Journal of Lumbini Medical College (JLMC)
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Knowledge Regarding Self Care Measures and Quality of Life among Patients with Chronic Renal Failure undergoing Hemodialysis
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Introduction: Chronic Kidney Disease (CKD) affects 500 million people worldwide. In the US there are 1400 per million of estimated prevalence or established renal failure while in the UK it is recorded more than 600 per million in 2007. This study aims to assess the knowledge on self care measured by structured knowledge questionnaire, assess the quality of life measured by WHO QOL-BREF Scale and try to find out the relationship between knowledge of self care measures and quality of life among chronic renal failure patients undergoing haemodialysis.
Methods: A non experimental descriptive correlational design with a descriptive approach was used for the study. Non probability, purposive sampling was used to select 95 CRF patients undergoing haemodialysis. The conceptual framework was based on Orem’s Self Care Model. The instruments used for data collection were a structured knowledge questionnaire and WHO QOL-BREF Scale. The structured knowledge questionnaire was divided into two sections, socio-demographic variables and knowledge regarding self care measures. The tool was divided into six areas of knowledge such as introduction, clinical features, diagnosis, evaluation, treatment, self care measures and complications of CRF. The main study was conducted among 95 CRF patients undergoing haemodialysis in the month of February to March and analysis was done by using descriptive and inferential statistics. Karl Pearson’s coefficient of correlation was used to compute the co-relation between knowledge & Quality Of Life.
Results: Among the selected 95 patients, Karl Pearson’s coefficient of correlation was found to be rxy = 0.86 since 0< rxy<1, there is positive correlation between the knowledge of self-care measures and Quality Of Life.
Conclusion: The study finding revealed that there is positive correlation between the knowledge and quality of life. As the level of knowledge increases, quality of life improves simultaneously
The prevalence of hypertension and its modifiable risk factors among medical students of a medical college in Uttar Pradesh, India
Get PDFHypertension and associated diseases are currently responsible for large number of deaths in India, and constitute up to 60% of the patients admitted into the medical wards of most tertiary hospitals in India. This study was conducted to find out the prevalence of hypertension and its modifiable risk factors among the medical students of a medical college in India. Materials and Methods: A descriptive cross-sectional study design was used, with the data collected using a modified form of the WHO STEPS instrument that consists of a questionnaire component and the measurement of body mass index (BMI) and blood pressure. Study period March-April, 2009. The questionnaire was used to collect information on the socio-demographic characteristics of the respondents, the use of tobacco, the consumption of alcohol, the type of diet, and the amount and types of physical activities undertaken. Results: A total of 75 students participated fully in the study, out of an eligible total of 100. They were mostly males (65.33%), unmarried and had an average age of 18.06 ± 2.62 years. The prevalence of hypertension was 21.33%; out of which 12 (75.00%) were already aware of their status, and were on appropriate therapy. Only 13 (17.33%) of the students were of normal weight, 45 (60.00%) were overweight, while 17 (22.67%) were obese. Only 2 (2.67%) currently smoke, while most (94.67%) drank less than three standard units of alcohol in a day, mainly in social occasions. Conclusion: The prevalence of hypertension among the medical students in the medical school was lower than that in the general population, mainly due to their better health-seeking behavior and healthy lifestyle
Clinical profile of patients with acute coronary syndrome in Lumbini Medical College and Teaching Hospital: A prospective study
Get PDFBackground: The clinical profile among patients with acute coronary syndromes (ACS) is not well studied in this western part of Nepal where Lumbini Medical College and Teaching Hospital (LMCTH) is situated. Cardiovascular disease is now the most common non communicable disease killing thousands of people worldwide. The trend of incidence is increasing in the developing countries including Nepal. Objective: To obtain the clinical profile of patient presenting with ACS in LMCTH. Material and Method: This is a prospective study carried out in LMCTH in the department of Internal Medicine April 14, 2013 to October 14, 2013. Patients were diagnosed to have ACS based on their clinical findings, Electrocardiogram (ECG) and Troponin test. Those with non-cardiac chest pain were excluded. A detail history and all the data pertaining to the patient were noted analyzed in a systematic way. Results: A total of 40 patients with ACS presented during the study period in LMCTH. The mean age of presentation was 67±18 years. Thirty out of those constitute male (75%). Six patients (15%) died during the study period. Seventeen (42.5%) presented with central chest pain, 13(32.5%) presented with left sided chest pain, 4(10%) presented with acute shortness of breath. Four (10%) patient presented in the state of cardiogenic shock and 2 (5%) presented with the Ventricular tachycardia (VT) as their complication. 6 (15%) had unstable angina (UA), 14 (35%) had Non ST elevation Myocardial Infarction (NSTEMI) and 20 (50%) had ST elevation Myocardial Infarction (STEMI). Of the total 20 (50%) patient who had STEMI, only four of them underwent thrombolysis. Anterior wall MI was the most common wall involved. Circadian variation study showed peak incidence of acute coronary syndrome during the early morning hours.  Mean duration of symptoms before presentation to the hospital facility was 4 days. Mean hospital stay was 5±2 days. Conclusion: Cardiovascular disease is common in this Western part of Nepal. STEMI was the commonest presentation and the incidence was more among the male and the elderly patients