Browsing by Author "Rai, Munawatee"
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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 Factors Associated with Antenatal Care Visit Dropout among Mothers attending Immunization Clinic(Institute of Medicine, 2023) Subedi, Sabitra; Mandal, Punam K; Mahato, Anju K; Basnet, Bidhya; Rai, Munawatee; Khadgi, DeepikaABSTRACT Introduction: Developing nations continue to have high maternal mortality rates. Prenatal care helps to improve the mother's and the unborn child's health. The purpose of this study was to identify the variables linked to mothers' antenatal care visit droput. Methods: A cross-sectional study was carried out using the multi-stage sampling technique in the four urban and four rural randomly chosen municipalities of Morang district. In total, 134 postnatal mothers who skipped four focused ANC visits were chosen as study group and 266 postnatal mothers who completed four focused ANC visit from the same vaccination facilities were chosen as control group. Using a semi-structured questionnaire and the consecutive sampling approach, data were gathered through interviews. The final model was chosen by employing the backward elimination technique after doing bivariate and multivariate analysis. Results: This study found that the majority (56.0%) of cases was from the age group of 21-30 years and 35.1% of cases were janajatis. The number of factors were linked to ANC dropout, including age (OR 2.49, 95% CI 1.07-5.82), ethnicity (OR 2.29, 95% CI 1.05-4.99), education (OR 4.64, 95% CI 1.99- 10.81), income (OR 3.49, 95% CI 1.75- 6.95), and the existence of complications (OR 1.15, 95% CI 0.54-2.44). Conclusion: The risk factors for ANC dropout were age, ethnicity, education, income, and the presence of complications during previous pregnancy. It suggests that efforts should be made to spread the information about the value of four focused ANC visits. Keywords: ANC dropout, factors, immunization center, mothersPublication 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