Shri Vijay, Sajda Naja, Raja Sivanantham, Deepak Baghel, Schumann, Naja, Sajda Raja, Deepak Baghel Schumann, Anna University
NCDs are responsible for a significant proportion of premature deaths in developing countries. NCDs can have significant economic costs for individuals, families,
在发展中国家，非传染性疾病是造成很大比例过早死亡的原因。非传染性疾病可能给个人、家庭、
{"title":"Health Promotion Interventions for Reducing Non-Communicable Diseases (NCDs) in Developing Countries: a case study of India","authors":"Shri Vijay, Sajda Naja, Raja Sivanantham, Deepak Baghel, Schumann, Naja, Sajda Raja, Deepak Baghel Schumann, Anna University","doi":"10.53819/81018102t5200","DOIUrl":"https://doi.org/10.53819/81018102t5200","url":null,"abstract":"NCDs are responsible for a significant proportion of premature deaths in developing countries. NCDs can have significant economic costs for individuals, families,","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126162180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prevalence and Determinants of Elevated Blood Pressure among Children in Rural Kayonza District, Rwanda","authors":"Mr. Florien Ndagijimana Ndagijimana","doi":"10.53819/81018102t2157","DOIUrl":"https://doi.org/10.53819/81018102t2157","url":null,"abstract":"","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124821760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The low uptake of measles vaccines in Kenya is a noticeable public health problem. Therefore, the study assessed the determinants of low uptake and hesitancy of measles vaccination among mothers of children aged 9 – 24 months in Narok North Sub-County, Narok. Cross-sectional quantitative study was done. The study was conducted in four purposively selected health centers in Narok North Sub-County. A structured and pretested questionnaire was used to collect data from 100 mothers. The multistage sampling method was used in this study to select the mothers who participated in the current study. The data were analysed descriptively. Additionally, Pearson’s chi-square, Kruskal-Wallis H, and logistic regression tests were conducted to determine the significance of the relationships and associations between the determinants and MCV uptake. A total of 69(69%) of the children (N =100) who had qualified for the first dose of measles vaccines (MCV1) had received the vaccines, while 31(31%) had not. Thirteen (26.5%) of the children (n = 49) who had qualified for the second dose of measles vaccine (MCV2) had received the vaccine, while 36(73.5%) did not. The significant maternal determinants of MCV uptake included; maternal age (p = .019) and maternal level of education (p = .030). The significant child’s determinants were birth order (p = .032) and place of birth (p = .001). The significant socioeconomic factors included; low socioeconomic background (p = .004) and cultural and religious issues (p = .003). The significant healthcare determinants included distance from the health facility (p = .020) and availability of vaccines in the health center (p = .000). Measles vaccine uptake was very low compared to the World Health Organization (WHO) recommended coverage rate of >95%. Thus, there is a need to provide health education and information to mothers or caregivers on measles vaccine uptake. Keywords: Vaccine, Vaccine Uptake, Measles
{"title":"Determinants of Measles Vaccine Uptake among Mothers of Children between 9 and 24 Months in Narok North Subcounty","authors":"A. Kiplagat, S. Bett, Jacob Masika","doi":"10.53819/81018102t6058","DOIUrl":"https://doi.org/10.53819/81018102t6058","url":null,"abstract":"The low uptake of measles vaccines in Kenya is a noticeable public health problem. Therefore, the study assessed the determinants of low uptake and hesitancy of measles vaccination among mothers of children aged 9 – 24 months in Narok North Sub-County, Narok. Cross-sectional quantitative study was done. The study was conducted in four purposively selected health centers in Narok North Sub-County. A structured and pretested questionnaire was used to collect data from 100 mothers. The multistage sampling method was used in this study to select the mothers who participated in the current study. The data were analysed descriptively. Additionally, Pearson’s chi-square, Kruskal-Wallis H, and logistic regression tests were conducted to determine the significance of the relationships and associations between the determinants and MCV uptake. A total of 69(69%) of the children (N =100) who had qualified for the first dose of measles vaccines (MCV1) had received the vaccines, while 31(31%) had not. Thirteen (26.5%) of the children (n = 49) who had qualified for the second dose of measles vaccine (MCV2) had received the vaccine, while 36(73.5%) did not. The significant maternal determinants of MCV uptake included; maternal age (p = .019) and maternal level of education (p = .030). The significant child’s determinants were birth order (p = .032) and place of birth (p = .001). The significant socioeconomic factors included; low socioeconomic background (p = .004) and cultural and religious issues (p = .003). The significant healthcare determinants included distance from the health facility (p = .020) and availability of vaccines in the health center (p = .000). Measles vaccine uptake was very low compared to the World Health Organization (WHO) recommended coverage rate of >95%. Thus, there is a need to provide health education and information to mothers or caregivers on measles vaccine uptake. Keywords: Vaccine, Vaccine Uptake, Measles","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"232 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133430629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Undernutrition among children under five years is one of the major public health issues worldwide in developing countries and occurs prominently. In Rwanda, according to Demographic Health Survey in 2019-2020, the prevalence of stunting was 33.0% while 8.0% were underweight. The aim of the study was conducted to determine nutritional status and associated factors in order to plan and alleviate child malnutrition among children under five years at Ruhango Health Center and its catchment area. A cross-sectional descriptive study was conducted. All children (200) were included with their caregivers who visited to the health center from August to September 2022. A structured questionnaire was used to collect data. Descriptive statistics using counts and proportions were computed to describe the basic characteristics of respondents. Chi-square test was used to establish factors associated with children undernutrition. Multivariable logistic regression model was performed to control the confounding variables. The level of significance was set at 5%. Ethical clearance to collect data was obtained from Mounty Kenya University. The study showed that most of the children were aged between 6 to 24 months (94.5%) and males were 52.0% compared to 48.0% of their female counterparts. The study concludes that the prevalence of under nutrition was relatively high but lower than the national average with respondent factors that are associated malnutrition. Therefore, public health sector and local government should increase access to clean water and also to increase the awareness of caregivers on balanced diet.
{"title":"Nutritional Status and Associated Factors among Children under Five years in Ruhango Health Center Catchment Area, Rwanda","authors":"Mutuyimana Pacifique","doi":"10.53819/81018102t2135","DOIUrl":"https://doi.org/10.53819/81018102t2135","url":null,"abstract":"Undernutrition among children under five years is one of the major public health issues worldwide in developing countries and occurs prominently. In Rwanda, according to Demographic Health Survey in 2019-2020, the prevalence of stunting was 33.0% while 8.0% were underweight. The aim of the study was conducted to determine nutritional status and associated factors in order to plan and alleviate child malnutrition among children under five years at Ruhango Health Center and its catchment area. A cross-sectional descriptive study was conducted. All children (200) were included with their caregivers who visited to the health center from August to September 2022. A structured questionnaire was used to collect data. Descriptive statistics using counts and proportions were computed to describe the basic characteristics of respondents. Chi-square test was used to establish factors associated with children undernutrition. Multivariable logistic regression model was performed to control the confounding variables. The level of significance was set at 5%. Ethical clearance to collect data was obtained from Mounty Kenya University. The study showed that most of the children were aged between 6 to 24 months (94.5%) and males were 52.0% compared to 48.0% of their female counterparts. The study concludes that the prevalence of under nutrition was relatively high but lower than the national average with respondent factors that are associated malnutrition. Therefore, public health sector and local government should increase access to clean water and also to increase the awareness of caregivers on balanced diet.","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127730369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Postpartum infections are life-threatening conditions leading to 10% of maternal deaths worldwide; in sub-Saharan Africa, the estimated prevalence of postpartum infections is 11.5%. In Rwanda maternal sepsis contribute up to 56% of all maternal complications, where 5% of them die and most cases come from rural areas. In line with the above-mentioned background, this research aimed to find out the prevalence and factors contributing to postpartum infections in Nyanza District/ Rwanda. This study employed a cross-sectional design, with participants being mothers attending immunization services at health centers in Nyanza district. A sample size of 384 was determined for all health centers, with systematic sampling used to select individual participants. Data collection involved a structured questionnaire and a review of medical records. A case of postpartum infection was identified if self-reported signs or symptoms were also documented in the participant's medical records. Data analysis was conducted using IBM® SPSS 21.
{"title":"Prevalence and Factors Associated with Postpartum Infections among Mothers Attending Immunization Service at Health Centers of Nyanza District, Rwanda","authors":"","doi":"10.53819/81018102t5162","DOIUrl":"https://doi.org/10.53819/81018102t5162","url":null,"abstract":"Postpartum infections are life-threatening conditions leading to 10% of maternal deaths worldwide; in sub-Saharan Africa, the estimated prevalence of postpartum infections is 11.5%. In Rwanda maternal sepsis contribute up to 56% of all maternal complications, where 5% of them die and most cases come from rural areas. In line with the above-mentioned background, this research aimed to find out the prevalence and factors contributing to postpartum infections in Nyanza District/ Rwanda. This study employed a cross-sectional design, with participants being mothers attending immunization services at health centers in Nyanza district. A sample size of 384 was determined for all health centers, with systematic sampling used to select individual participants. Data collection involved a structured questionnaire and a review of medical records. A case of postpartum infection was identified if self-reported signs or symptoms were also documented in the participant's medical records. Data analysis was conducted using IBM® SPSS 21.","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133420645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study aimed to understand the prevalence and factors associated with caesarean section among expectant women who had delivered from Muhima hospital. Caesarean section is on the rise globally as well as national average where it accounts 24% of all deliveries conducted in hospitals and this increase has exceeded 15% which is recommended by WHO. A cross-sectional survey was conducted using an interview administered questionnaire and data extracted from obstetric chart review between May and June 2022 at Muhima hospital. A sample of 350 pregnant women that gave birth at Muhima District hospital were chosen using a convenience sampling process, whereby every mother that delivered at latter hospital was given same chances of being enrolled into the study. Data was analysed by use of IBM® SPSS 21 version. Out of 350 pregnant women had delivered at Muhima district hospital, 132 women had been delivered by CS making the prevalence of cesarean section to be 37.7%. Factors associated with CS delivery that were found to be significant were maternal age above 30 years (AOR=2.5,95%CI, 1.1-5.6, P=0.03) being single marital status (AOR=2.5,95%CI, 1.2-5.2, P=0.013) and delivering a baby weighing above 4000 grams (AOR=2.5,95%CI, 0.8-7.2, P=0.103). In conclusion, four out of ten pregnant women had delivered by CS at Muhima district hospital. This was common among older maternal age, being single mother, and delivering of big babies. Thus, it is evident that the prevalence of caesarean section is a growing concern in Muhima District Hospital, with a significant number of women undergoing this procedure. Depending on these factors, the country needs further national level policy decisions to reduce the attributed barriers. There is a need to develop and implement targeted educational programs and counselling services for expectant women, particularly older, single, or expecting big babies. These programs emphasize the importance of prenatal care, the risks and benefits of caesarean sections, and possible alternatives to reduce the likelihood of unnecessary caesarean deliveries. Also, it is recommended to strengthen healthcare provider training and adherence to clinical guidelines for caesarean sections. Moreover, it is essential to establish a comprehensive monitoring and evaluation system to track the rate of caesarean sections in the hospital and identify trends in specific patient populations.
{"title":"Prevalence and Factors Associated with Caeserean Section Among Mothers Delivering at Muhima District Hospital","authors":"","doi":"10.53819/81018102t5159","DOIUrl":"https://doi.org/10.53819/81018102t5159","url":null,"abstract":"This study aimed to understand the prevalence and factors associated with caesarean section among expectant women who had delivered from Muhima hospital. Caesarean section is on the rise globally as well as national average where it accounts 24% of all deliveries conducted in hospitals and this increase has exceeded 15% which is recommended by WHO. A cross-sectional survey was conducted using an interview administered questionnaire and data extracted from obstetric chart review between May and June 2022 at Muhima hospital. A sample of 350 pregnant women that gave birth at Muhima District hospital were chosen using a convenience sampling process, whereby every mother that delivered at latter hospital was given same chances of being enrolled into the study. Data was analysed by use of IBM® SPSS 21 version. Out of 350 pregnant women had delivered at Muhima district hospital, 132 women had been delivered by CS making the prevalence of cesarean section to be 37.7%. Factors associated with CS delivery that were found to be significant were maternal age above 30 years (AOR=2.5,95%CI, 1.1-5.6, P=0.03) being single marital status (AOR=2.5,95%CI, 1.2-5.2, P=0.013) and delivering a baby weighing above 4000 grams (AOR=2.5,95%CI, 0.8-7.2, P=0.103). In conclusion, four out of ten pregnant women had delivered by CS at Muhima district hospital. This was common among older maternal age, being single mother, and delivering of big babies. Thus, it is evident that the prevalence of caesarean section is a growing concern in Muhima District Hospital, with a significant number of women undergoing this procedure. Depending on these factors, the country needs further national level policy decisions to reduce the attributed barriers. There is a need to develop and implement targeted educational programs and counselling services for expectant women, particularly older, single, or expecting big babies. These programs emphasize the importance of prenatal care, the risks and benefits of caesarean sections, and possible alternatives to reduce the likelihood of unnecessary caesarean deliveries. Also, it is recommended to strengthen healthcare provider training and adherence to clinical guidelines for caesarean sections. Moreover, it is essential to establish a comprehensive monitoring and evaluation system to track the rate of caesarean sections in the hospital and identify trends in specific patient populations.","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127676353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Most LMICs have been slow to receive and distribute vaccines, which are much more available in high-income countries, prompting critiques of global vaccine inequity, which were exacerbated with the distribution of so-called booster shots in high-income countries in the autumn of 2021. Access issues, coupled with vaccine hesitancy, can have catastrophic effects. Vaccination against the novel coronavirus is one of the most effective strategies for combating the global Coronavirus disease (COVID-19) pandemic. However, vaccine hesitancy has emerged as a major obstacle in several regions of the world, including Asia. The COVID-19 pandemic has necessitated the rapid development and distribution of vaccines worldwide. However, vaccine hesitancy, particularly in Asia, poses a significant challenge to achieving herd immunity and controlling the pandemic. This study aims to identify the key determinants of COVID-19 vaccine hesitancy in Asian populations and develop targeted strategies to improve vaccination uptake. A comprehensive review of literature from 2019 to 2020 was conducted, focusing on sociocultural, political, and healthcare system factors that contribute to vaccine hesitancy in the region. Findings reveal that cultural and religious beliefs, misinformation and distrust in government and healthcare systems, and logistical and accessibility issues significantly impact vaccine uptake. To address these challenges, the study proposes strategies such as engaging with community leaders, improving communication, building public trust, and addressing logistical and accessibility barriers. By comprehensively understanding and addressing the determinants of COVID-19 vaccine hesitancy in Asia, the public health community can navigate the complex landscape and facilitate higher vaccination rates, ultimately contributing to the global control of the COVID-19 pandemic. Keywords: COVID-19 vaccine, Vaccine hesitancy, Determinants, Strategies for improvement, Asia
{"title":"Navigating the Complex Landscape of COVID-19 Vaccine Hesitancy in Asia: Identifying Key Determinants and Strategies for Improvement","authors":"Yukio W. Murakami","doi":"10.53819/81018102t4134","DOIUrl":"https://doi.org/10.53819/81018102t4134","url":null,"abstract":"Most LMICs have been slow to receive and distribute vaccines, which are much more available in high-income countries, prompting critiques of global vaccine inequity, which were exacerbated with the distribution of so-called booster shots in high-income countries in the autumn of 2021. Access issues, coupled with vaccine hesitancy, can have catastrophic effects. Vaccination against the novel coronavirus is one of the most effective strategies for combating the global Coronavirus disease (COVID-19) pandemic. However, vaccine hesitancy has emerged as a major obstacle in several regions of the world, including Asia. The COVID-19 pandemic has necessitated the rapid development and distribution of vaccines worldwide. However, vaccine hesitancy, particularly in Asia, poses a significant challenge to achieving herd immunity and controlling the pandemic. This study aims to identify the key determinants of COVID-19 vaccine hesitancy in Asian populations and develop targeted strategies to improve vaccination uptake. A comprehensive review of literature from 2019 to 2020 was conducted, focusing on sociocultural, political, and healthcare system factors that contribute to vaccine hesitancy in the region. Findings reveal that cultural and religious beliefs, misinformation and distrust in government and healthcare systems, and logistical and accessibility issues significantly impact vaccine uptake. To address these challenges, the study proposes strategies such as engaging with community leaders, improving communication, building public trust, and addressing logistical and accessibility barriers. By comprehensively understanding and addressing the determinants of COVID-19 vaccine hesitancy in Asia, the public health community can navigate the complex landscape and facilitate higher vaccination rates, ultimately contributing to the global control of the COVID-19 pandemic. Keywords: COVID-19 vaccine, Vaccine hesitancy, Determinants, Strategies for improvement, Asia","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"266 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122556789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nicotine consumption increases brain excitability in a dispersed system of brain areas, such as the frontal cortex, amygdala, cingulate, and frontal lobes, in a dose-dependent manner. Stimulation in these areas is compatible with nicotine's ability to arouse and reinforce behaviour in humans. However, the effects of nicotine consumption on brain cells and the way it modifies them to either inhibit AD or facilitate AD is still unknown, therefore, the current scientific article aimed to address this research gap through analysing prior but latest research studies in this domain. Since there was a need to establish and explore more research regarding the positive impacts of Nicotine on patients with AD, a qualitative research design using secondary data was used to conduct the present scientific evidence. Four published papers within the year range 2017 to 2023 were acquired and thematically evaluated. Mixed findings regarding the impact of nicotine on brain cells and probability of getting AD were found however, there has been no clinical trials or enough empirical studies to support this assumption. Therefore, more research will be needed in the prospective to obtain credible and supporting results. Keywords: Nicotine, Brain cells, nicotinic receptors, Alzheimer’s disease.
{"title":"Nicotine's Potential to Protect Brain Cells: The Influence of Nicotine on Alzheimer's Disease Risk in the United States: A Scoping Review","authors":"Thomas E. Washington","doi":"10.53819/81018102t4132","DOIUrl":"https://doi.org/10.53819/81018102t4132","url":null,"abstract":"Nicotine consumption increases brain excitability in a dispersed system of brain areas, such as the frontal cortex, amygdala, cingulate, and frontal lobes, in a dose-dependent manner. Stimulation in these areas is compatible with nicotine's ability to arouse and reinforce behaviour in humans. However, the effects of nicotine consumption on brain cells and the way it modifies them to either inhibit AD or facilitate AD is still unknown, therefore, the current scientific article aimed to address this research gap through analysing prior but latest research studies in this domain. Since there was a need to establish and explore more research regarding the positive impacts of Nicotine on patients with AD, a qualitative research design using secondary data was used to conduct the present scientific evidence. Four published papers within the year range 2017 to 2023 were acquired and thematically evaluated. Mixed findings regarding the impact of nicotine on brain cells and probability of getting AD were found however, there has been no clinical trials or enough empirical studies to support this assumption. Therefore, more research will be needed in the prospective to obtain credible and supporting results. Keywords: Nicotine, Brain cells, nicotinic receptors, Alzheimer’s disease.","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129836197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Approximately 60% of cancer patients attending outpatients’ clinics experience severe unremitting pain hence self-management of cancer pain is critical. Nurses play an important role in treatment, pain management, and promotion of self-care of patients of cancer patients. The aim of the study was to evaluate nursing interventions in promoting self-management of cancer pain at Tenwek Hospital, Bomet County, Kenya. This was a qualitative study that utilized case study approach. Data was collected in a period of six months whereby interviewer administered semi-structured interview guide with predetermined themes. On the assistance offered by the nurses in self-management of pain, each participant reported to assist their patients differently. The main intervention nurses used in supporting cancer patients in self-management of cancer pain were a multidisciplinary approach involving all the health care providers, pharmacological counselling and patient education. The study also concludes that nurses’ interventions in self-management of cancer can help improve patient outcomes and their quality of life. The study recommends that nurses should incorporate support for self-management of cancer pain in their daily practice with cancer patients. The concept of self-management should be promulgated in such a way that it entails a holistic management of symptoms. Healthcare personnel should initiate self-management of cancer pain at the early trajectory of the disease, at the first contact with the patients. Keywords: Nursing interventions, self-management of cancer pain, Bomet County
{"title":"Nursing Interventions in Promoting Self-Management of Cancer Pain in Tenwek Hospital, Bomet County, Kenya","authors":"Rose Makena, P. Kabue, Jacob Masika","doi":"10.53819/81018102t6051","DOIUrl":"https://doi.org/10.53819/81018102t6051","url":null,"abstract":"Approximately 60% of cancer patients attending outpatients’ clinics experience severe unremitting pain hence self-management of cancer pain is critical. Nurses play an important role in treatment, pain management, and promotion of self-care of patients of cancer patients. The aim of the study was to evaluate nursing interventions in promoting self-management of cancer pain at Tenwek Hospital, Bomet County, Kenya. This was a qualitative study that utilized case study approach. Data was collected in a period of six months whereby interviewer administered semi-structured interview guide with predetermined themes. On the assistance offered by the nurses in self-management of pain, each participant reported to assist their patients differently. The main intervention nurses used in supporting cancer patients in self-management of cancer pain were a multidisciplinary approach involving all the health care providers, pharmacological counselling and patient education. The study also concludes that nurses’ interventions in self-management of cancer can help improve patient outcomes and their quality of life. The study recommends that nurses should incorporate support for self-management of cancer pain in their daily practice with cancer patients. The concept of self-management should be promulgated in such a way that it entails a holistic management of symptoms. Healthcare personnel should initiate self-management of cancer pain at the early trajectory of the disease, at the first contact with the patients. Keywords: Nursing interventions, self-management of cancer pain, Bomet County","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"189 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122198281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Caesarean Section is one of the most performed major surgical procedures carried out in obstetrics and constitutes about 15% of all deliveries worldwide, with Latin America being the highest at 29.2%. The study aimed to assess the labor related factors that contribute to surgical site infections among post caesarean section mothers in Thika Level 5 Hospital. The study design was a mixed unmatched case-control study which followed all mothers who had undergone caesarean section in maternity unit at Thika Level 5 Hospital and who had or did not have Surgical Site Infection from delivery up to two weeks post-delivery and nurse in-charges of maternity unit. The findings of the study informed the institution management on the determinants of surgical site infection following caesarean section, and took necessary precautions and surgical site care and management to prevent occurrence of surgical site infection in future. The findings revealed that prevalence of SSI was low among post Caesarean Section mothers at Thika Level 5 Hospital, with only 24.4% of the Caesarean Section mothers at Thika Level 5 Hospital found to have experienced SSI. The study in addition found that labor related factors had significant association with surgical site infections. Cases who had labor more than 8 hours were 3.12[95%CI=1.881 – 9.279, p<0.013] times more likely to have surgical site infections compared to controls. Cases who had ruptured membrane more than 24 hours were 3.85[95%CI=2.810 – 12.027, p=0.000] times more likely to have surgical site infections compared to controls. Finally, Cases whose indication of CS was previous CS scar were 7.41[95%CI=3.88 – 9.56, p=0.022] times more likely to have surgical site infections compared to controls. The study also concluded that most SSIs are preventable as Thika Level five hospital is employing different measures to reduce cases of SSI at the facility. It is thus recommended that the management of Thika Level 5 Hospital should pay a close attention to labor related factors that are likely to cause surgical site infections among post caesarean section mothers being admitted in the facility. The study also recommended that a continuous education program for healthcare workers and young new mothers is necessary and can be feasible and potentially successful, given the interest expressed by healthcare workers in the management of surgical site infections. Keywords: Labor Related Factors, Surgical Site Infections, Post Caesarean Section
{"title":"Labor Related Factors That Contribute to Surgical Site Infections among Post Caesarean Section Mothers in Thika Level 5 Hospital","authors":"Jane Wanjiku Ndege","doi":"10.53819/81018102t4112","DOIUrl":"https://doi.org/10.53819/81018102t4112","url":null,"abstract":"Caesarean Section is one of the most performed major surgical procedures carried out in obstetrics and constitutes about 15% of all deliveries worldwide, with Latin America being the highest at 29.2%. The study aimed to assess the labor related factors that contribute to surgical site infections among post caesarean section mothers in Thika Level 5 Hospital. The study design was a mixed unmatched case-control study which followed all mothers who had undergone caesarean section in maternity unit at Thika Level 5 Hospital and who had or did not have Surgical Site Infection from delivery up to two weeks post-delivery and nurse in-charges of maternity unit. The findings of the study informed the institution management on the determinants of surgical site infection following caesarean section, and took necessary precautions and surgical site care and management to prevent occurrence of surgical site infection in future. The findings revealed that prevalence of SSI was low among post Caesarean Section mothers at Thika Level 5 Hospital, with only 24.4% of the Caesarean Section mothers at Thika Level 5 Hospital found to have experienced SSI. The study in addition found that labor related factors had significant association with surgical site infections. Cases who had labor more than 8 hours were 3.12[95%CI=1.881 – 9.279, p<0.013] times more likely to have surgical site infections compared to controls. Cases who had ruptured membrane more than 24 hours were 3.85[95%CI=2.810 – 12.027, p=0.000] times more likely to have surgical site infections compared to controls. Finally, Cases whose indication of CS was previous CS scar were 7.41[95%CI=3.88 – 9.56, p=0.022] times more likely to have surgical site infections compared to controls. The study also concluded that most SSIs are preventable as Thika Level five hospital is employing different measures to reduce cases of SSI at the facility. It is thus recommended that the management of Thika Level 5 Hospital should pay a close attention to labor related factors that are likely to cause surgical site infections among post caesarean section mothers being admitted in the facility. The study also recommended that a continuous education program for healthcare workers and young new mothers is necessary and can be feasible and potentially successful, given the interest expressed by healthcare workers in the management of surgical site infections. Keywords: Labor Related Factors, Surgical Site Infections, Post Caesarean Section","PeriodicalId":354548,"journal":{"name":"Journal of Medicine, Nursing & Public Health","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121038701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：