Research & Review: Management of Emergency and Trauma Nursing

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EISSN : 2582-0494
Total articles ≅ 4
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Anand Dixit
Research & Review: Management of Emergency and Trauma Nursing, Volume 4, pp 16-26; https://doi.org/10.46610/rrmetn.2022.v04i02.003

Abstract:
Objectives: To assess pulse and blood pressure before teaching breathing exercise, To assess the effectiveness of breathing exercise on the pulse rate and blood pressure among hypertensive patients and to find out the association of the study findings with selected demographic variables. Hypotheses: H1: There will be significant effect of breathing exercise on pulse rate and blood pressure of hypertensive patients. H2: There will be significant association between pulse rate and blood pressure selected demographic variable. Assumptions: The study assumes that Breathing exercise may have some effect on pulse rate and blood pressure, breathing exercise relaxes mind and body, Patient medication may have some effect on the pulse rate and blood pressure. Conceptual Framework: The framework is brief explanation of the theory or those portions of theory that are to be tested in a quantitative study. It helps to organize the study and provides a context for the interpretation of study results, The conceptual framework adopted in this study is based on the General systems theory. It explains the various parts of a system have functional as well as structural relationship between each other Conclusion: With the above findings it is clear that the Breathing exercises were found to be significantly effective in improving the systolic blood pressure, diastolic blood pressure and pulse rate of hypertensive patients. Analysis of data showed that there was significant difference between experimental group value and control group value.
Josy Jose, Jomon M.S
Research & Review: Management of Emergency and Trauma Nursing, Volume 3; https://doi.org/10.46610/rrmetn.2021.v03i02.002

Abstract:
A study aimed to assess the knowledge regarding the management of COVID 19 patients among staff nurses in National Capital Region Institute of Medical Sciences at Nalpur, Meerut. Non experimental, descriptive Survey research design was used for this study. A non-probability convenient sampling technique was adopted for this study. The validity and reliability of the tool was established. Closed ended questionnaire was used to collect the data. Data was analysed by using descriptive and inferential statistics. Result of the study reveals that, majority of nurse belongs to the age group of 20-25 years (80%) and lowest percentage of nurses belongs to the age group of 25-30 years (20%). Most of the nurses were females 19(63%) and remains nurses were males 11(37%). Majority of the nurses have the qualification of GNM 18(60%), other nurses have the qualification of B.sc nursing 9(30%) and ANM 3(10%). Majority of the nurses belongs to the 0-2 year working experience 19(63%) other nurses have in the group of 2-4 year working experience 11(37%). Most of the nurses won’t attended previous COVID19 training program 16(53%) Some nurses were attended COVID 19 training program previously14 (47%). In the source of information, majority of the nurses were got the information from internet 20(66.7%) remains nurses were got the information from newspaper6 (20%) and4 (13.3%) respectively. Knowledge score of the staff nurses was 51.3%. The overall mean and standard deviation of staff nurses regarding the knowledge was 10.3+2.89. There is a significant association between the levels of knowledge with education, previous work experience and sources of information of nurses at p<0.05 level. It concluded that nurses have average knowledge regarding management of COVID19 patients.
Girigosavi Rani Kiran, Adhav Prajakta Niranjan
Research & Review: Management of Emergency and Trauma Nursing, Volume 3; https://doi.org/10.46610/rrmetn.2021.v03i02.001

Abstract:
Background: Bruising is one of the most common adverse events following administration of enoxaparin sodium, which can lead to unpleasant consequences such as reduced access to various sites for injection, reduced satisfaction of patients from treatment and care provided. Cold application is helpful for better management of these side effects which could be easily accessible and economical for the patients. Cold application appears to be cheaper and easily available. Aim: The purpose of this study was to identify the effectiveness of ice pack application on level of pain and bruise formation among patients receiving subcutaneous low molecular weight heparin. Method: Quasi experimental nonequivalent control group posttest only design was adopted. The population comprised of 60 patients receiving subcutaneous low molecular weight heparin from selected hospitals of Pune. Sample of the study were 60 patients receiving subcutaneous low molecular weight heparin patients selected by convenient sampling. The patients in experimental group were provided with ice pack application before receiving subcutaneous low molecular weight heparin to reduce the level of pain and bruise formation. Data was collected by using numerical pain scale, visual analog scale and transparent ruler scale. Result: The study findings showed that average numerical pain score in experimental group was 3.87 and 6.33 in control group. Bruise size was measured in cm. In experimental group Average bruise formation size was 0.0233 after 24 hours of injection, 0.1633 after 48 hours of injection and 0.1766 after 72 hours of injection compared to control group 0.2733 after 24 hours of injection, 0.3933 after 48 hours of injection and 0.4066 after 72 hours of injection. There is significant difference in mean scores of experimental and control group. Conclusion: The findings of the study shows that the ice pack application is effective in reducing the level of pain and bruise formation among patients receiving
Research & Review: Management of Emergency and Trauma Nursing, Volume 2, pp 20-28; https://doi.org/10.46610/rrmetn.2020.v02i02.005

Abstract:
Introduction & Background of the Study: Surgery is one of the unique experiences for the individual. There is an increased demand of oxygen to the cells of the body during this period. Patients may have some impairment of respiratory functions after surgery. If it is not treated earlier it may lead to development of respiratory complications such as hypostatic pneumonia, atelectasis, and respiratory failure. In post operative period patient has a greater risk of alteration in the physiological parameters. Postoperatively 30% patients experience alteration in physiological parameters. Documentation of vital signs aids management decisions, indicating the physiological derangement of a patient and dictating treatment. Physiological parameters monitoring in the perioperative period for moderate- and high-risk surgical patients can improve postoperative outcome. Steam inhalation Deep breathing, coughing exercises and ambulation helps in oxygenation of the tissues However improvement in physiological parameters and post-operative outcomes delivered the overall quality of care. Aim: The study is to assess the effectiveness of selected nursing interventions (steam inhalation, deep breathing exercises and ambulation) regarding post-operative outcomes in terms of physiological parameters (temperature, pulse, respiration, blood pressure, pain) and selected post-operative outcomes (presence of cough, presence of bowel sounds, passage of flatus, passage of stool, amount of nasogastric tube aspiration, amount of abdominal drainage, activities of daily living, oral feeding, day of foleys catheter removal and days of hospital stay) among abdominal surgery patients. Material & Methods: A quasi-experimental pre-test post-test control group research design was adopted on 60 patients by using purposive sampling technique. 30 patients for control group and 30 patients for experimental group. A self-prepared observation checklist was used before and after implementation of nursing interventions to assess the physiological parameters and selected post-operative outcomes. Conclusion: It was concluded that physiological parameters were more stable and better results were observed in terms of post-operative outcomes in the experimental group than the control group.
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