ABSTRACT
Background: COVID 19 has brought daily life to a standstill for almost all population across the world. The pandemic is a source of unexpected stress. The pandemic is causing huge pressures on all people. Resilience can help us to get through and overcome stressful hardship. Methodology: The present qualitative descriptive study conducted among caregivers of patients with mental illness at the inpatient and outpatient department of Amrita Institute of Medical Sciences, Kochi. The main objective of the study was to determine the level of stress resilience among caregivers of patients with mental illness. Secondary objectives were to find association of level of stress resilience among caregivers with various mental illness and to find the association of level of stress resilience and selected demographic characteristics. Tools used for data collection are Demographic data collection tool and Connor Davidson Stress Resilience scale. Totally 132 samples were collected using purposive sampling technique. Results: 4.54% of the respondents scores between 26 -50 points (first intermediate resilience), 53.78% of respondents scores between 51 -75 points (second intermediate resilience) and 41.66 % of respondents scores between 76- 100 points (highest resilience). None of the respondents shows lowest resilience (0-25 points). The study results reveal that most of the respondents shows second intermediate resilience towards stress. Conclusion: The study arouses a need for adopting coping strategies to improve the quality of life of caregivers. For improving the resilience, interventions like stress coping skill training or counseling services can be adopted.
ABSTRACT
Background: Heart diseases are the most important non obstetrical causes of maternal deaths during pregnancy, accounting for almost 10% of maternal deaths. They complicate 1-3% of all pregnancies.Methods: The study was conducted at Cheluvamba Hospital from January 2015 till July 2016. All pregnant women with cardiac disease were included in the study. Pregnant women with cardiac disease were followed up during antenatal period, evaluated and maternal and foetal outcome was studied.Results: Total number of deliveries in the one and half year study period was 18,803 cases and the total number of women with cardiac disease was 90. Most of the subjects belonged to NYHA grade I and II (95.5%), whereas NYHA grade III and IV constituted only 4.4% of cases. Rheumatic heart disease was the principal cardiac lesion (62.22%) among the pregnancies, while congenital heart disease (33.33%) was the second most common cause. 16.7% had cardiac complications and there were 2(2.22%) maternal mortality. 91.86% were live births with 5.88% IUDs and 2.35% neonatal deaths. 15.29% of the babies were Preterm, 8.14% were IUGR babies and 2.35% had congenital anomalies. It was noted NYHA grade III/IV cases had more preterm babies compared to NYHA grade I/II. NICU admissions were also more with NYHA grade III/IV.Conclusions: The results suggest the need for pre-pregnancy counselling, early diagnosis, correction of cardiac lesions where indicated, close surveillance during pregnancy and a team approach comprising of obstetricians, cardiologists, neonatologists and nursing personnel for a successful pregnancy outcome.