Papers by DR TUKARAM B. ZAGADE
International Journal of Research in Medical Sciences, Jun 28, 2019
The gastro intestinal is important system in the human body. Many times it is found that its unea... more The gastro intestinal is important system in the human body. Many times it is found that its uneasy for student nurses to check the patient. So, there is need to improve the available learning programmes regarding gastro intestinal tract assessment. So, it was necessary to conduct this study for educating student nurses regarding the gastro intestinal tract assessment to improve their knowledge. The objectives of this study were to assess the knowledge of student nurses regarding gastro-intestinal tract assessment and to evaluate the effectiveness of video assisted teaching programme on knowledge regarding gastro intestinal tract assessment. Methods: Material and methods used for the study is the evaluative approach; one group pre test, post test design was used. Study was conducted on sample of 70 student nurses by using convenient sampling technique. The data were collected by structured questionnaire. The data were analyzed using descriptive and inferential statistics. The mean knowledge score of student nurses during the pre-test was 39.89% where as it had raised up to 72% during the post-test regarding gastro intestinal tract assessment as effectiveness of video assisted teaching programme. Therefore, the difference assessed was 32.11% between pre-test and post-test. Conclusions: There was significant difference between the pre-test knowledge level and post-test knowledge level of student nurses on gastro intestinal tract assessment. Hence health education programs and on-going teaching both can further improve the knowledge of student nurses.
Comparison of the Efficacy of Magnesium Sulphate and Cold Application for the Treatment of Thrombo Phlebitis in Patients Undergoing Intravenous Therapy at a Tertiary Care Hospital
International journal of current research and review, 2021
Introduction: In hospitals, providing care for patients typically includes the utilization of var... more Introduction: In hospitals, providing care for patients typically includes the utilization of various intravenous devices. The monitoring of a patient’s hemodynamic condition as well as the delivery of fluids, nutrition, medicines, and blood products are all accomplished with the assistance of these instruments. Up to eighty percent of hospitalized patients in contemporary medical practice are given intravenous therapy at some point during their hospitalization. This treatment can be given at any time during the patient’s stay. Even though peripheral IVs seldom cause serious difficulties, problems might arise, especially when they are used for an extended period of time. Because of this, different hospitals have developed different sets of rules about the suggested amount of time that a peripheral IV should be in place. Early detection, as well as clear and open communication between the patient and the healthcare provider, is essential in the event that a medical procedure results in a side effect or complication of any kind. Aims: The purpose of this study is to compare the efficacy of magnesium sulphate application and cold application for the treatment of thrombophlebitis in patients who are receiving intravenous therapy in a tertiary care hospital. Objectives to determine whether or not the application of cold can effectively treat thrombophlebitis. To determine whether or not magnesium sulphate is effective in treating thrombophlebitis. In order to evaluate the relative efficacy of magnesium sulphate and cold application in the treatment of thrombophlebitis. Material and Method: Techniques and Components Among the 32 patients who participated in the study, an evaluation was carried out using a method called straightforward random sampling. A total of 16 samples were allotted to the group that was to receive the cold treatment, and the same number of samples were given to the group that was to receive the magnesium sulphate application. The research approach known as the pre-experimental two-group design was utilised for the investigation. The medical and surgical wards of the tertiary care hospital located in Karad were chosen as the location for this particular research project. Patients who have acquired thrombophlebitis and are now being treated in medical and/or surgical wards at tertiary care hospitals make up the population of the current research study. Results: In order to determine whether or not there was an effect of cold treatment on thrombophlebitis in group A, a non-parametric repeated ANOVA was carried out using the Friedman test. It was discovered that, beginning on day 2 and continuing onwards, there was a significant decrease in the readings of score on the thrombophlebitis measuring chart when cold treatment was performed each time in group A (p 0.001). When performing a non-parametric repeated ANOVA, the Friedman test was utilised to determine whether or not there was an effect of magnesium sulphate treatment on thrombophlebitis in group B. It was shown that there was a substantial drop in the readings of score of thrombophlebitis measurement chart, beginning on day 1 and continuing onwards for magnesium sulphate application three times in group B (p less than 0.001) According to the findings of the Mann Whitney U test, there was a statistically significant difference between groups A and B regarding the thrombophlebitis assessment grading scale for the various therapies (p less than 0.05). The fact that the median score for magnesium sulphate application, group B was constantly reduced (meaning the level of pain decreased), demonstrates that the magnesium sulphate paste application was more effective than the cold application. Conclusion: The findings of the study indicated that there was a significant difference between groups A and B with regard to the thrombophlebitis assessment grading scale for various therapies (p less than 0.05). The fact that the median score in magnesium sulphate application, group B was constantly reduced (meaning the level of pain decreased), demonstrates that magnesium sulphate application was more effective than the application of cold.
International Journal of Medical Science and Public Health, 2019
a chronic illness which reduces the lifespan of patients. In worldwide, 30 million peoples were s... more a chronic illness which reduces the lifespan of patients. In worldwide, 30 million peoples were suffering from kidney diseases. In India, around 8% of the population have renal problem. In that, >5% were undergoing hemodialysis. The available treatments are not able to cure disease; instead, they offer extend life expectancy, symptom relief and improve the quality of life. When the kidney is not able to filter blood, another method for filtration is must. Lifetime dialysis becomes unavoidable unless transplantation of kidney is done and is successful. Hemodialysis is the most well-accepted form of treatment for end-stage renal failure. Background: When the kidney is unable to filter blood, dialysis is an alternate method for filtration. Lifetime dialysis becomes unavoidable unless kidney transplantation is successfully done. Hemodialysis subjects normally have a poor quality of life and there is a positive association between quality of life of patient and support of family. Hence, it was necessary to conduct this study for creating awareness regarding the home management of dialysis among the caregivers of hemodialysis subjects to improve their knowledge. Objectives: The objectives of this study were as follows: (i) To assess the effectiveness of structured teaching programme (STP) on knowledge regarding home care management of hemodialysis subjects and (ii) to find association between pre-test knowledge and selected demographic variables. The evaluative approach was used; one group pre-test and post-test design was used. The study was conducted on sample of 40 caregivers of hemodialysis subjects using convenient sampling technique. The data were collected by structured questionnaire. The data were analyzed using descriptive and inferential statistics. Results: The mean knowledge score of caregivers of hemodialysis subjects during the pre-test was 39.48%, whereas it had risen up to 82.50% during the post-test as an effectiveness of STP. Therefore, the difference assessed was 43.02% between pre-test and post-test. Conclusion: There was significant difference between the pre-test knowledge level and post-test knowledge level of caregivers on home care management of hemodialysis subjects. Hence, health education programs and on-going teaching both can further improve the knowledge of caregivers.
Cardio-Respiratory assessment. Results: The Pre-test mean knowledge score and S.D. of the U.G. st... more Cardio-Respiratory assessment. Results: The Pre-test mean knowledge score and S.D. of the U.G. student nurse regarding Cardio-Respiratory assessment was 11.18 ± 2.657, which was increased in Post-test to 25.30 ± 2.940. The paired "t" test was calculated to find the effectiveness of Learning package, the "t" value was obtained as 30.212 and "p" value was <0.001 at the level of 5% (0.005) Significance which is considered extremely significant. It indicates significant improvement in knowledge regarding Cardio-Respiratory assessment after administering Learning package.
staff nurses regarding NSI. Research methodology: Research Approach: Evaluative research approach... more staff nurses regarding NSI. Research methodology: Research Approach: Evaluative research approach. Research Design: Quasi-experimental-Pre and Post test Design. Setting of the study: Krishna hospital, karad. Sample Population: Staff nurses. Sampling Technique: Convenience sampling. Sample size: 60. Results: The Pre-test mean knowledge and attitude score was 9.5 and 33.66 respectively which was increased in Post-test to 15.16 and 34.64 respectively. where "t"test value knowledge (t=2.235 <0.0001) attitude (t= 0.3866 at p<0.001).which is considered to be extremely significant of knowledge and there was no significant in attitude change So improvement in knowledge regarding NSI after administering VAT.
Indian journal of applied research, 2018
Back ground There is evidence that the prevalence of certain noncommunicable diseases, such as d... more Back ground There is evidence that the prevalence of certain noncommunicable diseases, such as diabetes and hypertension, is increasing rapidly, particularly in the urban areas, and that significant demands are being made on the health services by patients with these diseases. Methods & Materials Descriptive survey approach and design was used by selecting random sample technique. From Three village’s i. e Karad, Kale & Vadgaon, samples were collected. The 400 Families were selected randomly for door-to-door survey to find out cases of diabetes & hypertension. The structured questionnaire is used data collection& analyzed by using descriptive & inferential statistics. Results Maximum 31 (41.33%) from age group 51-60 years, 50 (66.67%) female, 41 (54.66%) were having HTN, 22(29.33%) having DM & 12 (16%) having DM & HTN & taking regular treatment. 28(37.33%) having hereditary history about disease. There is no association found between demographic variable & prevalence...
Cardiovascular disease (CVD) is a critical global health issue, and cardiovascular nurses play a ... more Cardiovascular disease (CVD) is a critical global health issue, and cardiovascular nurses play a vital role in decreasing the global burden and contributing to improving outcomes in individuals and communities. Cardiovascular nurses require the knowledge, skills, and resources that will enable them to function as leaders in CVD prevention and management. Objectives :1) To assess the knowledge of under-graduate student nurses about Cardio-Respiratory assessment before and after administering the Learning Package. 2) To assess the effectiveness of learning package on Cardio-Respiratory assessment among under-graduate student nurses. To find out an association of Knowledge about Cardio-Respiratory assessment among under-graduate student nurses and selected Socio-demographic Variables. Methods: An evaluative approach adopted. The Quasi-experimental one group pre-test post-test design used. The sample size for the present study was 70 under-graduate student nurses in 2nd year Basic B.Sc....
The efficacy of structured teaching programme on knowledge, practice, attitude and glycemic level of individuals suffering from type 2 diabetes mellitus at selected hospital, Tumkur By Mr.Ramu
Back Ground of the study: In today’s fastpaced life, the people manage to get everything earlyinf... more Back Ground of the study: In today’s fastpaced life, the people manage to get everything earlyinformation, money and even diseases. Industrialization, socio economic development, urbanization, changing age structure, changing life style have placed India in a position where it is facing a growing burden of diabetes mellitus and being responsible for a major proportion of morbidity and mortality. India is currently experiencing an epidemic of type 2 diabetes mellitus and has the largest number of diabetic patients. At present India is considered as diabetic capital of the world. It is estimated that every fifth person with diabetes will be Indian and every fifth adult in Indian urban area is diabetic. Keeping in view the alarming increase in incidence and prevalence of diabetes in India, the WHO declared India as the ‘Diabetic Capital’ of the world. Increasing patient knowledge regarding diabetes and its complication has significant benefits with regard to patient compliance to treat...
International Journal of Medical Anesthesiology, 2020
Background and Aim: Fascia iliaca compartment block(FICB) provides excellent analgesia to patient... more Background and Aim: Fascia iliaca compartment block(FICB) provides excellent analgesia to patients with proximal femur fractures, especially required during positioning to regional anesthesia. Use of ultrasonography (USG) helps in direct visualisation of the anatomy and with suprainguinal approach single injection of drugs administered. We compared the efficacy of Magnesium sulphate (MgSO4) and Dexamethasone as additives to 0.2% ropivacaine for FICB for better pain relief and post op analgesia. Methods: This is a comparative, randomised, double blind, controlled prospective study included 50 patients with 18-90 years of age group, belonging to ASA I to III, undergoing proximal femur fracture surgeries. Patients were divided into two groups of 25 each. Group M (magnesium sulphate) patients received 0.2% ropivacaine 28ml with 2ml of 25% MgSo4 (500mg). Group D(dexamethasone) patients received 0.2% ropivacaine 28ml with 2ml of dexamethasone (8mg) for USG guided FICB. Time for onset of analgesia using numerical rating scale (NRS <5), time for complete analgesia (NRS is 0) on passive movement of the limb, duration of post op analgesia, patient satisfaction, ease of positioning were assessed for first 24 hrs. Descriptive and inferential statistical analysis has been carried out in the present study. Student t test has been used for quantitative data analysis. Chi square tesrt/ Fisher Exact test has been used for qualitative data analysis. Results: Time for onset of analgesia (NRS <5) was decreased with MgSO4 (P value < 0.001). Time for complete analgesia (NRS 0) was also decreased with MgSO4 (P value < 0.001). Post op analgesia was more with Dexamethasone group (P< 0.001). Patient satisfaction, and ease of positioning was good in both the groups. Conclusion: Addition of MgSO4 and Dexamethasone to Ropivacaine for FICB provides better analgesia coverage with MgSO4 reducing onset of analgesia and time for complete analgesia. Dexamethasone provides increased duration of analgesia.
Study to Evaluate Prevalence, Knowledge and Awareness of Needle Stick Injury among Dental and Nursing:Under Graduate Students
Indian Journal of Public Health Research & Development, 2020
Aim-To assess the effectiveness of self instructional module on knowledge regarding prevention of... more Aim-To assess the effectiveness of self instructional module on knowledge regarding prevention of microvascular and macrovascular complications among patients with diabetes mellitus. Methodology-The research approach adopted for this study is an evaluative approach. The research design selected for this present study was Quasi-experimental design one group pretest posttest design. The sample size consists of 40 diabetes mellitus patients; Non probability purposive sampling technique was used to select the respondents. A structured knowledge questionnaire was administered to assess knowledge of diabetic patients regarding prevention of Micro & Macrovascular complications of diabetes mellitus. Findingsmajority of the 14(35%) diabetes mellitus patients belongs to the age group of 40+ (i.e. 40-50 years). Majority of the respondents 25(62.5%) were male and 38(95%) were married. Maximum number of respondents 38(95%) were Hindu by religion. Most of the respondents 17 (42.5%) had taken secondary education and 19(47.5%) were employed. Maximum number of respondents 17(42.5%) had their family monthly income 15001 & above. Regarding duration of illness, maximum number of respondents 19(47.5%) had diabetes mellitus since 1-5 years and 38(95%) patients had some amount of knowledge about complications of diabetes mellitus. Maximum number of the respondents 33(82.5%) received information about diabetes mellitus from television, and 31(77.5%) received information from Newspaper. After the administration of SIM the pre test and post test analysis revealed that, in pre-test majority 30 (75%) patients had average knowledge, 3 (7.5%) had Good knowledge, and 7(17.5%) had poor knowledge in total knowledge score where as in post-test majority of 28(70%) had average knowledge, 8(20%) had poor knowledge and 4(10%) had a good knowledge. Conclusion-SIM was found to be a very effective method of providing information regarding prevention of microvascular and macrovascular complications.
Aim-To assess the effectiveness of self instructional module on knowledge regarding prevention of... more Aim-To assess the effectiveness of self instructional module on knowledge regarding prevention of microvascular and macrovascular complications among patients with diabetes mellitus. Methodology - The research approach adopted for this study is an evaluative approach. The research design selected for this present study was Quasi-experimental design one group pretest posttest design. The sample size consists of 40 diabetes mellitus patients; Non probability purposive sampling technique was used to select the respondents. A structured knowledge questionnaire was administered to assess knowledge of diabetic patients regarding prevention of Micro & Macrovascular complications of diabetes mellitus. Findings- majority of the 14(35%) diabetes mellitus patients belongs to the age group of 40+ (i.e. 40-50 years). Majority of the respondents 25(62.5%) were male and 38(95%) were married. Maximum number of respondents 38(95%) were Hindu by religion. Most of the respondents 17 (42.5%) had taken ...
International journal of advanced science and technology, 2020
Background-Cancer is growing health challenge in India. Cancer treatment modalities cause oral he... more Background-Cancer is growing health challenge in India. Cancer treatment modalities cause oral health problems in different forms. Oral care have vital role in prevention and management of oral health problems. Caregivers are providing continues long term care to cancer patients in home and hospitals. Most of caregivers have poor knowledge regarding the quality oral care. Aim-To determine effectiveness of structured teaching programme on oral care on knowledge of caregivers of cancer patients. Caregivers update their knowledge which helps to provide quality oral care to cancer patients which reduces or prevents the oral problems. Methods-The experimental one group pre and posttest design was useded. Total 55 caregivers of chronic ill cancer patients in tertiary care hospital, Karad were selected by non-probability convenient sampling technique. The data collected by using structured knowledge questionnaire. The data were analyzed by descriptive and inferential statistics. Result: The pre-test knowledge score was 4.76±1.81 which had been increased after structured teaching programme in post-test knowledge score that 8.30 ±1.52. The calculated "t" value was13.474 and p value is less than 0.0001. The analysis revealed that there is association between the knowledge of caregivers regarding oral care with patient type of cancer. Conclusion-The study concluded that structured teaching programme was highly effective to improve knowledge of caregivers regarding oral care.
Non communicable disease is the killer disease”Non communicable disease is a medical condition or... more Non communicable disease is the killer disease”Non communicable disease is a medical condition or disease that can defined as non infectious and non transmissible among people. The purpose of this study was to assess the effectiveness of planned teaching programme on knowledge regarding knowledge on non communicable diseases among class IV workers of KLE Institute, Ankola. Problem Statement: “A study to assess the effectiveness of structured teaching program regarding knowledge on non communicable diseases among class IV workers of KLE Institute, Ankola.” Objectives: To assess the level of knowledge regarding non communicable diseases among class IV workers KLE‟S Institute Ankola. To associate pre test level of knowledge regarding non communicable diseases among class IV workers with demographic variable in KLE‟S Institute Ankola. To assess the effectiveness of structured teaching programme regarding knowledge on non communicable diseases among class IV workers. To associate the pos...
Study to Assess the Effectiveness of Video Assisted Teaching on Knowledge and Attitude of Adolescent Regarding Harmful Effects of Nicotine Addiction
International Journal of Nursing and Health Science, 2016
A study to assess the effectiveness of Video Assisted Teaching(VAT) on knowledge and attitude of ... more A study to assess the effectiveness of Video Assisted Teaching(VAT) on knowledge and attitude of adolescent regarding harmful effects of nicotine addiction. This study was under taken with objectives to: Develop a VAT for the adolescent regarding harmful effects of nicotine addiction, To assess and evaluate the knowledge and attitude of adolescence regarding harmful effects of nicotine addiction before and after the administration of VAT and to find the relationship between post test knowledge and attitude of adolescence regarding harmful effects of nicotine addiction before and after the administration of VAT. The conceptual framework adopted for the study was based on System Model (input process output)by open system model by Ludwig Von Bertalanffys in the year (1980). The data was collected, analyzed and interpreted in terms of the objectives. Descriptive and inferential statistics were utilized for the analysis of the data. The mean knowledge scores was19.4 with a median of 19.5 and a standard deviation of 3.32 against the maximum score of 32. The mean attitude score was 49.28 with a median of 50 and a standard deviation of 4.64 against the maximum score of 60. The range obtained between 40-60 (96%) indicates a positive attitude among students.
Background: Nursing service is one of the most important components of hospital service. Patient ... more Background: Nursing service is one of the most important components of hospital service. Patient satisfaction with nursing care is considered an important factor in explaining patients perceptions of service quality. Objectives: To assess the level of satisfaction towards postoperative nursing care among patients undergone abdominal surgery Material and methods: Qualitative approach, exploratory research design was used for the study. 65 samples were included by purposive sampling technique. Setting of the study was postoperative unit of Krishna Hospital, Karad. A Modified satisfaction scale was used for the data collection. The collected data were studied and analysed using descriptive and inferential statistics. Results: According to findings of study, 3(4.6%) patients were having poor, 7(10.7%) patients were having excellent and 55(84.6%) were having very good satisfaction. Results shows the significant association between level of satisfaction and religion. Conclusion: The actual gain on conducting this study was better outcome in wellbeing of the patient in terms of gaining more satisfaction of the patient regarding the quality of post-operative nursing care, comfort of patient, fast recovery and quality of life.
International journal of health sciences
Context: Arterial blood gas analysis requires puncture of an artery to obtain a blood specimen. A... more Context: Arterial blood gas analysis requires puncture of an artery to obtain a blood specimen. Arterial punctures are quite painful among many patients and are the major source of morbidity in clinically ill patients. Aim: We aimed to evaluate the efficacy of cryoanalgesia among patients undergoing arterial puncture. Settings and Design: The one group pre-test post-test design included 40 samples undergoing arterial puncture in Krishna Hospital and MRC, Karad. Materials and Methods: Purposive sampling technique was used and collected data were analysed using Instat software. Statistical analysis: Statistical analysis was performed using Instat software. Results: The pre-test results depict that out of 40 patients, no patient 0(0%) had mild pain during arterial puncture, 4 (10%) patients had moderate pain and 36(90%) patients had severe pain whereas in the post-test results, out of 40 patients, 1(2.5%) patient had mild pain during arterial puncture, 39 (97.5%) patients had moderate ...
Postpartum depression (PPD), also called postnatal depression, is a form of clinical depression w... more Postpartum depression (PPD), also called postnatal depression, is a form of clinical depression which can affect women, and less frequently men, after childbirth.. For most the symptoms are mild and short-lived; however, 10 to 15% of women develop more significant symptoms of depression or anxiety. Postpartum psychiatric illness is typically divided into three categories: (1) postpartum blues (2) postpartum depression and (3) postpartum psychosis. It may be useful to conceptualize these disorders as existing along a continuum, where postpartum blues is the mildest and postpartum psychosis the most severe form of postpartum psychiatric illness. Most cases of PND start within a month of giving birth, but it can start up to six months later. Aim: The overall aim of the study is to assess the level of depression in postnatal mothers. Objectives: To assesse the level of depression among post natal mother admitted in krishna hospital. To associate the results with demographic variables. T...
Background: Cardiopulmonary Resuscitation (CPR) is a critical component of basic life support. It... more Background: Cardiopulmonary Resuscitation (CPR) is a critical component of basic life support. It is established first line before advanced life support. Cardiopulmonary resuscitation is a potential life saver because it is associated with survival and has the potential to prevent sudden death. All health care providers who are in contact with the patients should have regular resuscitation training as recommended by The American Heart Association (AHA) resuscitation guidelines. Many research studies shows that the victims chances of survival depends on the quality of cardiopulmonary resuscitation which means it has direct impact on survival of the victim. Cardiopulmonary resuscitation (CPR) should be used for those patients with reasonable chance of restoring and prolonging life . Objectives: To assess the existing knowledge & skills regarding cardio pulmonary resuscitation among the students. Methodology: A qualitative research approach had been used, with one group pre test post t...
A one group pre-test post-test pre experimental approach was adopted to evaluate the ‘‘A study to... more A one group pre-test post-test pre experimental approach was adopted to evaluate the ‘‘A study to determine the effectiveness of basic life support training on life saving skills among college students” in selected colleges at Jaipur for degree students. Cardiopulmonary resuscitation (CPR) is one of the most evolving areas of saving actions that improve the survival rates following cardiac arrest and educating to college students can play a dynamic role in case of emergency situations in the society. The study was therefore undertaken to find out the knowledge and skills of undergraduate college students after training on BLS. AIM of the study: To improve knowledge & skills among college students about basic life support and to improve the survival rates following cardiac arrest. Objectives of the Study: 1. To observe the pre & post training Intervention skills on basic life support for life saving among college students. 2. To determine the association between knowledge & skills wi...
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Papers by DR TUKARAM B. ZAGADE