Examining the Impact of Counseling on Anxiety Levels in Post-Operative Orthopedic Patients: A Comparative Study | Chapter 5 | New Visions in Medicine and Medical Science Vol. 5

The aim of the study was to assess the effect of counselling on anxiety among  post-operative orthopaedic patients. The advent of modern technology has added tremendous pace to our life. We are eager to achieve instant results in the shortest span of time. This pre- occupation with a fast- track existence has added enormous problems to our daily life style. The sample comprised of 60 male patients divided into two groups experimental group 30 & control group 30. “Spielberger’s” state anxiety inventory was used to collect data. ‘t’ value & ANOVA was calculated for the comparison of pretest and post-test. State anxiety score of experimental and control group of patients. The experimental group's patients' pre- and post-test state anxiety levels differed significantly, according to the results, while the control group's pre- and post-test scores differed statistically significantly. Further, it was found that there was significant difference in pre test and post test anxiety scores of experimental group of patients, according to age and significant difference was found in control group. However, no significant effect was found in control group. However, no significant effect was found according to age, educational status & income on pre test anxiety scores of patients in both experimental and control group. There is marked difference in pre-test and post-test anxiety scores of experimental group of patients according to religion. But in control group of patients there is no statistically significant difference between pretest and post test anxiety scores.

Author(s) Details:

Neeraj Gill,
Khalsa College of Nursing, Amritsar, Punjab, India.

Menu Sharma,
Khalsa College of Nursing, Amritsar, Punjab, India.

Please see the link here: https://stm.bookpi.org/NVMMS-V5/article/view/14154

Inguinal Hernia Repairs in a Rural Setting in East Africa: A Clinical Approach| Chapter 01 | Issues and Developments in Medicine and Medical Research Vol. 3

 In the poor world, inguinal hernias are a leading source of morbidity and mortality. Due to the late presentation of inguinal hernias and the lack of availability and cost of mesh and laparoscopy in resource-constrained settings in rural Africa, clinical care of inguinal hernias may represent a therapeutic challenge to the surgeon. There is a scarcity of data and literature on the surgical treatment of inguinal hernias in our setting. Inguinal hernia affects 3% of women and 27% of men over their lifetime, with rates declining after 45 years of age. The goal of this study was to look at the clinical profile and results of inguinal hernia repair patients at our institution.

Methods: From April 1, 2008, to July 31, 2012, a descriptive retrospective study was conducted on all patients 15 years of age who had an inguinal hernia repair. The patients were evaluated on the surgical ward after surgery and again three months later at the surgical out-patient clinic. The following data were obtained using a pretested questionnaire: age, sex, recurrence of hernia, post-operative pain, and post-operative complications. Physical examination was performed to check for post-operative recurrence and evidence of haematomas, seromas, or acute wound sepsis that necessitated surgery.

The results of 158 patients who had an inguinal hernia repaired with the Modified Bassini method were studied. The average age was 44.84. The male to female ratio was 3.65:1, with males outnumbering females. 4 (2.53%) of patients had emergency inguinal hernia repairs, while the majority of patients, 154 (97.47%), had elective inguinal hernia repairs. 1(0.63 percent) seroma, 1(0.63 percent) haematoma, 1(0.63 percent) necrotizing fasciitis, and 1(0.63 percent) enterocutaneous fistula were among the morbidities. Overall, 3.16 percent of patients had complications.

Conclusions: Patients with inguinal hernias in rural Africa should be encouraged to present early with inguinal hernia signs and symptoms. Elective inguinal hernia surgery, regardless of the kind of repair, will reduce morbidity and death associated with this frequent condition in East Africa.

Author(S) Details

Richard Wismayer
Department of Surgery, St. Joseph’s Maracha Hospital, West Nile, Uganda and Department of Surgery, Habib Medical School, IUIU University, Kampala, Uganda.

View Book:- https://stm.bookpi.org/IDMMR-V3/article/view/5462

Determination of Chronic Post-Inguinal Herniorrhaphy Pain in a Setting in Rural Africa | Chapter 01 | Issues and Developments in Medicine and Medical Research Vol. 2

 Inguinal hernia is a frequent surgical ailment in Africa, with an annual incidence of 175 inguinal hernias per 100,000 persons. Chronic groyne discomfort is defined as pain that lasts for at least three months after an inguinal hernia has been repaired. Chronic groyne discomfort is a potentially incapacitating consequence that presents the surgeon with a therapeutic and diagnostic dilemma.

The goal of this study was to find out how common persistent groyne pain was in a group of patients in a rural African hospital setting.

Methodology: Between April 1, 2008, and July 31, 2012, a descriptive retrospective analysis was conducted on all patients under the age of 15 who received an inguinal hernia repair. Age, sex, recurrence of hernia, and post-operative pain lasting at least 3 months were all extracted from patients' clinical notes and theatre log books. The duration of discomfort, pain at the operation site, and kind of postoperative analgesia were all collected in the interview questionnaire, and a physical examination to assess recurrence was performed at the surgical-out-patients clinic.

The results of 158 individuals who had an inguinal hernia repaired with the modified Bassini technique were studied. The average age was 44.84. With a male predominance, the male:female ratio was 3.65:1. Chronic groyne pain/discomfort was reported by 22 people (13.92%), and it remained for at least 3 months after surgery.

Conclusions: The low frequency of persistent groyne pain in our study could be attributable to the fact that the majority of them were performed as elective procedures under local anaesthetic with regular ilioinguinal nerve identification. To determine the true prevalence of chronic groyne discomfort after inguinal hernia surgery in rural Africa, a bigger sample size and longer follow-up may be required.

Author(S) Details

Richard Wismayer
Department of Surgery, St. Joseph’s Maracha Hospital, Maracha, West Nile, Uganda and Department of Surgery, Habib Medical School, IUIU University, Kampala, Uganda.

View Book:- https://stm.bookpi.org/IDMMR-V2/article/view/5430