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Knowledge and Use of Insecticide-Treated Net Among Mothers with Children under Five Years at Atua, Ghana: A Community and Health Facility Based Study 加纳阿图阿5岁以下儿童的母亲对驱虫蚊帐的知识和使用:一项基于社区和保健设施的研究
Pub Date : 2022-09-01 DOI: 10.7176/jhmn/102-03
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引用次数: 0
Bridging the Theory-Practice Gap in Nursing Education using the Simulation-based Pedagogic Approach in Ghana 在加纳使用基于模拟的教学方法弥合护理教育的理论与实践差距
Pub Date : 2022-09-01 DOI: 10.7176/jhmn/102-02
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引用次数: 0
Maternal Depression and Its Associated Factors among the Mothers at Narayanganj in Bangladesh 孟加拉国纳拉扬甘杰母亲的抑郁及其相关因素
Pub Date : 2022-09-01 DOI: 10.7176/jhmn/102-06
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引用次数: 0
Evaluate the Effectiveness of Pranayama on Educational Stress among Adolescents in Selected School at Kanyakumari District 评价调息法对Kanyakumari地区选定学校青少年教育压力的效果
Pub Date : 2022-09-01 DOI: 10.7176/jhmn/102-07
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引用次数: 0
SOCIAL SUPPORT RECEIVED BY DIABETES MELLITUS TYPE II PATIENTS ATTENDING A COUNTY REFERRAL HOSPITAL IN KENYA. 在肯尼亚一家县转诊医院就诊的ii型糖尿病患者获得的社会支持。
Pub Date : 2022-08-29 DOI: 10.47604/jhmn.1624
Wilson A Lugaya, Mutunga Mwenda, Catherine Syombua, Esther Washika
Purpose: Diabetes Mellitus Type II is a condition where the patients present with increased receptor resistance to adequately or normal amount of insulin production and reduced or inadequate amount of insulin produced. Worldwide the approximated burden of DM Type II is at 366 million people in 2011. The objective of the study is to determine the level of social support received by Diabetes Mellitus Type II patients attending a County Referral Hospital in Kenya. Methodology: This was a descriptive cross-sectional study conducted at a County Referral Hospital Outpatient Diabetic Clinic. Researcher administered questionnaires were used to collect data. Data analysis was manual for qualitative data and for quantitative data, descriptive statistics were used to analyze aided by the statistical package for social scientists (SPSS) version 22. Results: Majority 67.91% of the total participants reported not to be socially supported by their family and peers in specific aspects of their self-care management of Diabetes Mellitus Type II that contributed to the sub-optimal self-care practices attributed to the participants. Unique contribution to theory, practice and policy: Study found close relationship between adequate Diabetes Mellitus Type II self-care by DM Type II patients and social support. The researcher recommends in-cooperation of the patient’s social circles in Diabetes Mellitus Type II self-care patients’ education so as to promote understanding which will enhance social support hence optimal practice and adherence.
目的:II型糖尿病是指患者对足够或正常胰岛素产生的受体抵抗增加,而胰岛素产生的量减少或不足。2011年,全世界II型糖尿病的估计负担为3.66亿人。本研究的目的是确定在肯尼亚一家县转诊医院就诊的II型糖尿病患者所获得的社会支持水平。方法:这是一项描述性横断面研究,在县转诊医院门诊糖尿病诊所进行。研究者通过问卷调查收集数据。数据分析是手工定性数据和定量数据,描述性统计使用辅助社会科学家统计软件包(SPSS)版本22进行分析。结果:绝大多数67.91%的参与者在II型糖尿病自我护理管理的特定方面没有得到家庭和同伴的社会支持,这导致了参与者的次优自我护理实践。对理论、实践和政策的独特贡献:研究发现糖尿病患者适当的自我护理与社会支持密切相关。研究者建议与患者社交圈合作,对II型糖尿病患者进行自我护理教育,以促进了解,从而增强社会支持,从而达到最佳实践和依从性。
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引用次数: 0
Psychosocial Factors as Predictors of Suicidal Ideation among undergraduates of University of Ibadan 心理社会因素对伊巴丹大学大学生自杀意念的影响
Pub Date : 2022-08-01 DOI: 10.7176/jhmn/101-07
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引用次数: 0
THE INFLUENCE OF THE NURSES’ CHARACTERISTICS AND THE NURSES’ ATTITUDES ON THE IMPLEMENTATION OF THE NURSING CARE PLAN IN MACHAKOS COUNTY 马查科县护士特点及态度对护理计划实施的影响
Pub Date : 2022-07-25 DOI: 10.47604/jhmn.1587
Hellen Kiarie, Agnes Mutinda, Winfred K. Kithinji
Purpose: This descriptive cross-sectional study sought to assess the implementation of the nursing process by nurses in two sub county hospitals in Machakos county, Namely: Kangundo and Kathiani sub county hospitals. The study examined the influence of the nurses’ characteristics and the nurses’ attitudes on the implementation of the nursing process in the  sub County. Methods: A self-administered questionnaire collected quantitative data, while key informant interviews were used to gather qualitative information. Descriptive statistics and inferential statistics (in particular, the chi-square and Fisher’s Exact) were derived from the data. Results: Sixty-three percent of the nurses (n=45) had drafted a NCP a week prior to the study while 35.7% (n=25) had not. Seventy-five percent of them (n=41) had implemented the NCP. The nurses who developed the nursing care plan frequently ended up implementing it (100%, n=43) compared to those who did not (23.1%, n=3; fisher’s Exact Test P=0.000). Similarly, among the nurses who did not implement the nursing process, 76.9% (N=10) of them felt that NCP is time consuming. This difference was significant at 5% confidence level (LR=8.717, df=2, p=0.013). Although statistical analysis revealed no significant association between nursing process implementation and socio-demographic factors (p>0.05), qualitative findings suggested that the newly qualified nurses are more familiar with the nursing process than their older colleagues. Unique contribution to theory, practice and policy: study recommends that nursing administration cultivate positive mentality among nurses towards the nursing process; particularly focusing on making nurses understand that the tool should be consistently used among all patients and that it significantly improves patient care.
目的:本描述性横断面研究旨在评估马查科斯县两家县二级医院护士护理过程的实施情况,即:康多多县和卡西亚尼县二级医院。本研究考察了护理人员的特点和护理态度对护理过程实施的影响。方法:采用自填问卷法收集定量数据,采用关键举报人访谈法收集定性信息。描述性统计和推理统计(特别是卡方和费雪精确)是从数据中导出的。结果:63% (n=45)的护士在研究前一周起草了NCP, 35.7% (n=25)的护士没有。其中75% (n=41)实施了新冠肺炎。制定护理计划的护士最终经常执行护理计划(100%,n=43),而没有制定护理计划的护士(23.1%,n=3;费雪确切检验P=0.000)。同样,在未实施护理流程的护士中,76.9% (N=10)的护士认为新冠肺炎耗时。这种差异在5%的置信水平上具有显著性(LR=8.717, df=2, p=0.013)。虽然统计分析显示护理流程执行与社会人口因素之间没有显著的相关性(p>0.05),但定性研究结果表明,新合格的护士比年长的同事更熟悉护理流程。在理论、实践和政策方面的独特贡献:研究建议护理管理部门培养护士对护理过程的积极心态;特别注重让护士明白,该工具应在所有患者中一致使用,并显著改善患者护理。
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引用次数: 1
EFFECT OF CAREGIVERS’ HIV DISCLOSURE TRAINING ON PEDIATRIC HIV STATUS DISCLOSURE AND ART ADHERENCE IN HOMABAY COUNTY, KENYA: A COMPARATIVE LONGITUDINAL STUDY. 肯尼亚homabay县护理人员艾滋病病毒披露培训对儿童艾滋病病毒状况披露和art依从性的影响:一项比较纵向研究。
Pub Date : 2022-07-22 DOI: 10.47604/jhmn.1586
R. Opiyo, L. Ndunyu, P. Onyango
Purpose: The study objective was to establish the effect of HIV disclosure training on children’s HIV status disclosure and on ART adherence. Methodology:This was a comparative longitudinal study in ten health facilities in Homabay County with 860 non-disclosed HIV positive children on ART aged 6-10 years between 2016 to 2018.A randomized sample of 430 caregivers was trained on HIV status disclosure while another 430 caregivers not trained. All caregivers then performed HIV status disclosure to their HIV positive children, and children’s disclosure and adherence to ART status established. We used semi structured questionnaires, FGDs and KIIs for data collection and IBM SPSS version 20, logistic regression, chi-square and Nvivo software for data analysis. Results: Mean child age was 8 years for both groups, 35 and 37years for caregivers in control and intervention respectively. 409(95%) interventional caregivers had good overall knowledge on disclosure process compared to control (116(27%). Longitudinal viral suppression increased in both groups; intervention group 345(80.2%) to 384(90.1%), control (279(64.9%) to 296(70.1%). Trained caregivers were 2 times (OR-2.369) likely to disclose children’s HIV status. Disclosure training had significant effect (P<0.05) on child’s adherence. Children of trained caregivers were nine times (OR-9.145) likely to have good adherence. Level of education of caregivers (p=0. 035) and knowledge of care givers on the disclosure process (p=0.05) were significantly associated with ART adherence. Disclosure knowledge and lack of disclosure skills were cited in FGDs and KIIs as the major facilitator and barrier to disclosure and ART adherence respectively. Unique contribution to theory, practice and policy: The findings provide evidence – based interventions that will guide caregivers, the Ministry of Education and Ministry of Health on how and when to disclose to a child his own HIV status. Disclosure culminates into behavior change which is anticipated to enhance the reduction in the spread of HIV to the next generation and it is one way of sustaining the fight against HIV and AIDS.The study recommends all children in the age bracket of 6-10 years be disclosed to their own HIV status in order to increase their level of adherence to ART.
目的:探讨艾滋病病毒信息披露培训对儿童艾滋病病毒状况披露及抗逆转录病毒治疗依从性的影响。方法:这是一项比较纵向研究,在2016年至2018年期间,在霍马贝县的10个卫生机构中,对860名未披露的6-10岁艾滋病毒阳性儿童进行抗逆转录病毒治疗。随机抽样的430名护理人员接受了艾滋病毒状况披露方面的培训,另外430名护理人员未接受培训。然后,所有护理人员对其艾滋病毒阳性儿童进行艾滋病毒状况披露,并确定儿童披露和遵守抗逆转录病毒治疗状况。我们使用半结构化问卷、fgd和kii进行数据收集,并使用IBM SPSS version 20、logistic回归、卡方和Nvivo软件进行数据分析。结果:两组儿童平均年龄为8岁,对照组和干预组儿童平均年龄分别为35岁和37岁。409名(95%)介入护理人员对披露过程有良好的整体知识,而对照组(116名(27%))。两组纵向病毒抑制均增强;干预组345人(80.2%)~ 384人(90.1%),对照组279人(64.9%)~ 296人(70.1%)。受过培训的护理人员透露儿童艾滋病毒状况的可能性为2倍(or = 2.369)。披露训练对儿童依从性有显著影响(P<0.05)。训练有素的护理人员的儿童有9倍(OR-9.145)可能有良好的依从性。护理人员的受教育程度(p=0。035)和护理人员对披露过程的了解(p=0.05)与抗逆转录病毒治疗依从性显著相关。信息披露知识和缺乏信息披露技能分别被认为是信息披露和抗逆转录病毒治疗依从性的主要促进因素和障碍。对理论、实践和政策的独特贡献:研究结果提供了基于证据的干预措施,将指导护理人员、教育部和卫生部如何以及何时向儿童披露自己的艾滋病毒状况。披露最终导致行为改变,预计这将加强减少艾滋病毒向下一代的传播,这是维持防治艾滋病毒和艾滋病斗争的一种方式。该研究建议,所有6-10岁年龄段的儿童都应了解自己的艾滋病毒状况,以提高他们对抗逆转录病毒治疗的依从性。
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引用次数: 0
MALE PARTICIPATION IN ANTENATAL CARE AND ITS EFFECT ON PREGNANCY 男性参与产前护理及其对妊娠的影响
Pub Date : 2022-07-15 DOI: 10.47604/jhmn.1573
Aderibigbe Omolola, B. Ohaeri, O. Iyanuoluwa, Babarimisa Babarimisa, Mercy E. Adebayo
Purpose: Male participation in antenatal care (ANC) is important and contributes to better maternal and neonatal birth outcomes. Deaths among mothers remain a serious burden in the developing countries, including Nigeria. Lack of male involvement in pregnancy related care is one of the contributing factors. The purpose of this study is to assess the level of male participation in ANC. In most countries in the world, promotion of maternal and child health is perceived as women’s role and men do not feel that they are responsible and see no reason to accompany their partners to Antenatal Care (ANC) clinics. Methodology: Cross sectional descriptive survey was used in the study. Findings: It was discovered that male partners do not fully participate in antenatal care due to many factors like low level of education, fear of being tested for HIV, culture and so on.  Male partners/husbands are key support persons for many childbearing women and their involvement in pregnancy, childbirth and the postpartum/postnatal period has beneficial effects on a wide range of outcomes related to maternal and child health and family wellbeing. Male involvement in antenatal care (ANC) is among interventions to improve maternal health. Globally male involvement in ANC is low and varies in low-income and middle-income countries including Nigeria where most maternal deaths occur. In Sub-Sahara, men are chief decision makers and highly influence maternal health. Unique Contribution to Theory Practice and Policy: It is therefore recommended that male should participate in ANC in order to encourage the wife in the course of pregnancy and promote psychological support.
目的:男性参与产前保健(ANC)是重要的,有助于更好的孕产妇和新生儿出生结局。在包括尼日利亚在内的发展中国家,母亲死亡仍然是一个严重的负担。缺乏男性参与与怀孕有关的护理是造成这种情况的因素之一。本研究的目的是评估男性参与ANC的水平。在世界上大多数国家,促进妇幼保健被认为是妇女的职责,男子认为他们没有责任,也没有理由陪同其伴侣去产前保健诊所。研究方法:采用横断面描述性调查法。结果:由于受教育程度低、害怕HIV检测、文化等多种因素的影响,男性伴侣没有充分参与产前保健。男性伴侣/丈夫是许多育龄妇女的主要支助人员,他们参与怀孕、分娩和产后/产后对与妇幼健康和家庭福祉有关的广泛结果产生有益影响。男性参与产前保健是改善产妇保健的干预措施之一。在全球范围内,男性参与非分娩分娩的比例很低,在低收入和中等收入国家各不相同,包括孕产妇死亡最多的尼日利亚。在撒哈拉以南地区,男子是主要决策者,对产妇保健有很大影响。对理论、实践和政策的独特贡献:因此,建议男性参加非孕制,以鼓励怀孕期间的妻子,促进心理支持。
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引用次数: 0
Financial Toxicity Related to Advanced Cancer Patients’ Care: Case study of Selected Households of Kiambu County, Kenya 与晚期癌症患者护理相关的财务毒性:肯尼亚Kiambu县选定家庭的案例研究
Pub Date : 2022-07-01 DOI: 10.7176/jhmn/101-06
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引用次数: 0
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Journal of Health, Medicine and Nursing
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