Leena Sequira

@manipal.edu

Principal. Manipal school of Nursing, Manipal College of nursing.
Manipal Academy of Higher Education, Manipal

Leena Sequira


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https://researchid.co/0000-0001-6578-5548

EDUCATION

M Sc (N), Ph D

RESEARCH INTERESTS

Chronic kidney disease. Diabetes Mellitus, Hypertension
11

Scopus Publications

Scopus Publications

  • Knowledge, Symptoms, Quality of Life, and Health-seeking Behavior in Menopausal Nuns
    Jolly Joseph, Leena Sequira, soumya christabel
    Journal of Holistic Nursing and Midwifery, 2025
  • Experiences of frontline nurses caring COVID‑19 patients − A thematic analysis
    Leena Sequira, Shalini Ganesh Nayak, Shobha Nayak
    Journal of Education and Health Promotion, 2024
    BACKGROUND: The COVID-19 pandemic exerts a considerable impact on the healthcare setting and healthcare provider’s personal and social life. Adjusting to an entirely new working environment may have added challenges for the nurses without having infectious disease expertise. The study aimed to understand and describe the experiences of nurses taking care of COVID-19 patients in a tertiary care Hospital. MATERIALS AND METHODS: The study was conducted in a tertiary care multispecialty hospital of Udupi District, Karnataka, India. A qualitative research approach with thematic analysis was used in this study. The inclusion criteria were staff nurses caring for COVID-19 patients for a minimum of 1 week. Samples were selected by purposive sampling technique, and the data saturation was achieved with 12 participants. Data were collected through in-depth, face-to-face interviews directed by a semi-structured interview guide. The interviews were audio-recorded and then transcribed verbatim. Thematic analysis derived from participant’s responses. Data collection and data analysis were performed simultaneously. The data were analyzed using Kiger and Vapiro’s six-step process of thematic analysis of qualitative data. RESULTS: Ten subthemes were grouped from the three major themes under “working in COVID-19 facility: A “challenging experience”, “adaptive coping strategies”, and “support during a pandemic” emerged based on the experiences of staff nurses working with the COVID-19 patients. CONCLUSION: Staff nurses in this study had challenging experiences attributed to several factors at the outbreak of the COVID-19 pandemic. Meanwhile, strategies to confront the difficulties were adopted by them to improve their well-being.
  • Primary caregiver's experiences in caring paranoid schizophrenia patients: A qualitative study
    Alwin Issac, Renjulal Yesodharan, Leena Sequira
    Clinical Epidemiology and Global Health, 2023
    BackgroundMental disorders are accompanied by tremendous suffering for the patient and caregiver and can bring forth significant disability. A descriptive phenomenological study was conducted to explore primary caregiver's experiences of caring for patients diagnosed with paranoid schizophrenia.MethodsCaregivers were selected as study participants if they were the patient's family members and the primary caregiver for the patient for the past six months. The participants were recruited through maximum variation sampling, and the researcher used a semi-structured interview guide to collect the data from the participants. Codes were identified, patterns analyzed, and themes were recorded using Braun and Clarke's six phases of thematic analysis.ResultsThe study found that the mean age of the participants was 47 years, and the duration of caregiving ranged from one to three years. Major themes identified from the study were: encountering gloom, challenges in caregiving, expectations, and coping strategies.ConclusionCaregivers of paranoid schizophrenic patients have significant challenges during their everyday lives. Whereas caregivers who receive adequate support from their family members and community better cope with their daily challenges.
  • Prevalence and associated risk factors of urolithiasis in India, a systematic review
    Leena Sequira, Saraswathi Hebbar, Ravishankar N.
    Biomedicine India, 2023
    Introduction and Aim: In India approximately two million persons are affected by urolithiasis per year and some areas of India have been named as a stone belt. This article reviews information regarding associated risk factors of urolithiasis from Indian perspectives. Methods: The studies were retrieved from eight electronic databases. All the cases of an adult above the age of 18 with urolithiasis were included in this review. The studies conducted in different states of India on human subjects and published between 2010 -2017, which are available in electronic media were included. The quality of studies was assessed by the help of Joanna Briggs Institute Checklist for Systematic Reviews and Research Syntheses. A narrative approach was adopted to analyze the data. Results: The risk factors identified were, less frequency of urination /day, consumption of red meat once a month or more, higher consumption of calcium, sodium, magnesium and phosphorus, high intake of coffee, tea, and sugar, working in high temperatures, lack of physical activity, obesity, and ground water consumption. Habits like smoking and alcohol consumption. Some of the disease conditions like urinary tract infection, renal cyst, horseshoe kidney, atrophic kidney, benign prostatic hyperplasia. Conclusion: The urolithiasis among adults is a public health problem and calls for appropriate action against this.
  • Needs, challenges, and coping strategies among primary caregivers of schizophrenia patient: A systematic review & meta-synthesis
    Alwin Issac, Shalini Ganesh Nayak, Renjulal Yesodharan, Leena Sequira
    Archives of Psychiatric Nursing, 2022
  • Effectiveness  of a Disease Management Program (DMP) in controlling the progression of Chronic Kidney Disease among hypertensives and diabetics
    Leena Sequira, Ravindra Prabhu A., Shreemathi S Mayya, Shankar Prasad Nagaraju, Baby S Nayak
    F1000research, 2022
    Background The occurrence rate of stage 5 chronic kidney disease (CKD) will be 151 per million population in India in the coming years. Comorbidities like diabetes mellitus and hypertension are the usual triggers of CKD. Hence this study aimed to control the progression of CKD and to note the effectiveness of a structured education program that would help in the prevention of complications related to diabetes and hypertension. Methods This quasi-experimental study was conducted among 88 participants who had hypertension, diabetes mellitus, or both for five or more years. The study objective was to find the effect of a Disease Management Program on delaying progression of CKD in patients with hypertension or diabetes mellitus. The baseline data were obtained from demographic proforma, and the clinical data collected were the blood pressure, serum creatinine, and random blood sugar (RBS) of the participants. The management of hypertension and diabetes mellitus was taught to them. In the fourth and the eighth month, blood pressure and blood sugar were reassessed. At one-year blood pressure, blood sugar, and serum creatinine were tested. Baseline and one-year follow-up blood pressure, blood sugar, and estimated Glomerular Filtration Rate were compared. Descriptive statistics and "Wilcoxon signed-rank test" were used to analyze the data. Results In one year, the mean systolic blood pressure reduced by six mm of Hg and mean blood sugar by 24 mg/dl. The prevalence of CKD stage three and above (< 60 ml/min/m2) was nine (10.22%). The median decline in eGFR was 5 ml/min/m2 (Z= 5.925, P< 0.001). Conclusion The Disease Management Program led to improvements in blood pressure and diabetes control and median progression of CKD was estimated at five ml/min/m2/year.
  • Methicillin resistant Staphylococcus aureus infection among orthopedic patients in South-East Asia region: A systematic review and meta-analysis
    T Latha, Leena Sequira, Saraswathi Hebbar, BabyS Nayak, N Ravishankar
    Journal of Datta Meghe Institute of Medical Sciences University, 2022
    Hospital Associated infections are on the rise globally. Methicillin-resistant Staphylococcus aureus (MRSA) is one of the common pathogens resulting in increased morbidity and mortality among orthopedic patients. Though individual reports are available, no systematic review on the prevalence of MRSA infection among orthopedic patients in South-East Asia Region (SEAR) is accessible and hence, the systematic review and meta-analysis is conducted. We systematically searched eight databases (Scopus, PubMed-Medline, IndMed, CINAHL, Proquest, Web of Science, Ovid-Medline, and Google-Scholar) and included the articles published from 2006 to 2019 from SEAR. A total of 22 studies were eligible for the review. STATA 13.0 with metaprop package in STATA was used to find the rate of MRSA infection. Among 1135 orthopedic patients, the pooled prevalence of MRSA infection was 27% (95% confidence interval 17%–38%; P = 0.001, I2 95.99%). Based on this infection rate, the policymakers are recommended to develop guidelines to effectively manage infection in healthcare settings to reduce the burden of MRSA infection among orthopedic patients.
  • Video assisted education on knowledge and practices of house wives towards prevention of Dengue Fever at Gokak Taluk, Karnataka, India
    P Hiremath, J Chakrabarty, L Sequira
    International Journal of Health Promotion and Education, 2020
    Dengue fever is gradually getting widespread in India for the past few years. There is no coordinated effort at the government level to educate the general public on the preventive aspects of dengue fever. Housewives in India play a vital role in the health of the family members. The aim of the study was to assess the knowledge and preventive practices of dengue fever among the housewives of Gokak Taluk, Karnataka, India. It was a one group pre-test post-test study. One hundred and forty housewives have participated from the entire village. The knowledge level of the housewives was assessed using a structured knowledge questionnaire. An observational checklist was used to observe the preventive practices. Though there was a significant gain in knowledge, there was a gap between knowledge and practice. Findings of the research throw light on the inadequate knowledge and unhealthy practices in the community, though the scores of knowledge and some of the practices improved after video education. More consistent efforts from the government and community participation are required to bring about a permanent behaviour change towards preventive practices of dengue fever.
  • Surgical site dressing practice
    S. Sijimol, Leena Sequira, Prima Jenevive Jyothi D'Souza, Vandana Kalwaje Eshwara
    Clinical Epidemiology and Global Health, 2020
  • Knowledge and perceived health benefits of percutaneous transluminal coronary angioplasty among patients with coronary heart disease
    Katha Mukherjee, Leena Sequira, Charlet Jasmine Vaz
    Journal of Clinical and Diagnostic Research, 2018
    Introduction: The determination of the knowledge and perceived health benefits of Percutaneous Transluminal Coronary Angioplasty (PTCA) from the patient’s view of understanding helps to develop a holistic approach to health care. Aim: The study aimed to assess the knowledge and perceived health benefits of PTCA and to find the association of knowledge with the perceived health benefits and demographic variables among the patients with Coronary Heart Disease (CHD). Materials and Methods: A descriptive survey design was used and data were collected from 130 participants of cardiac wards of a tertiary care hospital, Karnataka, using structured knowledge questionnaire about PTCA and post-PTCA health benefits scale. Later a leaflet about PTCA was given to the participants. Subjects diagnosed with CHD and on the first post procedural day of PTCA were included in the study and patients with psychiatric disorders and medical disorders except diabetes mellitus and hypertension were excluded. Descriptive statistics was used to describe the sample characteristics, Chi-Square was used for association. Results: The mean age of the sample was 54 years, the mean knowledge score was 7.35±2.855 and 15.4%, 69.2% and 15.4% of the participants had good, moderate and poor knowledge respectively. The PTCA procedure was perceived as highly beneficial by 79.2% of participants and association was not found between knowledge and perceived health benefits of PTCA (p>0.05). Conclusion: The study highlights the need for planning programs for continuing individualised health education on PTCA for the patients and their families to make changes in the patient’s wrong perception of health benefits after PTCA.
  • Potential health risks among oncology staff nurses of selected hospitals due to antineoplastic drug exposure
    Sweta Kumari, Daisy Josphine Lobo, Leena Sequira
    Indian Journal of Public Health Research and Development, 2017