Browsing by Author "Bhandari, Menuka"
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Publication Depression, Anxiety and Stress among Nurses Providing Care to the COVID-19 Patients: A Descriptive Cross-sectional Study(Nepal Medical Association, 2022) Bhandari, Menuka; Yadav, Upendra; Dahal, Tulasha; Karki, AnjulaAbstract: Introduction: Addressing adequately the mental health during and after COVID-19, as well as preparation for possible future outbreaks, requires an understanding of the nature and extent of mental health impacts, factors related to negative mental health outcomes and symptoms of mental illness. The aim of this study was to find the prevalence of depression, anxiety and stress among nurses providing care to the COVID-19 patients. Methods: A descriptive cross-sectional study was conducted from 10th April 2021 to 30th June 2021 among 301 nurses from three COVID-19 dedicated hospitals using self-administered questionnaires. Whole sampling technique was used. Ethical approval was obtained from the Ethical Review Board of Nepal Health Research Council (Registration number: 106/2021P). The data was analyzed using the Statistical Package for the Social Sciences version 16. Descriptive statistics like frequency, percentage, mean and standard deviation were calculated. Results: Out of 301 nurses, the prevalence of depression, anxiety and stress was 258 (85.72%), 189 (62.80%) and 151 (49.84%) respectively. Conclusions: The study has shown a higher prevalence of depression, anxiety and stress among nurses in comparison to other studies in the similar settings. A quick assessment of the mental health status and mental health requirements of nurses would be helpful in responding to and reducing psychological distress in the crisis situation. The mental health status of nurses should thus be closely monitored by the employing health institutions including managing their workload, providing emotional support and responding to their personal needs.Publication Effectiveness of Video-assisted Distraction Therapy on Childrens Pain Perceptions during Peripheral Venous Cannulation(Nepal Health Research Council, 2024) Bhandari, Menuka; Rai, Munawatee; Gartaula, PujaBackground: Relief of pain is a basic need and right of all children; effective pain management requires health professionals to be able to apply several interventions to achieve optimal results. The current study aimed to discover the Effectiveness of Video-assisted Distraction Therapy on Children’s Pain Perceptions during Peripheral Venous Cannulation in Pediatric Wards of Biratnagar, Nepal. Method: A quasi-experimental study was conducted at Pediatric Wards of different hospitals in Biratnagar. Data collection was done from Feb 27, 2023, to April 28, 2023. Non-probability purposive sampling technique was adopted in selecting the desired sample size. Data was collected through an interview questionnaire and a standard observational checklist, the FLACC pain rating scale. The experimental group received video-assisted distraction therapy as an intervention, while the control group received routine intravenous care from the nurses. Results: There is a significant difference between the pain perception score in the experimental and control group during peripheral venous cannulation (p= <0.001) during and after two minutes of cannulation. Similarly, the level of pain was also different in both groups, 42.5% of children in the experimental group perceived moderate pain, 37.5% perceived mild pain and 20% reported severe pain whereas 92.5% of respondents perceived severe pain and only 7.5% perceived moderate pain during peripheral venous cannulation. Conclusions: Video-assisted Distraction Therapy was very efficient at distracting children from their pain during intravenous cannulation. Keywords: Distraction Therapy; Pain Perceptions; Peripheral Venous Cannulation.Publication Effectiveness of Video-assisted Distraction Therapy on Childrens Pain Perceptions during Peripheral Venous Cannulation(Nepal Health Research Council, 2024) Bhandari, Menuka; Rai, Munawatee; Gartaula, PujaBackground: Relief of pain is a basic need and right of all children; effective pain management requires health professionals to be able to apply several interventions to achieve optimal results. The current study aimed to discover the Effectiveness of Video-assisted Distraction Therapy on Children’s Pain Perceptions during Peripheral Venous Cannulation in Pediatric Wards of Biratnagar, Nepal. Methods: A quasi-experimental study was conducted at Pediatric Wards of different hospitals in Biratnagar. Data collection was done from Feb 27, 2023, to April 28, 2023. Non-probability purposive sampling technique was adopted in selecting the desired sample size. Data was collected through an interview questionnaire and a standard observational checklist, the FLACC pain rating scale. The experimental group received video-assisted distraction therapy as an intervention, while the control group received routine intravenous care from the nurses. Results: There is a significant difference between the pain perception score in the experimental and control group during peripheral venous cannulation (p= <0.001) during and after two minutes of cannulation. Similarly, the level of pain was also different in both groups, 42.5% of children in the experimental group perceived moderate pain, 37.5% perceived mild pain and 20% reported severe pain whereas 92.5% of respondents perceived severe pain and only 7.5% perceived moderate pain during peripheral venous cannulation. Conclusions: Video-assisted Distraction Therapy was very efficient at distracting children from their pain during intravenous cannulation. Keywords: Distraction therapy; pain perceptions; peripheral venous cannulation.Publication Motivations to Engage in Social Distancing and Depression, Anxiety, and Stress Among Adolescents During COVID-19 Pandemic(Institute of Medicine, 2022) Shrestha, Satya B; Bhandari, Menuka; Rai, Munawatee; Khadgi, KarishmaABSTRACT Introduction: The coronavirus disease 2019 (COVID-19) is a pandemic prevalent in most countries globally affecting people of all ages including adolescents. Social distancing was implemented to minimize the spread of the virus. The present study is aimed to determine the factors that motivate adolescents to engage in social distancing and find out the depression, anxiety and stress status of the adolescents during COVID-19 pandemic. Methods: A quantitative, descriptive cross-sectional study was conducted among 256 adolescents studying in classes 11 and 12 of four 10+2 schools in Biratnagar Metropolitan City. The study duration of this study was 6 months. A complete enumerative sampling technique was used to enroll students. Data was collected by the structured questionnaires containing sociodemographic variables and the Nepali version of the Depression Anxiety Stress 21-point Scale through an online google docs questionnaire. Results: The maximum number of respondents (61.8%) maintained a social distance of their own will, and 48.2% of respondents maintained social distance because of external factors. The prevalence of depression was 27.8%., anxiety was 18.5% and stress was 13.3%. No association was found between social distancing and the mental health of adolescents with demographic variables. Conclusion: The present study concluded that adolescents are self-motivated to comply with social distancing rules and there is no effect on their mental health status during the period of the COVID-19 pandemic. Keywords: Adolescence, anxiety, depression, motivation, social distancing, stress