Browsing by Author "Lethika K"

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    Management of Test Anxiety and Stress among Nursing Students through Cognitive Behaviour Therapy
    (Avinashilingam, 2023-08) Lethika K; Dr. N.V. Amudha Devi
    Stress is a prevalent and serious problem among nursing students, affecting their mental and physical health, academic achievement, and future jobs. Nursing education is noted for its severe standards, which include substantial curriculum burdens, rotations in the clinic, and the need to reconcile academic knowledge with practical abilities. Excessive stress can significantly impact nursing students test anxiety and achievement motivation, hindering their ability to concentrate on test questions and remember previously acquired knowledge. Although mild stress can provide a motivational boost, it is essential to prevent burnout and a loss of drive caused by excessive stress.As a nursing student, it's imperative to understand how test anxiety and stress can impede academic achievement. This study extensively analyzed the efficacy of cognitive behaviour therapy (CBT) in managing test anxiety and stress and in enhancing achievement motivation. The study's sample size comprised one hundred and fifty (150) students.One hundred and fifty first year nursing students were selected using the purposive sample method for a study on Test anxiety, Stress, and Achievement motivation. To gather data, the students completed the exam anxiety measure developed by Sharma in 2000, the students stress scale created by Agrawal M in 2012, and the achievement motivation scale created by Bhargava in 2009. After careful analysis, 52 students met the requirements and agreed to participate in the study, which underwent Cognitive Behaviour Therapy (CBT) for one month on alternate days for two hours each session. The students underwent reassessment using the same set of questionnaires, with a one-month time interval, and were reassessed again for the follow-up phase. The CBT program targeted maladaptive behaviour, frequent minor exam practices, mindful reading, cognitive rehearsal, thought stopping, breathing exercises, balloon blowing. emotion regulation, auto-suggestions, self-monitoring,role play/modelling, Guided Imagery, videos on motivational talks, SWOT Analysis, cognitive rehearsal, Journaling/Daily log. The study observed three phases: before, after, and follow up. The calculations were done using Mean, Standard Deviation, Repeated Measures ANOVA, and the Bonferroni Post Hoc Test. The results indicate that there were significant reduction in test anxiety, stress, and significant improvement in achievement motivation after the intervention. Cognitive Behaviour Therapy was found to be effective on managing test anxiety and stress and in enhancing achievement motivation
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    Management of Test Anxiety and Stress among Nursing Students through Cognitive Behaviour Therapy
    (Avinashilingam, 2023-12) Lethika K; Dr. N.V. Amudha Devi
    In the recent years, there has been a growing interest to utilise the precision nutrition approach for the prevention, management and treatment of obesity, which takes into consideration the interaction between food and the human and microbial genome. It is quite evident that awareness and popularity about genetic testing for personalised nutrition is gaining momentum. Consumer attitudes and perceptions towards genetic testing to determine the risks of a predisposition to various diseases have already been examined by several studies, consumer acceptance of personalised nutrition have not been studied in the Indian population till date. In phase one of the study, Consumer acceptance of genetic testing and the responses towards perceived advantages of receiving DNA based dietary advice were ease of understanding and specificity of the diet advice, which was the most frequently reported theme (57.5%), followed by more personalised and enjoyable (22.4%) and reduced costs due to disease prevention (20.1%). The study concluded that individuals were optimistic and perceived many advantages of nutrigenetic testing. The study populations was optimistic and were willing to adopt genetic tests for personalised nutrition recommendations. In phase two of the study, we compared the differences in anthropometric measurements, dietary intake and dietary adherence among standard generic dietary advice, personalized nutrition advice based on nutrigenetic variations and the precision nutrition advice based on nutrigenetic variations and gut microbiome profiling. A statistically significant increase in the Bacteroidetes genus was observed in the personalized nutrition group (p = .04). The change (delta) values in gut microbiome composition in personalized nutrition group were significantly higher at the end of 90 days. Gut microbiome-based personalized microbiome modulation through diet significantly improves gut microbiome profiles among obese individuals. Further need studies are needed with larger sample size to validate these study findings and long-term follow-up.