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.