Indian Journal of Health and Wellbeing

Dipika Sangwan ¹, Ravinder Yadav ²

Affiliations
1 Department of Psychology, Punjab University, Chandigarh, IN
2 Government Medical College and Hospital, Chandigarh, IN

Abstract

The concept of mental health is as old as human beings. It includes those behaviors, perception and feelings that determine a person's overall level of personal effectiveness, well being, success, life satisfaction and excellence of functioning as a person. The objective of the study is to find out well being, life satisfaction, depression and aggression in teenage boys and girls. It further aims to find out whether teenage boys and girls exhibit same level of mental health or there are differences. This explorative study was carried out in urban area of Jind (Haryana), with a sample of 100 teenagers, from middle socioeconomic group, in the age range of 17 to 19 years. PGI General well being scale, Life satisfaction scale, Beck Inventory, Aggression Questionnaire were administered individually to each participant. Mean, SDs and t test revealed that non significant difference emerged on well being, life satisfaction, depression and aggression in both groups. Correlational analysis revealed highly significant positive relation between life satisfaction and well being. Aggression and depression were also found to be positively related. Results further indicated that well being is negatively correlated with both depression and aggression.

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Ravinder Yadav ¹, Raman Sharma ², Meenakshi Sharma ³, Varinder Saini ⁴, Vipin Koushal ²

Affiliations
1 GMCH, Chandigarh, IN
2 Department of Hospital Administration, GMCH, Chandigarh, IN
3 School of Public Health PGIMER, Chandigarh, IN
4 Department of Medical Records, GMCH, Chandigarh, IN

Abstract

Due to costlier and unaffordable health care, Government has been introducing various measures time to time. Similarly, a newer health insurance scheme was introduced for Below-Poverty-Line population, called Rashtriya Swasthya Bima Yojana. A descriptive study was conducted in a multispecialty tertiary level institute of North India to understand the awareness level and utilization of the scheme and Out of pocket expenditure borne by the beneficiaries and impact of financial burden and quality of care provided by institute. 53 (42.7%) respondents got awareness about scheme through media while 39 (31.4%) through political gatherings. Satisfaction level was more than 75% with respect to clinicians' clinical and behavioural characteristics, while satisfaction was 70.0% with nursing cooperative care and sympathetic nature. The hospital had spent about 4.85 lakhs for treatment against the total incentives of Rs 5.72 lakhs. None of beneficiary made any expenditure from Out of Pocket. These findings are an eye opener to know where the patients stand with regard to their knowledge and awareness about insurance schemes. As catastrophic health expenditures are a major cause of impoverishment and protection can be further enhanced if government design changes as incorporated by RSBY or make the premium affordable, especially for the poorer sections.

Keywords

Below Poverty Line Patients, Awareness, Utilization, Expenditure, Patient Satisfaction, Out of Pocket Payment.

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Raman Sharma ¹, Vipin Koushal ¹, Meenakshi Sharma ², Ravinder Yadav ³

Affiliations
1 Department of Hospital Administration GMCH, Chandigarh, IN
2 School of Public Health, PGIMER, Chandigarh, IN
3 Department of Medical Records, GMCH, Chandigarh, IN

Abstract

Bathing is an important activity of daily living and should be a pleasurable experience. Adequate and suitable bathing and washing facilities can help to ensure that patients are bathed in private and with dignity. The study was conducted in a Government Multispecialty Hospital with the objective to assess and analyze the inadequacies in public health facilities. Poor access and inadequate adaptations for wheelchair users were also highlighted. A total of 74 baths, 142 washrooms and 124 washbasins (both in IPD and OPD of Hospital) were surveyed. None such studies had been conducted to assess the inadequacies in the public health facilities in health care organizations. All bathrooms and washrooms had proper location and were spacious. 99.5% of the baths had dual water supply; cold and hot. 99.5% baths were clean and non slippery. No bath hoists and non slip mats were present in any of the bath, while 37.8% (28) didn't have bath rods. There were separate male and female washrooms with having appropriate signage (98.0%). About 15.5% (22) washrooms were not properly clean and 17.6% (25) were foul smelling. The facilities for the handicapped and wheelchairs users were not appropriate. 97.0% (121) of the washbasins have mirrors, while towel rods and soap cases were found in 88.7% (110) and 97.5% (121) respectively. So, lot emphases need to be given to improve the decor, cleanliness, and general environment for making washing and bathing a dignified and relaxing experience. Hospital managers, doctors, and matrons should focus on these important issues and it might be a good idea to make these facilities a key factor in star ratings of hospitals.

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Ravinder Yadav ¹, Pallvi Aggarwal ², Jaspal Singh ³

Affiliations
1 Department of Medical Records Govt. Medical College & Hospital 32, Chandigarh, IN
2 Department of Psychiatry Janta Hospital, Jalandhar, IN
3 Department of Psychology Punjabi University, Patiala, IN

Abstract

Mental health is a state of complete physical mental and social well being and not mercely the absence of disease or infirmity (WHO, 2001B). Gender is the single strongest correlate of risk for different types of mental disorders. Despite the robustness of this correlation, "gender "itself is a proxy term for a complex of biological, behavioral, social and psychological variables and processes,which remain as yet incompletely understood, under the outline of appetite, aggression, exploration, sleep, energy, violence, stress, mood and their biological rhythms as they are deferentially regulated and dysregulated in males and females, in relation to mental disorders. Women tend to be less delight about life than men and this may make them more vulnerable to mental illnesses. Women tend to develop internalized symptoms, where problematic feelings are directed towards psychosis, schizophrema, bipolar disorder, unipolar disorder, suicide, the adaptations aspects of life, including access to resources, methods of copying, styles of interacting with others, self evaluation, spirituality and expectations of others, all these influence mental health either positively or negatively The paper gives light on the mental health problem among women having the most important contribution to the global burden of disease and disability and core element of mental health promotionand their fruitul basis of broad spectrum approach..We need to develop preventive strategies like adherence counseling, crisis intervention, psychological counsehng social support and educational programs for awareness. The paper gives a brief overview of the disease and focuses on the behavior of women.

Keywords

Mental Health, Issues, Women.

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Ravinder Yadav ¹, Jaspal Singh ², Pallvi Aggarwal ³

Affiliations
1 Department of Medical Records, Govt. Medical College & Hospital 32, Chandigarh, IN
2 Department of Psychology, Punjabi University, Patiala, IN
3 Department of Psychiatry, Janta Hospital, Jalandhar, IN

Abstract

Rheumatoid arthritis, an inflammatory disease of unknown etiology that occurs in about 1-2% of the adult population, is an autoimmune disease in which a person's immune system which normally protects the body from infection & disease attacks the joint tissues & is commonly associated with chrome inflammation of joints. There are many risk factors associated with rheumatoid arthritis & one of them is gender Studies have reported that women are three times more likely than men to have rheumatoid arthritis & they have more severe rheumatoid arthritis symptoms than men. Preventing rheumatoid arthritis is better than trying to treat the pain and disability & the other things that come along with it like heart diseases & diabetes. In order to reduce joint stress, ideal body weight should be achieved & maintained as obesity stresses the musculoskeletal system Effective means for reducing stress on specific joints should be used. A diet rich in antioxidants is also recommended for the rheumatoid arthritis patients. The goal of medical care is not only to achieve long term survival but also to achieve the best possible psychological, social and spiritual wellbeing. With increased life expectancy of these patients, complication keep arising such as toxicities, hepatic involvement, psychiatric problems and psychological manifestations, these manifest as anxiety, nervousness, irritability, demanding attention, depression in RA patients. This paper emphasizes the fact that these patients may require something more than simple medical management and also psychological support, we need to develop preventive strategies like adherence counseling, crisis intervention, psychological counseling and social support and educational programs for awareness. The paper gives a brief overview of the disease and focuses on the behavior of women with RA. We have described their psychological symptoms and strongly recommend psychological intervention as part of effective management plan.

Keywords

RA, Hormone, Rich Diet, Psychological Interventions.

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Raman Sharma ¹, Ravinder Yadav ², Vipin Koushal ¹, Pallvi Aggarwal ³, Meenakshi Sharma ⁴, Varinder Saini ⁵

Affiliations
1 Department of Hospital Administration, GMCH, Chandigarh, IN
2 Department of Hospital Administration, GMCH, Chandigarh
3 Department of Psychiatry, GMCH, Chandigarh, IN
4 Department of Pediatrics, GMCH, Chandigarh, IN
5 Department of Medical Records, GMCH, Chandigarh, IN

Abstract

Needle stick and sharp injuries (NSSI) among Health Care have a significant impact on the morbidity and mortality. Preventing NSSI is an essential part and every healthcare facility should have an infection control program in work place. A two months descriptive study was conducted in city hospital, Chandigarh to evaluate NSSI among Housekeeping Workers (HkW) specifically to determine the occurrence of NSSI, circumstances under which NSSI occur and measures to prevent NSSIs. Out of 434 HkW, 244 were identified at risk of NSSI. The self structured questionnaire were administered to participants to assess awareness and importance of handling BMW, education and training of BMW handling, causes of injuries etc. 93.0% (214) of HkW had knowledge of segregation, categorization and significance of color coding, 96.5% (222) were well aware of the efforts taken by the hospital authorities in the BMW management. No HkW has ever been imparted training regarding BMW management and all came to know while working in the hospital only. After NSSI exposure 32% (74) of HkW responded immediately, 10 per cent took action later on the same day while the rest did not take any action. When asked about factors for NSSI, 94% (214) responded that they themselves were responsible. NSSIs are observed in all categories of Healthcare workers (HCW) and there is a scope for improvement in safety protocols. Preventive strategies have to be devised and reporting must be made mandatory. Such programs and innovations are necessary for all HCW safety and security.

Keywords

Sharp Injuries, Needle Stick, Housekeeping Workers.

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