Coping Methods among Medicos during COVID-19 Pandemic in India - A Cross-Sectional Study among Medical Undergraduates in a Tertiary Care Teaching Hospital in Chennai

2021 ◽  
Vol 8 (19) ◽  
pp. 1341-1346
Author(s):  
Sree T. Sucharitha ◽  
Balaji Sivaram Mahendran ◽  
Chakrapani Chatla ◽  
Aravind Manoharan ◽  
Pradeep R

BACKGROUND Severe acute respiratory syndrome (SARS-CoV-19) popularly known as COVID-19 is an emerging pandemic which resulted in varying degrees of lockdown in India. Medical undergraduates remain affected due to lockdown-imposed disruptions in medical education, an unprecedented event, which can cause significant academic stress in addition to psychological stress. Understanding the coping methods is essential to develop interventions and to minimise the adverse effects of stress during pandemics. We wanted to determine the major coping methods using French version of the Brief Coping Orientation to Problems Experienced (COPE), a novel 4 - factor structure among medical undergraduates of a private tertiary teaching institution during COVID-19 lockdown period and describe the selfmanagement of the stress as verbatim narrative statements. METHODS A cross-sectional, web-based survey based on French version of the Brief COPE, a novel 4-factor structure was used to assess the major coping methods among medical undergraduates of a private, tertiary care teaching medical institution in Chennai, South India. Self-management of stress was documented verbatim as narrative statements. After obtaining approval from institutional ethical committee and informed consent, the web-survey data from Google forms was collected from 223 medical undergraduate students and analysed using STATA (V 12.0) statistical package. The strategies for self-management of stress were identified and classified into themes. RESULTS Among total 223 respondents, 132 (59.2 %) were female medicos and 88 (39. 5 %) males, and mean age was 20.36 (SD +_1. 43) years. Major coping method adopted was positive thinking (115, 51.6 %), followed by avoidance (44, 19.7 %), seeking social support (37, 16.6 %) and problem solving (19, 8.5 %). Students with positive thinking had high levels of managing stress very well (33 %) followed by avoidance (10 %) compared to other methods but there was no significant difference in the self-rating of coping between different coping methods. CONCLUSIONS The coping mechanism of medical undergraduates reveals positive outlook while experiencing COVID-19 pandemic related extended lockdowns. KEYWORDS SARS-Cov-19, Medical Undergraduates, Coping, Cope Brief Inventory - 4 Scale, Positive Thinking

Med Phoenix ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 14-18
Author(s):  
Smita Singh ◽  
Deependra Prasad Sarraf ◽  
Prabin Singh ◽  
Pragati Poudyel

Introduction: Pharmacovigilance helps in the detection and prevention of adverse effects of drugs. For the effectiveness of this program, health care professionals should report adverse drug reactions (ADRs) considering it as their moral and professional obligation. The objective of the study was to assess the knowledge, attitude, and practices (KAP) of the doctors towards ADRs and pharmacovigilance in  National Medical College Teaching Hospital (NMCTH), a tertiary care teaching hospital situated in the Narayani zone. Materials and Methods: A cross-sectional study was carried out using a self-administered questionnaire consisting of four parts; first part included a demographic profile of participants, the second part consisted of ten questions for the assessment of the knowledge about pharmacovigilance, third part comprised of six questions on attitude and fourth part consisted of five questions on practice. The results were depicted in the form of percentages for each KAPs questionnaire.   Results: The response rate of participants was 85.16%. Pharmacovigilance was correctly defined by 52%. Department of drug administration was responsible for monitoring ADRs in Nepal was correctly given by 80%. Only 8% had reported ADRs, although 62% had encountered an ADR in their clinical practice. Conclusion: The doctors at NMCTH had a poor KAP towards pharmacovigilance and educational intervention is needed for the proper functioning of this program.


Author(s):  
Sangeetha Raja ◽  
Jamuna Rani R ◽  
Kala P

ABSTRACTObjective: The aim of this study was to carry out adverse drug reactions (ADRs) monitoring in various departments of a tertiary care teaching hospital.Methods: A cross-sectional study was conducted on ADRs reported in the hospital from December 2012 to May 2013 after obtaining InstitutionalEthics Committee approval.Results: A total of 40 ADRs were reported, 47.50% were males and 52.50% were females. The female adult population was 45%. The majority of ADRswere due to antimicrobial agents especially beta-lactam antibiotics (42.5%) followed by NSAIDs (7.50%). A maximum number of patients (75%)were reported with dermatological manifestations. The department of medicine reported the highest number of ADRs (37.5%). As per Naranjo’sprobability scale, 62.5% reports were assessed as probable. 62.5% reports were documented as mild according to Modified Hartwig’s criteria forseverity assessment.Conclusion: This study was done to sensitize the practicing physicians on the importance of adverse drug monitoring and reporting.Keywords: Pharmacovigilance, Adverse drug reactions, Tertiary care teaching hospital, Antimicrobial agents.


Author(s):  
Megha Sood ◽  
Jagminder Kaur Bajaj ◽  
Nipunjot Grewal

Background: In our country there is easy availability of drugs over the counter leading to their unintentional misuse and abuse. Over the counter availability of drugs does offer the benefit of easy access to medicines and allows individuals to become in charge of their own health. It is important to understand that medical education can impact the OTC drug use amongst medical students. In order to observe the pattern of OTC drug use among the first and second professional MBBS students we planned this study. The aim of the study was to evaluate use of over the counter (OTC) drugs among medical students in a tertiary care teaching hospital.Methods: Our study was a cross sectional study conducted on first and second professional MBBS students. Authors administered a self structured, prevalidated questionnaire to the students. The data obtained was tabulated, analyzed and the results calculated in percentages.Results: The use of OTC drugs is common amongst undergraduate students.  All (100%) the students who participated in the study had used OTC drugs at some point in their life. The common conditions prompting use of OTC drugs include head ache, body aches (74%), fever (72%), respiratory conditions such as: cold (60%), cough (28.5%), abdominal symptoms such as: abdominal pain (14%), gastritis (7.5%), diarrhea (6%), vomiting (5%) and allergies (10%). Very few students reported adverse drug reactions with these drugs.Conclusions: From our study we have concluded that OTC drugs are commonly used amongst medical students. So, periodic training and talks on self medication are necessary for them. Student knowledge in this aspect will help them in future counseling of their patients.


2021 ◽  
Vol 6 (4) ◽  
pp. 01-13
Author(s):  
Archana Mavoori ◽  
Sudha Bala ◽  
Rajiv Kumar Bandaru ◽  
Aruna Kumari Yerra

Background: The current COVID-19 pandemic has imposed upon the entire community norms of social distancing and home quarantine. Follow up consultations in these times can be made through teledermatology through smart phones. Success of this technology in these hours of crisis depends upon the knowledge, attitude and behaviour of patients towards teledermatology. Follow up consultations done through teleconsultations will decrease risk of exposure to COVID-19 among psoriasis patients who need frequent follow ups. Aim: The main objective of this study is to assess the awareness, knowledge, attitude and practice of teledermatology through teledermatology among psoriasis patients at a tertiary care teaching hospital. Materials and Methods: A cross-sectional survey, from Psoriasis Clinic registry maintained in the outpatient department of DVL of a tertiary care teaching hospital in India is conducted. A pre-validated self-administered questionnaire is used for the survey to assess knowledge, attitude and practice of teledermatology. Analysis will be done as per study objectives using descriptive statistics for quantitative data and content analysis for qualitative data. Results: Out of 150 patients, 87(58%) were males and females were 63(42%). Most common age group to participate in the study was 36-45 years- 43(28.7%). Majority of participants were educated up to –graduate 53(35.3%). Males had higher knowledge and attitude scores compared to females. Most of the patients found using teleconsutations easy and convenient. Conclusion: Teledermatology is the need of the hour to be implemented in these hours of COVID-19 pandemic.


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