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Poster ID

Department Name of

Presenting Author

Designation Abstract Title Authors

MSc-11 College of

Nursing

Harmanjot Dhindsa

MSc. Student

A study to assess the effectiveness of

structured patient education programme on

knowledge regarding anticoagulation and INR Control among patients undergoing mechanical

valve replacement at AIIMS, New Delhi

Harmanjot Dhindsa

MSc-13 College of

Nursing

Jancy George

MSc. Student

A descriptive study to

assess adherence to

analgesics and

determinants of its

deviation among

cancer patients

receiving palliative

therapy at Pain and

Palliative care clinic,

BRAIRCH, AIIMS

Jancy George

MSc-14 College of

Nursing

Deeksha Patel

MSc. Student

Effect of recorded maternal voice on child's

cooperation and pain perception during bone marrow examination-a

double blinded randomized controlled

trial

Deeksha Patel

MSc-16 College of

Nursing

Laxmi Kumari

MSc. Student

A study to assess the effectiveness of

structured health education program on

knowledge and attitude regarding consanguinity

leading to congenital heart defects in children, among students (18-25

years) of selected College of Delhi

Laxmi Kumari

MSc-17 College of

Nursing

Jerlin Joseph

MSc. Student

A Study to Assess the Effectiveness of a

Structured Heart Failure Clinical Pathway on

Nurses Knowledge and Patient Care Outcomes in

the Cardiology Department, AIIMS, New

Delhi

Jerlin Joseph

MSc-23 College of

Nursing

Tsering Lamo

MSc. Student

“A study to assess the knowledge and attitude

of patients regarding Obstructive Sleep Apnea and Continuous Positive

Airway Pressure Therapy, attending Sleep Clinic,

Department of Medicine,

Tsering Lamo , Ms. Sibi Riju, Dr. Sanjeev Sinha.

MSc-33 College of

Nursing

Jyoti Jangid

MSc. Student

A study to assess the effectiveness of an education booklet on knowledge of chronic kidney disease among hypertensive and/or diabetic patients at AIIMS, New Delhi

Jyoti Jangid

MSc-11

ABSTRACT

Background: Valvular heart diseases (VHD) are an important cause of mortality and

morbidity globally with rheumatic heart disease contributing to the major burden in India.

Management of progressive VHD requires mechanical or bioprosthetic replacement of

valves. Mechanical valve replacement requires lifelong anticoagulation which carries the risk

of serious bleeding and thromboembolic events unless INR is maintained within the narrow

therapeutic range. Effectively managing the determinants of INR control like patient

education, drug- adherence, lifestyle habits, drug and food interactions and frequency of INR

monitoring can help improve patient outcome.

Aim: To assess the effect of structured patient education programme on knowledge regarding

anticoagulation therapy and INR Control among patients undergoing mechanical valve

replacement at AIIMS, New Delhi.

Materials and methods: This quasi-experimental study was conducted among 60 patients

undergoing valve replacement surgery admitted to cardiac ward, AIIMS, New Delhi.

Structured patient education programme was provided to the experimental group whereas

control group was provided with the routine care. The baseline knowledge of both the groups

was assessed using a self-structured questionnaire preoperatively and post-intervention

knowledge was assessed at 1-month follow-up. INR values of the patients were recorded at 7

days and 1-month follow-up.

Results: Data was analyzed using descriptive and inferential statistics. Majority of the

patients in both the groups (87 versus 83.3%) had poor knowledge regarding anticoagulation

therapy at baseline. Median Knowledge score of patients improved significantly after

structured patient education programme from 6 (min-0,max.-13) to 19 (min-13,max.-23) with

p<0.05. The proportion of patients within therapeutic range of INR in the experimental group

were higher (23.3%) at 1-month follow-up as compared to 13.7% in the control group which

was statistically not significant(p=0.59). Higher knowledge score was associated with higher

monthly income and urban residence. No statistically significant association was found

between knowledge score and INR Control.

Conclusion: Structured patient education programme significantly improved the knowledge

of patients regarding anticoagulation but had no significant effect on INR control. Patient

education programme should be implemented in hospital settings in order to improve patient

outcome.

Keywords: structured patient education programme, anticoagulation knowledge, INR

Control, mechanical heart valve replacement

MSc-13

Tiltle of the study:

A descriptive study to assess adherence to analgesics and determinants of its

deviation among cancer patients receiving palliative therapy at Pain and Palliative care

clinic, BRAIRCH, AIIMS

Investigator:

Jancy George

M.Sc Nursing student

College of nursing

AIIMS, New Delhi

ABSTRACT

Background: Despite various measures in controlling cancer pain, patients with cancer

experience unrelieved pain. Patients‟ poor adherence to analgesic regimen has been found to

be a key factor in undertreatment of cancer pain

Aim: To assess adherence to analgesics and determinants of its deviation from prescribed frequency

and dose among cancer outpatients receiving palliative therapy.

Methods:This quantitative descriptive study was conducted among 175 cancer patients seeking

palliative therapy at Pain and Palliative Care Clinic, DR BRAIRCH, AIIMS. Adult cancer patients

with atleast 2 visits at pain clinic along with a physician‟s prescription of around the clock (ATC)

analgesics for treating cancer pain and provided consent were enrolled in the study. Adherence was

assessed through a structured interview by conforming patient reported dose and frequency of

medication intake to physician‟s prescription and standardized Morisky Green Levin Scale (M.G.L.S).

Deviation assessment tool which was self developed and validated was used in non-adherent cancer

patients. Data was analysed using SPSS statistics 22.0.Descriptive statistics (frequency, percentage)

was used to assess adherence and determinants of deviation and logistic regression for estimating

association of adherence with demographic and clinical variables.

Results: Adherence to analgesics was found in merely 37% (65) of study participants. Patient centred

factors were the major determinant of deviation from prescribed frequency and dose of analgesics as

reported by 93% of non-adherent subjects. On sub-analysis of each determinant, the common

hindrances in following prescribed dose and frequency of analgesics were pain under control (48

subjects), misunderstood the frequency (27 subjects), fear about side-effects (22 subjects), ran out of

pills due to inconsistent follow up visits (19 subjects) and forgot to take the pills (15 subjects).On

logistic regression, it was found that patients belonging to age group 18- 39 years[O.R 2.27,95% C.I

(1.12-4.60)], upper middle class family [O.R 2.69 (1.88-8.21) and those commuted to hospital by

public transport [OR 2.15, 95% C.I (1.04-4.45)]were significantly associated with analgesic

adherence, with p values 0.024, 0.042 and 0.038 respectively.

Conclusion: Adherence to analgesics in cancer outpatients were below the acceptable levels. The

major barrier for analgesic adherence was centred on patient related factors.There is an urgent need of

an interventional strategy focusing on patient education and reinforcementfor enhancing compliance

to analgesics and manage cancer pain promptly among cancer outpatients

Key words: Cancer, Adherence, Analgesics, Determinants, Deviation, Dose, Frequency

MSc-14

From:

Deeksha patel

M.sc nursing (oncology) 2nd year student

College of Nursing, AIIMS, New Delhi

Title: Effect of recorded maternal voice on child’s cooperation and pain perception

during bone marrow examination- a double blinded randomized controlled trial

Abstract

Background/Objective: To assess the effectiveness of recorded maternal voice on the

child‟s cooperation and pain perception during bone marrow examination.

Design/Methods: This double-blinded randomized controlled trial included 46 children

between 4 to 12 years of age with hematological malignancy, scheduled for bone marrow

examination at tertiary care hospital of India. Clinical Trial Registry-India (CTRI) no. is

CTRI/2018/09/015597. Subjects were enrolled into two groups (23 each) by stratified random

sampling on the basis of the type of procedure scheduled to them. The maternal voice was

recorded for 3 minutes before the procedure and headset was placed during the procedure, for

all children but maternal voice was played only to intervention group by another person to

blind the researcher. Child‟s cooperation for the entire procedure was recorded as video by

researcher and later on video was rated using FLACC behavioral scale. Pain perception was

rated by children using Wong-Baker faces pain rating scale.

Results: The results showed a significant difference in the level of child‟s cooperation with

mean (SD) distress score of 7(2) in control group and 4.52(2.15) in the intervention group

(p=0.0002). There was no significant difference in pain perception of control and intervention

groups. Significant moderate positive correlation (0.31) was found in the child‟s distress and

pain perception levels (p=0.03). There was significant negative association of age was found

with the child‟s distress (-0.30) and pain perception level (-0.33) at (p=0.04, 0.02)

respectively.

Conclusion: Recorded maternal voice can significantly decrease the child‟s distress level

thus improve the child‟s cooperation during bone marrow examination along with local

anesthesia. As the child‟s cooperation increased, the child perceived less pain during the

procedure. Older children were more cooperative and perceived less pain as compared to

younger ones. Nurses are at an ideal position to implement this cost-effective, non-

pharmacological intervention for children undergoing bone marrow examination.

MSc-16

ABSTRACT

Background: Congenital heart defects (CHD) are the most common type of birth defect.

Many studies reported that the prevalence of CHD is high all over the world, which may have

significant impacts on individuals, families, health-care systems, and societies. There

isnumber of risk factors that can lead to congenital heart defects and consanguinity is one of

the leading causes. Consanguinity is still prevalent in many communities because of its social

and economic reasons. Studies had shown that people have insufficient knowledge about

effects of consanguinity on health and it is an important health issue worldwide, therefore,

providing the adolescent with structured health education will be beneficial for the society as

a whole.

Aim of the study:To assess the effectiveness of structured health education program on

knowledge and attitude regarding consanguinity leading to congenital heart defects in

children among students (18-25 years) of selected College of Delhi.

Methodology: This was a pre-experimental study conducted on 168 students between the age

group 18-25 years from selected College of Delhi. Baseline knowledge and attitude of

students regarding consanguinity leading to congenital heart defects were assessed using self-

administered questionnaire, followed by a 30 min structured health education program and

then after 15 days the same questionnaire was administered to them for post-test data

collection. Data wereanalyzed using STATA version 12.1 using descriptive and inferential

statistics.

Results: The result showed that majority of the students (56.5%) were male with mean age of

19.15±1.19. In pre-test, 54.7% had poor knowledge about consanguinity leading to CHD and

only 2.3% had good knowledge. In post-test 61.3% had good knowledge and only 0.5% had

poor knowledge. Most of the students had a favorable attitude in both pre-test and post-test.

The mean knowledge score was significantly increased in post-test (13.64±1.78) as compared

to pre-test (8.88±2.58). Likewise, the mean attitude score was also significantly improved

from pre-test (17.44±3.64) to post-test (23.42±3.28).

Conclusion: Study concluded that students had insufficient knowledge about this important

issue so there is a need to increase their knowledge and awareness about consanguinity and

its ill effects on health.

Keywords: Congenital heart defect, Consanguinity, knowledge, attitude, structure health

education program

MSc-17

ABSTRACT

Background: The global burden of heart failure is affecting at least 26 million people

worldwide and its incidence and prevalence are increasing. Management of patients suffering

from heart failure requires a multidisciplinary management tool which is based on the

evidence-based practices for the provision of quality health care concerning the

standardization of care processes. A clinical pathway has emerged as an important strategy

for knowledge transition and helps in promoting effective health care in all disciplines of

health care.

Aim:The aim of the study is to assess the effectiveness of a structured heart failure clinical

pathway on nurse‟s knowledge and patient care outcomes in the cardiology department,

AIIMS, New Delhi

Materials and methods: This quasi-experimental study was conducted among 71 nurses

working in cardiac care unit (CCU), cardiology (CT 3) ward and 60 acute decompensated

heart failure (ADHF) patients admitted in cardiology department, AIIMS, New Delhi. The

study had 3 phases: pre-implementation phase, implementation phase and post-

implementation phase. The implementation of the structured heart failure clinical pathway

was given through an education session for nurses. The nurse‟s knowledge and the patient‟s

outcomes were assessed and compared before and after implementation of the clinical

pathway.

Results: Knowledge score of the nurses had improved significantly from 11.38 ±2.9 to 16.85

±2.4 (p <0.0001), after the implementation of the structured heart failure clinical pathway.

With regard to patient outcomes, the post-implementation group had significant improvement

when compared with the pre-implementation group in terms of administration of beta

blockers (p=0.028) and vaccination (p=0.037). There was a clinically significant reduction in

length of ICU stay, length of hospital stays, in-hospital mortality and 30 days readmission

and mortality in the post-implementation group than the pre-implementation group. The study

also found a significant association between the nurse‟s pre-test knowledge and previous

attendance in a heart failure education session (p<0.05).

Conclusion: The implementation of the structured heart failure clinical pathway has

improved the knowledge of the nurses working in CCU and CT3 ward and also improved the

outcomes of patients admitted in cardiology department, AIIMS, New Delhi.

Keywords: structured heart failure clinical pathway, nurses, acute decompensated heart

failure patient, patient care outcomes.

MSc-23

Research Title

“A study to assess the knowledge and attitude of patients regarding Obstructive Sleep Apnea

and Continuous Positive Airway Pressure Therapy, attending Sleep Clinic, Department of

Medicine, AIIMS, New Delhi with a view to develop an information booklet‟‟.

Tsering Lamo

M. Sc. Nursing 2nd

yr (Neuroscience)

College of Nursing, AIIMS, New Delhi

Guide Ms. Sibi Riju

Lecturer

College of Nursing

AIIMS, New Delhi

Co- Guide Dr. Sanjeev Sinha

Professor

Department of Medicine

AIIMS, New Delhi

ABSTRACT

Aim: A study to assess the knowledge and attitude of patients regarding Obstructive Sleep

Apnea and Continuous Positive Airway Pressure Therapy, attending Sleep Clinic,

Department of Medicine, AIIMS, New Delhi with a view to develop an information booklet.

Materials and methods: This cross sectional descriptive study included 100 Obstructive

Sleep Apnea patients, who were attending Sleep Clinic, Department of Medicine, AIIMS,

New Delhi. Data was collected by using Modified- Apnea Knowledge Test (M-AKT) and

Modified- Apnea Belief Scale ((M-ABS). Reliability of the tools was 0.81 and 0.79

respectively.

Results: Data was analyzed using descriptive and inferential statistics. Mean knowledge

score of participants was 11.84± 3.37 and majority of participants (80%) had fair knowledge.

The highest mean percentage was “52.3%” in the area of Sleep Hygiene followed by

“49.8%‟‟ in the area of OSA and “37.7%‟‟ in the area of C-PAP therapy. Mean attitude score

of participants was 64.3±9.83 and majority of participants (57%) had Neutral Attitude. There

was a significant weak positive correlation between knowledge and attitude regarding

Obstructive Sleep Apnea (OSA) and Continuous Positive Airway Pressure(C-PAP) Therapy

with „r‟ 0.233 (p < 0.019). A statistically significant association was found between

knowledge regarding Obstructive Sleep Apnea (OSA) and Continuous Positive Airway

Pressure; and educational level of patients (p value = 0.021). Similarly, a statistically

significant association was found between attitude regarding Obstructive Sleep Apnea (OSA)

and Continuous Positive Airway Pressure (C-PAP) Therapy with gender of patients (p value-

0.033).

Conclusion: The present study concluded that the patients of Obstructive Sleep Apnea had

fair knowledge and neutral attitude regarding Obstructive Sleep Apnea (OSA) and

Continuous Positive Airway Pressure (C-PAP) Therapy. Therefore, the study suggested that

there is a need of reinforcement among Obstructive Sleep Apnea patients so that the patients

develops more positive attitude towards their disease and treatment, which maximizes the

health outcomes.

MSc-33

ABSTRACT

Introduction: chronic kidney disease is a silent yet critical health problem which often

goes undetected in its early stages, even in high-risk population, such as hypertensive

and/or diabetic patients. Diabetes and hypertension are the leading causes of CKD

worldwide. Awareness and knowledge play a crucial role in prevention and early

detection of CKD which is lacking in diabetic and/or hypertensive population.

Aim and objective of the study: To assess the effectiveness of an educational booklet

on knowledge of chronic kidney disease among hypertensive and/or diabetic patients and

to find an association with selected variables.

Methodology: A quasi-experimental study was undertaken on hypertensive and/or

diabetic subjects (N=90), at AIIMS, New Delhi. Baseline awareness and knowledge

regarding CKD was assessed using a self-structured awareness-knowledge questionnaire,

followed by 25-30 min of health education using education booklet and then post-test

was conducted after 1 month follow up. Data wasanalyzed using STATA 14.0.

Results: The mean age of subjects in the experimental and control group was 51.71±

13.71 and 51.84± 11.51 years respectively. Awareness of risk of CKD was present in

64.4% of subjects in experimental and 66.7% of subjects in the control group. The pre-

test knowledge score of subjects in the experimental and control group was 18.04± 6.47

and 17.42± 6.37 respectively. The mean post-test knowledge score of subjects in the

experimental and control group was 33.96± 4.59 and 18.80± 5.55 respectively. The

education booklet was found effective in improving the knowledge of CKD in the

experimental group at p-value 0.001. Knowledge was significantly associated with

marital status (p-0.008), geographical region (p-0.03), education (p-0.0008), and monthly

income (p-0.01). A significant association found between awareness and religion (p-

0.016), monthly income (p-0.02) and duration of diabetes (p-0.04)

Conclusion: Hypertensive and/or diabetic patients had poor knowledge of CKD which

significantly improved after giving education. Health education must be incorporated for

the general public as well as the population at high risk such as hypertension and

diabetes during hospital visit.

Keywords: Chronic kidney disease, Hypertensive patients, Diabetic patients,

Awareness, Knowledge, Education Booklet.