Background of the topic revealed that orthopedic surgery is one of the most painful surgeries in which music therapy is found to be effective for reducing pain and anxiety. This study aimed to examine the effect of music therapy on pain, anxiety, and the use of opioids among patients who underwent orthopedic surgery. Methods include a comprehensive search was conducted in PubMed/MEDLINE, Embase, Ovid, Clinical Key, and Google Scholar for relevant randomized controlled trials (RCTs) and quasi-experimental studies published until December 2020 in the English language regarding music therapy in comparison to standard care on pain, anxiety, and opioid use among postoperative orthopedic patients. Results of the study included 13 studies, having a total of 778 patients included in a systematic review comprising ten RCTs and three quasi-experimental studies. Meta-analysis was performed on ten RCTs. The results showed a significant difference between the two groups regarding the use of music therapy in reducing the pain [standard mean difference (SMD) = −0.27; p = 0.002] and anxiety (SMD = −0.40; p = 0.0009). No statistically significant difference was found in the use of opioids and physiological variables between the two groups. Conclusion of the current evidence demonstrated that music therapy significantly reduces pain and anxiety among postoperative orthopedic patients. Researchers recommended using it in the routine care of orthopedic patients for managing their subjective feelings like pain and anxiety. Musical intervention timing, duration, and type of music can be changed according to specific clinical settings and medical teams.
A partograph is one of the important tools to monitor the progress of labor and is also helpful for managing labor. Therefore, it should be used for all women during the first stage of labor admitted to a labor room. Partograph is needed for observations of the mother and fetus and also assists in early decision-making in the intranatal period, such as transfer, augmentation, and termination of labor. Aim of the study:The study was aimed to assess the knowledge and practice regarding the plotting of partograph. Materials and methods: The nonexperimental descriptive design was used for the study. Thirty staff nurses were selected by nonprobability purposive sampling technique. A structured knowledge questionnaire and practice checklist were used for data collection. Results of the study:The results revealed that the majority (53.3%; n = 16) of respondents were having average knowledge score, whereas 43.3% (13) of respondents had good knowledge scores, and only 3.3% (1) of respondents had a poor level of knowledge on partograph. Moreover, 70% (21) of respondents have inadequate practice, and 30% (9) of respondents have adequate practice. Conclusion:This study concluded that staff nurse has average knowledge regarding partograph but practicing plotting of partograph. Clinical significance: This study shows that staff nurses were having an adequate knowledge regarding partograph but do not adequately practicing the plotting of partograph. Therefore, it can use as a tool to monitor labor and prevent unnecessary problems for mothers and fetuses by reducing the total duration of labor.
Introduction: Pain during childbirth is a special experience of a woman that vary from one individual to another, that is caused by uterine contractions and cervical dilatation during labour. Nature and level of pain influence by various physiology, psychology and environmental factors. Thus, pain relief during childbirth is essential therefore, the delivery period will be uneventful. Non-pharmacological pain relief measures: Controlling pain without harm to mother, non-pharmacological measures assure in reducing labour pain with less or even no harm to the mother and fetus. These measures include sensory stimulation measures eg. breathing technique, aromatherapy and music therapy that provides sensory input to the brain to promote relaxation, enhance positive thoughts and transmission of nociceptive stimuli of pain during labour and cutaneous stimulation measures include back massage, changing position, heat and cold application, transcutaneous electrical nerve stimulation, hydrotherapy and acupressure that work as to stimulation of nerves by using skin manipulation in an attempt to reduce pain impulses to the brain. Conclusion: The major aspects of midwifery care are supporting women during labour pain thus, they must understand the choices of the mother's for manage with labour pain. However, non-pharmacological measures are helpful for decelerating pain and discomfort during labour which is easy to given and cost-effective. Key Words: Breathing technique, aromatherapy and music therapy, back massage, changing position, application of heat and cold, Transcutaneous electrical nerve stimulation, acupressure and hydrotherapy.
Introduction: In India there is a huge disparity among percentage of healthcare professionals in rural and urban areas. Majority of population in India lives in rural areas while more than 80% doctors serve in urban areas which imply that majority of healthcare serve only 20% or even less of population. To overcome the health care scarcity to rural population telemedicine and telenursing have shown potential to improve access to healthcare in a cost-effective manner, and to allow increased health literacy and personal well-being among patients Objective: Present scoping review aim to evaluate and summarize the findings of all relevant studies which uses telenursing as a delivery of health care services across the globe. Methods: The literature search was undertaken using PubMed, Embase, Medline, Clinical Key and Ovid discovery databases. The reference list of studies published from 2000 to till April 2021 were hand searched. Result: The result showed that telenursing services were begun in early 90s in abroad however, in India its was pioneered in 1997 by Apollo hospital but the still the horizon of telenursing in India is confined especially in terms of clinical practices. India being a disaster-prone country with an extreme geographical variation with a prevailing inadequacy of healthcare especially in remote areas, telenursing is still a vision for Indian healthcare system. Few barriers application to telenursing in India were documented as policy and social barrier, Lack of infrastructure, accreditation and regulatory bodies, skilled professionals and legal and ethical issues. Conclusion: In India, health care facilities are inaccessible in certain part of the country due to geographical variations, telenursing can play a pivotal role in facilitation of health care services to these areas just by overcoming the barriers.
Patient satisfaction is the key indicator for evaluation of health care system and measuring quality of care. It affects the quality of care and health outcome. Patient satisfaction is an alternate but an effective indicator to measure the success of nurses and health setting. Patient satisfaction is affected by various factors such as communication skill, interpersonal relationship, quality of care and behaviour of staff. Strategies like effective communication, transparency of health care-related information, empathetic hospital environment and prioritising quality outcome can be used for improving patient satisfaction. Meanwhile, nursing care is major component of healthcare services because nurse spends more time with patient in health care organisation. Therefore, measuring patient satisfaction with nursing care could be effective in improving quality of nursing services.
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