Informatics Publishing Limited

V. R. Vijay ¹, Samundy Kumbhakar ¹

Affiliations
1 College of Nursing, Uttar Pradesh University of Medical Sciences (UPUMS), Saifai, Etawah, Uttar Pradesh State 206130, IN

Abstract

Diabetes mellitus is a fast growing non communicable epidemic, which honored India with the title "the diabetes capital of the world". A descriptive study was conducted to assess the life style practices among diabetic patients and to associate the life style practices with selected demographic variables. Non experimental descriptive survey design was employed for this study. The population of this study includes diabetic patients undergoing treatment from UP RIMS and R, a premier health institute in the rural part of UP state. The age group of population was between 30-70 years. Fifty subjects who met inclusion and exclusion criteria were included in the study. Eligible Subjects were selected by using non-randomized convenient sampling technique and by applying inclusion and exclusion criteria. Interview schedule and a structured questionnaire were used for collecting demographic data and life style practices. The result shows that 54% (27) of the study participants follow moderate life style practices whereas only 16% (8) samples follow good life style practice. The selected variables such as: sex, education, occupation, income and duration of illness illustrate a significant association with life style practices. In conclusion, the percentage of diabetes patients leading good life style practices is very few and signifies the importance of target approached health education in the hospital as well as community settings.

Keywords

Life Style Practices, Hyperglycemia, Diabetic Patients.

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Manju Dhandapani ¹, V. R. Vijay ², Nadiya Krishnan ², Lakshmanan Gopichandran ³, Alwin Issac ², Shine Stephen ², Jaison Jacob ², Thilaka ⁴, Lakshmi Narayana Yaddanapudi ⁵, Sivashanmugam Dhandapani ⁶

Affiliations
1 National Institute of Nursing Education, IN
2 College of Nursing, AIIMS, Bhubaneswar, IN
3 College of Nursing, IN
4 Dept. of Anesthesia, AIIMS, New Delhi, IN
5 Dept. of Anesthesia and Intensive Care, IN
6 Dept. of Neurosurgery, PGIMER, Chandigarh, IN

Abstract

Background: Nursing care plays a vital role in critically ill patients’ recovery process and outcome with COVID-19. Though there is a tremendous surge in COVID-19 literature, there is no comprehensive documentation of nursing aspects.Objective: To develop nursing care standards for critically ill patients with COVID-19. Methodology: To prepare this scoping review, a detailed literature review was done by the experts and trainers involved in the critical care of patients with COVID-19 from India’s premier institutes. Results: Rapidly progressing hypoxemia with respiratory failure induced by COVID-19 in critically ill patients poses a management challenge. Patients of COVID-19 progressing to critical stage must be identified early, and appropriate management initiated while taking all the specific measures to prevent infection to the healthcare providers. The essential components of critically ill patients’ nursing care include constant monitoring and maintenance of ventilation, oxygenation, fluid volume/hemodynamic status, and shock prevention. The other adjunctive measures include meeting the nutritional demands, prevention, early identification of complications, timely initiation of rehabilitation, and personal and environmental hygiene. Ensuring the safety of the healthcare providers with adequate PPE and infection control measures is of utmost importance while caring for the patients of COVID-19. Conclusion: The nursing interventions must be tailored vigilantly for the individual patient. The evidence is evolving, and the nursing care strategies discussed in this article based on existing evidence may guide the nurses and healthcare providers in managing critically ill patients of COVID-19.

Keywords

Pandemic, COVID-19, Coronavirus Infection, Sars-Cov-2, Nursing, Critical Care, Epidemiology, Acute Complications, Diagnosis, Prevention and Control, Physiotherapy.

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