RESUMO
Background: Ageing population is increasing globally year by year. Around 15% of adults aged 60 and above suffer from a mental disorder and depression being the commonest among them. Geriatric mental health and physical condition are more important for perceiving good quality of life. Materials and methods: A cross-sectional study was conducted in three old age homes of South Delhi. Data was collected using a structured, pre-tested, validated questionnaire - Geriatric Depression Scale (GDS). After obtaining consent from the participants, the required number of samples (n=105) were collected through systematic random sampling method. Statistical analysis was done using SPSS v21. Results: Overall prevalence of depression was found to be 73.3%. Of which 26.7% had mild depression, 31.4% had moderate depression and 41.9% had severe depression respectively. Statistical significance (p<0.05) was found between married, illiterate, female by gender, those with no regular income, those who had associated co-morbidities, participants whose family/friends did not visit regularly and depression. Conclusion: Increased prevalence of depression among the geriatric population residing in old ages indicates the growing mental health burden and the need for it to be identified at early stage and treated with proper therapeutic measures.
RESUMO
Background: Effective delivery of health education is critical to achieving the goal of controlled diabetes. The objective was to assess the impact of health education among patients with Type 2 Diabetes mellitus. Materials and Methods: This study was quasi-experimental done with type 2 diabetes mellitus of tertiary care hospital.100 diabetes patients were included and randomized into two groups to receive health education material and standard care. The intervention consisted of health education intervention via text messages and images. The glycemic parameters were assessed before and at the end of 3 months of intervention. Paired t-tests were applied. Results: Mean (SD) of HbA1c before the start of the intervention among the patients with intervention and control arm were 10.1(�9) and10.6 (�3) respectively. There was a significant difference in FBS, PPBS and HbA1c- (198(�) vs 112(�, 277(�) vs 151(�) and 10.1(�9) vs 7.2(�9) in the intervention group before and after the intervention (p-value <0.05).No significant difference was found in the control arm. Conclusion: There was a significant difference in the group that received health education intervention compared to the standard therapy group. Thus, well-designed health education delivery could maintain better glycemic control in patients with uncomplicated type 2 diabetes mellitus. ============================================ This retrospective, observational study was conducted by collecting data from medical records during COVID 19 pandemic from March 2020 till August 2020. This was compared with the data of 2019 during similar months. The impact of COVID 19 on use of preventive and curative paediatric health care service units like outpatient department, casualty, intensive care and immunization clinic were assessed. Data from 2019 to 2020 were compared using standard parametric and nonparametric tests. There was a significant decline in routine OPD (68%) attendance during the COVID 19 period as compared to pre-COVID period. Paediatric ward admissions and PICU admissions were decreased by 55% and 42% respectively. We also observed a significant 43% decline in the number of children attending immunization clinic in the year 2020. The fear of COVID 19 pandemic and the measures taken to control the pandemic has affected the health seeking behaviour of patients. This evaluation of trends in healthcare use may help in planning the delivery of healthcare service delivery in future.
RESUMO
Background: Late adolescent girls are being forced into marriage and the burden of marital responsibilities, most notably partner’s sexual demands and childbearing and child-rearing, led to significant emotional distress and depression. Thus, early marriage for girls might have profound impact on their health status. Aims & Objectives: To study impact of early marriage on health status of married girls of late adolescent age and to compare them with unmarried girls of same age. Material & Methods: A comparison study was conducted among girls of late adolescent age in an urban slum of North East Delhi. One sixty study participants were included in each group. A pretested interview schedule was used for collecting details such as knowledge on reproductive health, physical parameters and anemic status. Chi square tests were used and odds ratio was calculated. Results: Majority of married girls, 102(63.8%) had middle school education while 93(58.1%) of unmarried girls had high school education. The mean (SD) age of marriage of married adolescent girls was 17(±) years while their husband age at time of marriage was 21.6(±) years. Levels of hemoglobin were low in both groups 87.5% in married girls and 98.75% in unmarried girls. Conclusion: Early marriage was found to have impact on menstruation, reproductive health and nutritional status of adolescent girls.