recommended to reduce the risk of CVS in adolescent populations.
EVALUATING THE EFFECTIVENESS OF A TEACHING PROGRAM ON PREVENTING COMPUTER VISION SYNDROME IN SECONDARY SCHOOL STUDENTS
Computer Vision Syndrome (CVS) has become a significant health concern among adolescents due to prolonged screen exposure. This study aimed to evaluate the effectiveness of a structured teaching program in increasing knowledge about CVS prevention among secondary school students A quasi-experimental pre-test and post-test design was used with 30 students. Findings revealed a statistically significant improvement in knowledge scores after the intervention (p < 0.001), demonstrating the value of targeted educational programs in mitigating CVS risks.
A STUDY TO ASSESS THE EFFECTIVENESS OF STRUCTURED TEACHING PROGRAMME ON DECREASING MENOPAUSAL SYMPTOMS AMONG WOMEN AT A SELECTED HOSPITAL IN GUJARAT
Menopause is a natural and inevitable biological process marking the permanent cessation of menstruation as a result of declining ovarian activity and estrogen deficiency. It signifies the end of a woman’s reproductive phase and generally occurs between the ages of 45 and 55 years. Although menopause is a physiological transition rather than a pathological condition, it is frequently accompanied by a constellation of physical, psychological, and vasomotor symptoms that can substantially affect a woman’s health, functional capacity, and overall quality of life. Menopausal symptoms vary in type, intensity, and duration among women and are influenced by hormonal changes, lifestyle factors, psychosocial stressors, and cultural perceptions. Commonly reported symptoms include hot flashes, night sweats, palpitations, fatigue, sleep disturbances, joint and muscle pain, irritability, anxiety, and mood fluctuations. Vasomotor symptoms, in particular, are considered the hallmark of menopause and are often reported as the most distressing due to their sudden onset and disruptive nature. In rural settings, menopausal women often face unique challenges in coping with these symptoms. Limited access to healthcare services, lack of structured health education, low literacy levels, and deeply rooted sociocultural beliefs frequently lead to poor awareness and underreporting of menopausal problems. Many women in rural areas perceive menopausal symptoms as an unavoidable part of aging and therefore do not seek medical advice or adopt appropriate self-care measures. This lack of knowledge and support can result in prolonged suffering, reduced productivity, and diminished quality of life.
A STUDY TO ASSESS THE EFFECTIVENESS OF PLANNED TEACHING PROGRAMME ON REDUCING THE VASOMOTOR MENOPAUSAL SYMPTOMS AMONG MENOPAUSAL WOMEN AT A SELECTED HOSPITAL IN VADODARA, GUJARAT
Background: Menopause is a natural transition in a woman’s life often accompanied by vasomotor symptoms such as hot flashes, night sweats, and palpitations. These symptoms affect daily functional activities and quality of life. Educational interventions may empower women to manage symptoms more effectively. Objective: To assess the effectiveness of a planned teaching programme in reducing vasomotor menopausal symptoms among menopausal women attending a selected hospital in Vadodara, Gujarat. Methods: A quasi-experimental pretest–posttest design was used with purposive sampling. A total of N menopausal women were recruited at the gynecology outpatient department. Baseline vasomotor symptoms were measured using a standardized menopausal symptom rating scale. Participants then received a structured educational intervention on symptom management, lifestyle modification, and coping strategies. Post-intervention assessment was conducted 4 weeks later. Results: Data were analyzed using descriptive statistics and paired t-tests. Post-intervention scores showed significant reduction in the frequency and severity of vasomotor symptoms (p < 0.05), indicating effectiveness of the teaching programme. Conclusion: Planned teaching programmes are effective in reducing vasomotor menopausal symptoms and enhancing self-care practices among menopausal women.
CONCEPT OF NIDAN PANCHAKA WITH SPECIAL REFERENCE TO ITS CLINICAL IMPORTANCE IN DIAGNOSIS
There are various concepts pertaining to the diagnosis and treatments of illnesses have been explained by Ayurveda. Amongst them Nidan Panchak is a vital diagnostic approach that is essential to comprehending the nature, prognosis and contributing aspects of an illness. The five parts of Nidan Panchak are Purvarupa, Rupa, Upashaya, Samprapti and Nidana. The disease's underlying factors are referred to as Nidana, early or prodromal symptoms are referred to as Purvarupa, and fully exhibited signs and symptoms are referred to as Rupa. While Samprapti describes the disease's progressive etiology, Upashaya uses therapeutic or diagnostic techniques to help confirm the diagnosis. The assessment of a person's Prakriti, which is based on the dominance of Doshas, is the basis of Ayurvedic disease diagnosis. Certain Doshas are influenced by specific etiological causes; therefore, understanding these causative elements helps in determining the vitiation of Dosha. Concept of Nidan Panchak plays vital role in this aspect since it support in diagnosis as well as treatment of disease.
A STUDY TO EVALUATE THE KNOWLEDGE AND PRACTICE OF MENSTRUAL SANITATION AMONG WOMEN OF ANCESTRAL COMMUNITIES RESIDING IN SELECTED AREAS OF INDORE, MADHYA PRADESH
In India 52% of the female population is of reproductive age and are likely to menstruate each month. They are getting anxious, adolescents missing their schools, taking leave from works, sometimes completely isolated from their family and society and practicing unhealthy menstrual hygiene practices during menstruation as they want to hide their menstruation and to maintain the purity of their surroundings. Menstruation is also known as period or monthly. By definition, menstruation is the regular discharge of blood and mucosal tissue from the inner lining of the uterus through the vagina. It is due to the preparation of woman’s body for pregnancy. So, if pregnancy do not happen the lining will shed through the vagina. The menstrual cycle is controlled by the reproductive hormone system and is necessary for pregnancy and reproduction. Menstrual hygiene management means that women and adolescent girls using a clean menstrual management material to absorb or collect blood that can be changed in privacy as often as necessary for the duration of the menstruation period, using soap and water for washing the body as required, and having access to facilities to dispose of used menstrual management material.
A STUDY TO ASSESS THE KNOWLEDGE REGARDING MENSTRUAL HYGIENE AMONG WOMEN RESIDING IN SELECTED AREAS OF JABALPUR, MADHYA PRADESH
Menstruation is a normal physiological process experienced by women of reproductive age. However, menstrual hygiene management (MHM) remains a public health challenge, especially in rural areas where cultural taboos, poor sanitation, and lack of awareness prevail. Poor menstrual hygiene can lead to infections, absenteeism from work or school, and long-term reproductive health issues. Improving menstrual hygiene knowledge among women is vital for promoting their health and well-being. This study assesses the level of knowledge regarding menstrual hygiene among rural women in selected areas of Jabalpur, Madhya Pradesh.
A STUDY TO APPRAISE THE OUTCOME OF STRATEGIC INTERVENTION ON PRACTICE OF WARM CHAIN AMONG MOTHERS ADMITTED IN SELECTED HOSPITAL OF INDORE, MADHYA PRADESH
Objectives : Assess the practice of warm chain among mothers. Evaluate the effect of planned intervention on practice of warm chain among mothers. HYPOTHESES: H1: There is a significant difference in the mean score of practice of warm chain among experimental and control group. Research Methodology : A quantitative approach was adopted. the researcher adopted quasi experimental post test non equivalent control group design. After the post test an information booklet regarding warm chain is distributed to the control group. Independent variable: planned intervention on practice of warm chain. Dependent variable: practice of warm chain. The study was conducted in antenatal and postnatal wards of Index Hospital, Indore, Madhya Pradesh. It is a 900 bedded multi-specialty hospital. Population of present study are mothers and their neonates. Sample for the present study are 124 mothers and their neonates admitted in Index Hospital, who fulfilled the criteria for sample selection. Consecutive sampling technique was adopted to select the sample.
A STUDY TO ASSESS THE EFFECTIVENESS OF A PLANNED TEACHING PROGRAMME ON THE PRACTICE OF WARM CHAIN AMONG MOTHERS ADMITTED TO SELECTED RURAL HOSPITALS OF RATLAM, MADHYA PRADESH
Neonatal hypothermia is a major yet preventable cause of neonatal morbidity and mortality, especially in developing countries like India. The World Health Organization defines neonatal hypothermia as a body temperature below 36.5°C. Despite advancements in maternal and child health services, the prevalence of hypothermia remains high in rural settings due to limited awareness, inadequate facilities, and improper newborn care practices. The warm chain refers to a series of interlinked procedures aimed at maintaining the newborn’s body temperature from birth until discharge. These include warm delivery rooms, immediate drying, skin-to-skin contact, early initiation of breastfeeding, delayed bathing, appropriate clothing, and rooming-in. Mothers are the primary caregivers and play a crucial role in sustaining these practices. Studies have shown that lack of maternal knowledge and poor practice of warm chain measures contribute significantly to neonatal hypothermia. Therefore, educating mothers through structured and planned teaching programmes is an effective strategy to improve newborn care practices and outcomes.
A STUDY TO ASSESS THE EFFECTIVENESS OF DESIGNED INSTRUCTION PROGRAMME REGARDING CHILD EXPLOITATION IN TERMS OF KNOWLEDGE AND ATTITUDE AMONG MOTHERS WITH UNDER FIVE CHILDREN IN SELECTED AREAS OF VADODARA, GUJARAT
Children constitute the foundation of any nation’s future, representing not only the continuation of society but also its economic, social, cultural, and moral strength. The well-being of children is universally recognized as a key indicator of national development. Healthy, protected, and nurtured children grow into productive adults who contribute positively to society. Conversely, when children are exposed to exploitation, neglect, and abuse, the consequences extend far beyond the individual child, affecting families, communities, and the nation as a whole. Child exploitation is a multidimensional social and public health issue that violates the fundamental rights of children. It encompasses a wide range of harmful practices, including physical abuse, emotional abuse, sexual exploitation, child labor, trafficking, neglect, and exposure to unsafe environments. Children under five years of age are particularly vulnerable to exploitation due to their complete dependence on adults for care, protection, nutrition, and emotional support. At this developmental stage, children lack the cognitive, emotional, and communicative abilities to recognize exploitation or seek help.
A STUDY TO ASSESS THE EFFECTIVENESS OF A STRUCTURED TEACHING PROGRAMME (STP) REGARDING CHILD EXPLOITATION IN TERMS OF KNOWLEDGE AMONG MOTHERS WITH UNDER-FIVE CHILDREN IN SELECTED AREAS OF VADODARA, GUJARAT
Child exploitation is a pervasive social and public health issue that adversely affects the physical, psychological, and social development of children. Mothers play a pivotal role in safeguarding children against exploitation, particularly during the vulnerable under-five age group. This study aimed to assess the effectiveness of a Structured Teaching Programme (STP) regarding child exploitation in terms of knowledge among mothers with under-five children in selected areas of Vadodara, Gujarat. A quantitative research approach with a pre-experimental one-group pre-test post-test design was adopted. Sixty mothers of under-five children were selected using non-probability convenience sampling. Data were collected using a structured knowledge questionnaire before and after the implementation of the STP. The results revealed a significant improvement in post-test knowledge scores compared to pre-test scores, indicating the effectiveness of the STP. The study highlights the importance of educational interventions in empowering mothers to prevent child exploitation.
A STUDY TO ASSESS THE EFFECTIVENESS OF PLANNED TEACHING PROGRAMME ON KNOWLEDGE REGARDING DENTAL HEALTH AMONG PRIMARY SCHOOL GOING CHILDREN IN A SELECTED RURAL SCHOOL AT VADODARA, GUJARAT
Dental health is a crucial aspect of overall health and well-being, particularly during childhood. Primary school age is a formative period when lifelong health habits are established. Dental problems such as dental caries, gingivitis, and oral infections are highly prevalent among children, especially in rural areas due to poor awareness, inadequate oral hygiene practices, and limited access to dental care services. According to the World Health Organization, dental caries is one of the most common chronic diseases in children worldwide. In India, the prevalence of dental caries among school children ranges from 50% to 80%, with higher rates reported in rural populations. Poor dental health not only causes pain and discomfort but also affects nutrition, speech, self-esteem, and academic performance. Health education through structured and planned teaching programmes has been identified as an effective strategy to enhance knowledge and promote positive health behaviors. Schools serve as an ideal setting for delivering oral health education, as children are easily accessible and receptive to learning.
A STUDY TO ASSESS THE EFFECTIVENESS OF STRUCTURED TEACHING PROGRAMME ON KNOWLEDGE AND COPING STRATAGEMS AMONG NURSING STUDENTS IN SELECTED INSTITUTIONS OF RURAL VADODARA, GUJARAT
Nursing students frequently experience stress due to academic load, clinical responsibilities, interpersonal challenges, and adaptation to professional roles. In rural educational settings, additional challenges such as limited resources, restricted access to mental health support, and socio-cultural pressures may intensify stress. Knowledge regarding stress coping stratagems and the ability to apply them effectively is essential for psychological resilience and academic success. Structured teaching programmes have been found to increase awareness, improve cognitive understanding, and promote positive behaviour change. However, limited research exists on the utility of such educational interventions in rural nursing institutions of Gujarat. This study addresses that gap by examining how structured teaching impacts nursing students’ knowledge and coping stratagems.
A STUDY TO ASSESS THE EFFECTIVENESS OF A SKILL-BASED TRAINING INTERVENTION IN EMPOWERING MOTHERS WITH ESSENTIAL TEENAGE CARE SKILLS FOR MENTALLY CHALLENGED CHILDREN IN SELECTED MENTALLY RETARDED HOMES OF GUJARAT
Intellectual disability, also referred to as mental retardation, is a developmental condition characterized by limitations in intellectual functioning and adaptive behavior. Children with intellectual disabilities require long-term support in performing activities of daily living, communication, social interaction, and behavior regulation. As these children enter adolescence, caregiving demands become more complex due to pubertal changes, emotional instability, emerging independence, and social challenges. In the Indian context, mothers are traditionally the primary caregivers of children with disabilities. Caring for a mentally challenged adolescent places considerable physical, psychological, and emotional burden on mothers. Inadequate knowledge and lack of practical caregiving skills often result in increased stress, reduced confidence, and feelings of helplessness. Empowerment of mothers through structured skill-based training is essential to enable them to cope effectively with caregiving responsibilities and to improve the overall well-being of both mother and child.
A STUDY TO ASSESS THE EFFECTIVENESS OF SKIN-TO-SKIN CONTACT ON POSTPARTUM BONDING AND NEONATAL OUTCOMES AMONG MOTHERS AT SELECTED HOSPITAL OF INDORE, MADHYA PRADESH
The postpartum period is a critical transitional phase for both the mother and the newborn, characterized by significant physiological, psychological, and emotional changes. The establishment of a healthy mother–infant bond during this period is essential for the infant’s survival, growth, and long-term emotional and cognitive development. Postpartum bonding refers to the emotional connection that begins immediately after birth and strengthens through early interactions such as touch, eye contact, and breastfeeding. Disruptions in early bonding may negatively affect maternal mental health and infant developmental outcomes. Skin-to-skin contact (SSC), also known as kangaroo mother care when practiced for prolonged durations, involves placing the naked newborn prone on the mother’s bare chest immediately after birth. This simple, low-cost intervention has been endorsed globally by the World Health Organization (WHO) and UNICEF as a standard of care for all newborns, irrespective of birth weight or gestational age, provided the neonate is clinically stable. SSC facilitates early sensory stimulation, warmth, and comfort for the newborn while simultaneously promoting maternal confidence and emotional attachment.