Browsing by Author "Bajracharya, J"
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Publication Accuracy of Prediction of Birth Weight by Fetal Ultrasound(Kathmandu university, 2012) Bajracharya, J; Shrestha, NS; Karki, CABSTRACT Background Accurate determination of fetal weight prior to delivery can have a significant bearing on the management decision in labour, thereby markedly improving perinatal outcome. Objective To determine the accuracy of prediction of birth weight by fetal ultrasound. Methods This is the retrospective observational hospital based study done at Kathmandu medical college teaching hospital, Sinamangal, Kathmandu from January 2010 to February 2012. Total 150 women with full term singleton pregnancy leading to live birth were included in this study. Prenatal fetal ultrasound database was reviewed for fetal weight estimation. Delivery records were reviewed for actual birth weight. Error in estimation was calculated. Results Our study showed that fetal ultrasound using Hadlock’s formula has error in estimation of fetal weight by about 290 gm ± 250 gm. In 40% of the cases, there is an error of estimation by more than 10% compared to actual weight. Conclusion Significant error was seen while estimating fetal weight by ultrasound. Depending only on the fetal ultrasound for the estimation of fetal weight can lead to unnecessary obstetrical intervention. It is thus necessary to correlate the ultrasound findings with clinical examination. KEY WORDS fetal weight, Hadlock’s formula, ultrasoundPublication Perception Regarding Care of Attempted Suicide Patients among Nursing Students in Kathmandu University School of Medical Sciences(Kathmandu University, 2020) Bajracharya, J; Bhandari, N; Chalise, P; Tiwari, DABSTRACT Background Suicide is an act of deliberately killing oneself. It is a global health problem and is the second leading cause of death in 15 to 29 years. Thus, studying nursing students’ perception towards suicide attempters has paramount importance in understanding and addressing the existing gaps in healthcare delivery system. Objective To assess the nursing students’ perception towards attempted suicide and to find out the association between perception and selected variables. Method A descriptive, cross sectional design was carried out to assess the nursing students’ perception towards suicide attempters in Kathmandu University School of Medical Sciences. The respondents were 193 nursing students. A structured questionnaire was used in order to collect data. Descriptive statistics including frequency, percentage, mean and standard deviation were calculated to summarize the data and inferential statistics, Mann Whitney-U test was used for the association between perception and selected variables. Result A total 193 nursing students participated in this study. The scores between 1 and 2.4 were considered ‘positive’, ‘unsure’ or ‘uncertain’, between 2.5 and 3.4 and negative for 3.5 and above’ over all nurses showed relatively negative perception towards suicide attempters. According to results from eight domains of perception, those who did not attend the courses on psychiatry nursing presented higher score, which was found to have significant association with permissiveness, unpredictability and incomprehensibility. A younger nursing student shows significant association with incomprehensibility. Younger nursing student showed statistically significant association with duration of suicide process. Conclusion Nursing students are frequently encountered with attempted suicide patients. Therefore, they must be aware of their attitudes toward this group of patients as part of their professional and therapeutic role. Thus a nurse’s positive perception towards attempted suicide can play a key role in communicating and preventing a future suicide attempt. KEY WORDS Nursing student, Perception, Suicide attemptersPublication Stress and Coping Strategies among Mothers of Neonates in Neonatal Intensive Care Unit(Kathmandu University, 2025) Bhandari, N; Shrestha, S; Bajracharya, J; Siluwal, NABSTRACT Background The birth of a baby is a happy moment for parents. When a newborn is admitted to Neonatal Intensive Care Unit due to morbidities, stress provoking for the parents. To overcome stress, parents, especially mothers adopt different types of coping strategies. Objective To assess the stressor and coping strategies adopted by mothers of neonates in Neonatal Intensive Care Unit. Method This is a cross-sectional, analytical study design conducted in mothers whose neonates were admitted 72 hours prior to data collection in the Neonatal Intensive Care Unit. The study was conducted after the approval received from the Institutional Review Committee-Kathmandu University School of Medical Sciences. Consecutive sampling methods was used to select the mothers. Data was collected using Parent Stressor Scale (PSS: NICU) for stress and BRIEF Coping Orientation to Problems Experiences (COPE) Inventory for coping strategies. Four points Likert scale was used to collect data. Data was analyzed using descriptive analysis, independent t-test and pearson correlation was used to see the correlation between independent and dependent variables. Result Overall stress among mothers is 111.4 ± 9.82 and among which most stressful events is neonates, looks and behaviour 54.4 ± 6.56 followed by parental role 34.10 ± 2.50 and sight and sounds of Neonatal Intensive Care Unit 23.06 ± 2.85 respectively. The direction of the relationship is positive between stress and coping strategies in neonates mothers (p < 0.001) in Neonatal Intensive Care Unit. Conclusion Understanding the stress of mothers and their coping strategies when their neonates admitted in Neonatal Intensive Care Unit will help the nurses to plan care for admitted neonates. KEY WORDS Coping strategies, Mothers, Neonates, Neonatal intensive care unit, Stress