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Level of Compliance to Covid-19 Prevention Protocol in Primary Healthcare Centres in Obingwa Local Government Area 奥宾格瓦地方政府区初级卫生保健中心对Covid-19预防方案的遵守程度
Pub Date : 2023-02-15 DOI: 10.37745/ijnmh.15/vol9n25466
Temple Chidi, M. Longjohn, C. Nkwocha
This study was carried out to assess the level of compliance to COVID-19 prevention protocol in in primary healthcare centres in Obingwa LGA. Eight research objectives and corresponding eight research questions were raised to guide the study along with three hypotheses. The Cross-sectional research design adopted and 250 primary healthcare workers were sampled using multi-stage sampling technique. Questionnaire and checklist were used for data collection while descriptive and inferential statistics contained in SPSS version were used for data analysis, the research question were answered using descriptive statistic while hypotheses were tested using independent sample t-test and ANOVA. The results revealed that; there is inadequate provision of facilities and material required for effective compliance to COVID-19 prevention protocols in the primary health caters within the studied area because only four (4) out of the eleven (11) identified essential facilities are fairly available in the sampled study area. the results revealed that the level of compliance to Coughing and Sneezing Protocols is high (2,79> 2.50), compliance level for Personal Protective Equipment Protocols is low (2.07<2.50), compliance level for Self-isolation Protocols is high (2.89>2.50), the level of compliance for Mouth and Nose Covering (Masking) Protocols is low (2.21<2.50), the compliance level for Social and Physical Distancing Procedure is high (2.53>2.50( and compliance level for Hand-washing Procedure is low (2.08<2.50). the results of the hypothesis testing revealed that the demographic characteristics (gender, type of work and years of experience) are significant predictor of compliance to the COVID-19 prevention protocols at 0.05 significance level. It was concluded, among others, that there is low level of compliance to COVID-19 prevention protocols by the health care workers in the study area. It was, therefore, recommended, among others, that government, and concerned non-governmental organizations should make provision for the facilities and material needed for effective compliance to COVID-19 protocols in primary healthcare Centre in the studied area.
开展这项研究是为了评估Obingwa州初级卫生保健中心对COVID-19预防方案的遵守程度。提出了八个研究目标和相应的八个研究问题,并提出了三个假设来指导研究。采用横断面研究设计,采用多阶段抽样技术对250名初级卫生保健工作者进行抽样。数据收集采用问卷调查和检查表,数据分析采用SPSS版本中包含的描述性统计和推理统计,研究问题采用描述性统计回答,假设检验采用独立样本t检验和方差分析。结果表明:在研究区域内的初级卫生保健机构中,有效遵守COVID-19预防方案所需的设施和材料供应不足,因为在抽样研究区域中,确定的十一(11)个基本设施中只有四(4)个是公平可用的。结果显示,对咳嗽和打喷嚏协议的符合性较高(2.79 > 2.50),对个人防护装备协议的符合性较低(2.072.50),对口鼻(掩)膜协议的符合性较低(2.212.50),对洗手程序的符合性较低(2.08<2.50)。假设检验结果显示,人口统计学特征(性别、工作类型和工作年限)是COVID-19预防方案依从性的显著预测因子,显著性水平为0.05。除其他外,研究地区的卫生保健工作者对COVID-19预防方案的遵守程度较低。因此,除其他外,建议政府和有关非政府组织提供必要的设施和材料,以便在所研究地区的初级保健中心有效遵守COVID-19协议。
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引用次数: 0
Practices and Challenges of Pain Management During First Stage of Labour Among Midwives in University of Medical Sciences Teaching Hospital Complex, Akure 阿库尔医科大学教学医院助产士第一产程疼痛管理的实践与挑战
Pub Date : 2023-02-15 DOI: 10.37745/ijnmh.15/vol9n21323
B. O. Akin-Otiko, Precious Ogechi Ezeh
Most women perceive labour pain and childbirth as the most severe and agonizing event in a woman’s life. Midwives play critical role in supporting women through the painful birthing process, to the desired favourable outcomes for mother and baby. The primary objective of this study is to evaluate the practices and challenges of pain management during the initial stage of labour among midwives at the University of Medical Sciences Teaching Hospital Complex in Akure. From July to October 2021, a facility-based descriptive cross-sectional study was conducted with 72 midwives employed at the University of Medical Sciences Teaching Hospital Complex in Akure. The first stage of labour pain management practices and challenges were evaluated among the study participants using a questionnaire. SPSS (version 23.0) was used in processing the data. In the first stage of labour, environmental pain management approach was shown to be the most used (95.4%), followed by psychospiritual pain management approach (91%); while the least employed was the pharmacological approach (63.4%). Effectiveness of the approaches were perceived to be in the following order: psychospiritual, environmental, physical, pharmacological and social. Lack of resources (84.7%) and understaffing (33.3%) were cited as part of the challenges associated with pain management. It is important for the government to provide adequate staff, equipment and conducive birthing environments; while the midwives continually educate patients on available non-pharmacological and pharmacological labour pain management approaches during their prenatal care visits, to enhance their self-efficacy and cooperation in labour.
大多数妇女认为阵痛和分娩是妇女一生中最严重、最痛苦的事情。助产士在支持妇女度过痛苦的分娩过程中发挥着关键作用,为母亲和婴儿带来理想的有利结果。本研究的主要目的是评估阿库雷医学科学大学教学医院综合医院助产士在分娩初期疼痛管理的做法和挑战。从2021年7月至10月,对阿库雷医学大学教学医院综合体的72名助产士进行了一项基于设施的描述性横断面研究。第一阶段的分娩疼痛管理的做法和挑战是评估研究参与者之间使用问卷调查。数据处理采用SPSS (version 23.0)软件。在分娩第一阶段,环境疼痛管理方法使用最多(95.4%),其次是心理疼痛管理方法(91%);而采用药理学方法最少(63.4%)。人们认为这些方法的有效性按以下顺序排列:心理、环境、物理、药理学和社会。缺乏资源(84.7%)和人员不足(33.3%)被认为是与疼痛管理相关的挑战的一部分。政府必须提供足够的人员、设备和有利的分娩环境;而助产士在产前护理访问期间不断教育患者可用的非药物和药物分娩疼痛管理方法,以提高他们的自我效能感和分娩合作。
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引用次数: 0
Maternal Knowledge of Kangaroo Care: Level of Practice in Health Facilities in Calabar Metropolis 产妇对袋鼠式护理的了解:卡拉巴尔大都会卫生机构的实践水平
Pub Date : 2023-02-15 DOI: 10.37745/ijnmh.15/vol9n23753
Teresa Achi Osaji, Aziemeola Pius Egelege, Victoria. S Ati-Makpah, Juliet Avwerosuo Alabrah, E. Afolabi
This study is aimed to assess the level of knowledge and identify the level of practice of Kangaroo care among mothers with preterm and low birth weight babies in health facilities in Calabar Metropolis. The study was a quantitative, descriptive survey design study. Four objectives and four corresponding research questions guided the study. A self-designed questionnaire was used to collect information and the Statistical Package for Social Sciences (SPSS), Version 24 was used to analyse the data. Demographic data revealed that 30.5% of the respondents were between 18 – 30years, 53.4% were between 31 – 40years, 10% were between 41 – 50years while 6.1% were between 50years and above, 16% had no formal education, 10.8% had primary school education, 20% had secondary school education while 53.2% had tertiary education. The result of the study revealed that 72.5% of the total respondents has little or no knowledge of Kangaroo mother care while only 27.5% has knowledge of Kangaroo mother care, 24.1% of the respondents had practiced Kangaroo mother care while 75.9% had not practiced Kangaroo mother care, lack of assistance from husband and family member in home chores is part of the factors that limited the practice of Kangaroo mother care among women with preterm and low birth weight babies in health facilities and that assistance from husband and family member in home chores enabled them practice Kangaroo mother care. The study concludes that the level of knowledge and practice is low among women in health facilities in Calabar Metropolis. Therefore, the study recommends that training and education about Kangaroo Mother Care practice should be carried out on a regular basis.
本研究旨在评估卡拉巴尔大都会医疗机构中早产和低出生体重婴儿母亲的袋鼠式护理知识水平,并确定其实践水平。本研究为定量描述性调查设计研究。四个目标和四个相应的研究问题指导了研究。使用自行设计的问卷收集信息,并使用社会科学统计软件包(SPSS), Version 24对数据进行分析。人口统计数据显示,30.5%的受访者年龄在18 - 30岁之间,53.4%的人年龄在31 - 40岁之间,10%的人年龄在41 - 50岁之间,6.1%的人年龄在50岁及以上,16%的人没有受过正规教育,10.8%的人受过小学教育,20%的人受过中学教育,53.2%的人受过高等教育。研究结果显示,72.5%的受访者对袋鼠妈妈护理知之甚少或一无所知,只有27.5%的受访者对袋鼠妈妈护理有所了解,24.1%的受访者实行过袋鼠妈妈护理,75.9%的受访者没有实行过袋鼠妈妈护理。缺乏丈夫和家庭成员在家务方面的帮助是限制保健设施中早产和低出生体重婴儿妇女采用袋鼠式母亲护理的因素之一,而丈夫和家庭成员在家务方面的帮助使她们能够采用袋鼠式母亲护理。该研究的结论是,在卡拉巴尔大都会的保健设施中,妇女的知识和实践水平很低。因此,该研究建议应定期开展袋鼠妈妈护理实践的培训和教育。
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引用次数: 0
First Time Mothers Perception and Experience About Breastfeeding Support Received from Nurses in Health Facilities in Aba 阿坝州卫生机构护士对母乳喂养支持的初次母亲认知和经验
Pub Date : 2023-02-15 DOI: 10.37745/ijnmh.15/vol9n2112
R. O. Nwokoro, Ngozi B. Akunneh-Wariso
This study investigated perception and explore the experiences of first-time mothers on breastfeeding support received from nurses in health facilities in Aba Nigeria. Four research questions and two hypothesis guided the study. The design of the study was a quantitative and qualitative design method. The population of this study comprised an accessible population of 386 women attending antenatal and post-natal in selected health facilities in Aba. Random sampling techniques was used to select 198 first time mothers from the population. A researcher made questionnaire and interview was used to collect data for the study. The questionnaire was subjected to a reliability test using Crombach Alpha and a reliability index of 0.71 was obtained. The data gotten from the instrument were analysed using mean and standard deviation while the interview data were analysed through several steps of systematising, condensing, and interpreting the data. The findings of the study revealed that 2% of the respondents were singles, 65% were married, 23% were divorced, 5% were separated while 5% were widows. 5% of the respondents had attended primary education, 25% had attended secondary education, 60% had attended tertiary education while 10% had no formal education. 5% of the respondents were business women, 25% were civil servants, 60% worked in private sector while 10% were artisans. Furthermore, the result revealed that the perception of first-time mothers on information breastfeeding support received from nurses in some selected health facilities in Aba includes and not limited to the fact that Nurses give enough breastfeeding information to first time mothers and that the encouragement of first time mothers is very important. The study concludes that first-time mothers do need professional, practical and social support in the form of information, emotional support and encouragement for initiation and maintenance of exclusive breastfeeding for the first six months. Therefore, the study recommends that Nurses should they educate first time mothers on the importance of breastfeeding during antenatal.
本研究调查了尼日利亚阿坝市卫生机构护士对母乳喂养支持的看法,并探讨了初次母亲的经验。四个研究问题和两个假设指导了研究。本研究的设计采用定量与定性相结合的设计方法。这项研究的人口包括在阿坝选定的保健设施进行产前和产后护理的386名妇女。采用随机抽样的方法,从人口中选择198名首次生育的母亲。采用问卷调查法和访谈法收集研究数据。问卷采用Crombach Alpha进行信度检验,信度指数为0.71。从仪器中获得的数据采用均值和标准差进行分析,而访谈数据则通过数据的系统化、浓缩和解释几个步骤进行分析。研究结果显示,2%的受访者是单身,65%已婚,23%离婚,5%分居,5%是寡妇。5%的受访者接受过初等教育,25%接受过中等教育,60%接受过高等教育,而10%没有接受过正规教育。5%的受访者是商业女性,25%是公务员,60%在私营部门工作,10%是工匠。此外,结果显示,在阿坝一些选定的卫生机构中,第一次母亲对护士提供的母乳喂养支持信息的看法包括但不限于护士向第一次母亲提供足够的母乳喂养信息,以及对第一次母亲的鼓励非常重要。研究得出的结论是,第一次做妈妈的确实需要专业的、实际的和社会的支持,包括信息、情感支持和鼓励,以便在头六个月开始和维持纯母乳喂养。因此,该研究建议护士应该教育初次母亲在产前母乳喂养的重要性。
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引用次数: 0
Impacts of Maternal Care Services on Reproductive Health of Pregnant Women Attending Primary Health Care Centres in North-Eastern Nigeria 孕产妇保健服务对尼日利亚东北部初级保健中心孕妇生殖健康的影响
Pub Date : 2023-02-15 DOI: 10.37745/ijnmh.15/vol9n22436
Bala Yunusa Tilde, S. Abdulkadir, Sa’ad Abubakar Idris
Maternal care services involves provision of health care to women during pregnancy, childbirth and postpartum period at reproductive health care settings. The quality of maternal care services that women receive determine their reproductive health status in pregnancy, delivery and postpartum and impact on their overall wellbeing and that of the feotus. Maternal complications in pregnancy, childbirth and postpartum that usually result to death of women and their feotus due to poor maternal care services are still persistent in North-Eastern Nigeria, Nigeria. Therefore, the study examined the impacts of maternal care services on reproductive health of pregnant women attending primary health care centres in North-Eastern Nigeria. An ex-post facto research design was adopted for the study. The population of the study consisted of 2,487 registered pregnant women attending primary health care centres in North-Eastern Nigeria. A sample of 482 was selected through multistage sampling procedures. A researcher-developed questionnaire was used as instrument for data collection, the instrument was validated by three experts was used as instrument for the study. The reliability of the instrument was established with the use of split-half method and analyzed using Cronbach alpha statistics; a coefficient of 0.87 was obtained which shows the instrument is reliable. Inferential Statistics of Chi-square was used to analyze the data at 0.05 level of significance. The findings of the study show that maternal care services of medical check-up, physical test, health talk and immunization have significant impacts on reproductive health of pregnant women attending primary health care centres in North-Eastern Nigeria. Based on the findings of the study, it was recommended that regular seminars and training should be organized by reproductive health care professionals for pregnant women in order to enlighten them on the benefits of maternal care services in order to improve their reproductive health status. Also, government should provide high quality immunization equipment and medications available and accessible in maternal care services centres as one strategy of prevention maternal complication during postpartum period and to improve the reproductive health and wellbeing of the mother and newborn baby.
产妇保健服务包括在生殖保健机构向怀孕、分娩和产后期间的妇女提供保健服务。妇女获得的孕产妇保健服务的质量决定了她们在怀孕、分娩和产后的生殖健康状况,并对她们和胎儿的整体健康产生影响。在尼日利亚东北部,由于孕产妇保健服务差,妊娠、分娩和产后的产妇并发症通常导致妇女及其胎儿死亡,这种情况仍然持续存在。因此,该研究调查了孕产妇保健服务对尼日利亚东北部初级保健中心孕妇生殖健康的影响。本研究采用事后调查设计。研究对象包括在尼日利亚东北部初级卫生保健中心登记的2 487名孕妇。通过多阶段抽样程序选择了482个样本。采用研究者自行设计的问卷作为数据收集工具,经三位专家验证后作为研究工具。采用劈半法建立仪器的信度,采用Cronbach alpha统计量进行分析;得到的系数为0.87,表明仪器是可靠的。采用χ 2统计学方法,在0.05水平上进行统计学分析。研究结果表明,医疗检查、体检、健康讲座和免疫接种等孕产妇保健服务对在尼日利亚东北部初级保健中心就诊的孕妇的生殖健康有重大影响。根据这项研究的结果,建议生殖保健专业人员为孕妇举办定期研讨会和培训,使她们了解产妇保健服务的好处,以改善她们的生殖健康状况。此外,政府应提供高质量的免疫设备和产妇保健服务中心可获得的药品,作为预防产后产妇并发症和改善母亲和新生儿生殖健康和福祉的一项战略。
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引用次数: 0
Perception of Mothers on Factors Contributing to Puerperal Sepsis in Selected Government Hospital in Lagos State 在拉各斯州选定的政府医院,母亲对导致产褥期败血症的因素的看法
Pub Date : 2023-01-15 DOI: 10.37745/ijnmh.15/vol9n12236
Dorcas Moradeke Idowu, O. Abazie
Puerperal sepsis is a bacterial infection of the genitourinary tract that occurs after delivery or a miscarriage. In a particular Lagos State government hospital, the study examined how mothers felt about the causes of puerperal sepsis. Structured questionnaires were used to gather data for the cross-sectional design of the study. The mothers' questionnaires, numbering 210 altogether, were collected and analysed with SPSS 22.0. Results indicated that whereas 42.4% of women had a high awareness of puerperal sepsis, 59.0% were unaware of it. Sixty-three percent of respondents also identified low levels of education, ignorance, and living in rural areas as important reasons. In addition, 89% found that the manner of birth was a factor, and 87.1% found that infrequent antenatal clinic attendance was a factor. Low immunity was cited by 64.3% of respondents, whereas 96% cited the location of birth as a contributor to puerperal sepsis. All p-values for tests of correlation between the two sets of variables (factors and perception) were significantly lower than 0.05. Overall, most mothers only had a hazy understanding of what puerperal sepsis entailed. The stigma surrounding puerperal sepsis strongly correlates with socioeconomic standing. Puerperal sepsis awareness was significantly influenced by factors such as birth location, delivery method, and lack of antenatal clinic attendance. Puerperal sepsis risk variables were significantly correlated with mothers' reports of experiencing the condition. The perception of puerperal sepsis among mothers continues to be low; thus, the obstetrics and gynaecological healthcare system should make it a matter of utmost importance to teach pregnant women about it so that their perception about it would have improved before to delivery. Puerperal sepsis is an infection that occurs after childbirth and can lead to serious complications.
产后败血症是分娩或流产后发生的泌尿生殖道细菌感染。在拉各斯州政府的一家医院,这项研究调查了母亲们对产褥期脓毒症病因的看法。采用结构化问卷收集数据,进行研究的横断面设计。收集共210份母亲问卷,用SPSS 22.0软件进行分析。结果显示,42.4%的妇女对产褥期脓毒症有较高的知晓率,59.0%的妇女对此不知情。63%的受访者还认为教育水平低、无知和生活在农村地区是重要原因。此外,89%的人认为出生方式是一个因素,87.1%的人认为产前诊所就诊次数较少是一个因素。64.3%的应答者认为免疫力低下,而96%的应答者认为分娩地点是导致产后败血症的一个因素。两组变量(因子和知觉)相关性检验的所有p值均显著低于0.05。总的来说,大多数母亲对产褥期败血症的含义只有模糊的了解。产后败血症的耻辱感与社会经济地位密切相关。分娩地点、分娩方式、产前门诊缺勤等因素对产褥期脓毒症认知度有显著影响。产褥期脓毒症风险变量与母亲报告的经历显著相关。母亲对产褥期败血症的认识仍然很低;因此,产科和妇科保健系统应该把向孕妇传授这方面的知识作为最重要的事情,这样她们在分娩前对这方面的认识就会有所改善。产后败血症是一种发生在分娩后的感染,可导致严重的并发症。
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引用次数: 0
Ιnvestigating the Psychiatric Burden of Women, Who Have Recently Given Birth, During the Period of the Covid-19 Pandemic and the Correlation with their Quality of Life Ιnvestigating新冠肺炎大流行期间刚分娩妇女的精神负担及其与生活质量的关系
Pub Date : 2023-01-15 DOI: 10.37745/ijnmh.15/vol9n11421
Eleni Palapaidou, P. Christopoulos, A. Koinis
This study aimed to investigate the psychiatric burden of women who recently gave birth during the COVID-19 pandemic and its correlation with their quality of life. The study included 107 women with an average age of 31.4 years, from all socioeconomic classes. Data was collected using a questionnaire consisting of three parts, covering demographic characteristics, COVID-19 related questions, and two scales: the WHOQOL-BREF scale (30 questions) and the MSPSS questionnaire (12 questions). Results showed that COVID-19 restrictions negatively affected 77.6% of women during the postpartum period and 75.7% felt lonely. Women who did not have visitation during their postpartum hospital stay, who were negatively affected due to COVID-19 restrictions, and who were sick during childbirth had worse physical and mental health. Quality of life was related to demographics, with women who are not working and have 2 or 3 children having worse quality of life was related to demographics, with women who are not working and have 2 or 3 children having worse quality of life. Social support was found to be crucial, with the more support women received, the better their overall quality of life. The study highlights the need for health professionals to provide additional support to women during the postpartum period, particularly during the pandemic.
本研究旨在调查新冠肺炎大流行期间新分娩妇女的精神负担及其与生活质量的相关性。这项研究包括107名平均年龄为31.4岁的女性,她们来自各个社会经济阶层。采用人口统计学特征、新冠肺炎相关问题、WHOQOL-BREF量表(30题)和MSPSS问卷(12题)两种量表组成的调查问卷收集数据。结果显示,产后限制措施对77.6%的女性产生了负面影响,75.7%的女性感到孤独。产后住院期间没有探视的妇女、因COVID-19限制而受到负面影响的妇女以及在分娩期间生病的妇女的身心健康状况较差。生活质量与人口统计学有关,不工作有2到3个孩子的妇女生活质量较差与人口统计学有关,不工作有2到3个孩子的妇女生活质量较差。研究发现,社会支持至关重要,女性得到的支持越多,她们的整体生活质量就越好。该研究强调,卫生专业人员需要在产后期间,特别是在大流行期间为妇女提供额外支持。
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引用次数: 0
Strengthening Food Quality Using Nurse-Led Training Among Handlers and Pupils in Schools 利用护士指导的培训加强食品质量
Pub Date : 2023-01-15 DOI: 10.37745/ijnmh.15/vol9n1113
Jeminat Sodimu, N. Okafor, Christiana Olanrewaju Sowunmi, R. Anokwuru
The study examined the effectiveness of nurse-led training on food quality among primary school pupils and food handlers in Ogun State. The study adopted a quasi-experimental design incorporating pre-test and post-test non-randomised control group. Using multistage sampling procedure to select 500 pupils and food handlers, the researcher embarked on random assignment of the Schools to each of the treatment groups. Food Quality Questionnaire (FQQ) was constructed and validated by the researcher to gather relevant data on food quality. A treatment package whose contents were developed validated using the Delphi approach, was prepared by the researcher to serve as a guide for research assistants administering the treatment. Descriptive statistics was used to answer research questions while the hypotheses, were analysed using Analysis of Covariance (ANCOVA). Significant difference was observed among the pre- and post-test mean score differences of pupils and handlers in different treatment and certification groups as well as in different types of schools on food quality (F3, 483= 73.090; p<.000). It was recommended among others that the Federal and State Ministries of Education should adopt behaviour-ingrained professional methodologies/treatments to prosecute and enhance food quality in schools, especially at the primary level, rather than the passive routine food/school inspection arrangements presently prevalent in schools.
该研究调查了奥贡州小学生和食品处理人员中护士主导的食品质量培训的有效性。本研究采用准实验设计,包括前测和后测非随机对照组。研究人员采用多阶段抽样程序,选择了500名学生和食品处理人员,将学校随机分配到每个治疗组。为了收集食品质量的相关数据,研究者构建并验证了食品质量问卷(FQQ)。研究人员准备了一个治疗包,其内容使用德尔菲法进行了开发和验证,作为研究助理管理治疗的指南。描述性统计用于回答研究问题,同时使用协方差分析(ANCOVA)对假设进行分析。不同处理组和认证组、不同类型学校小学生和处理者的食品质量前、后均分差异有统计学意义(F3, 483= 73.090;p <组织)。除其他外,有人建议联邦和州教育部应采用行为根深蒂固的专业方法/处理方法来起诉和提高学校,特别是小学一级的食品质量,而不是目前在学校普遍存在的被动的日常食品/学校检查安排。
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引用次数: 0
Effectiveness of the WHO Combination Treatment Regimen in the Management of Dehydration as a Panacea to Diarrhoea Prevention in Under-Five Children in Oyo State 世卫组织联合治疗方案作为奥约州五岁以下儿童预防腹泻的灵丹妙药在脱水管理方面的有效性
Pub Date : 2023-01-15 DOI: 10.37745/ijnmh.15/vol9n13751
Zaccheus Opeyemi Oyewumi, N. Okafor, J. Adegoke, R. Anokwuru
This study assessed the effectiveness of WHO combination treatment regimen in diarrhoea prevention through dehydration management amongst under-five children attending primary health care centres in Oyo State, Nigeria. The study used a quasi-experimental design consisting of a pre- and post-test for a single group. Sixty people who met the inclusion criteria were selected at random throughout the admissions process. Children with diarrhoea between the ages of 3 months and 60 months who met the inclusion and exclusion criteria and were hospitalised at the designated PHC Centres were the study's participants. Recovery rates at 24 hours, 2 weeks, and 4 weeks post-intervention were used to evaluate the efficacy of the combined therapy regime using a standardised instrument of the WHO observational check-list. Descriptive and inferential statistics were used to analyse the data. The results of this study demonstrate that the median ages of the participants range from 13 to 24 months (21; 35.0%), 3 to 12 months (18; 30.0%), 25 to 36 months (12; 20.0%), and 36 to 60 months (9; 15.0%). There are a total of 32 men and 28 females in this sample (53.3% vs 46.7%). However, upon arrival (Baseline), 47 individuals (78.3%) were already somewhat dehydrated. However, within 24 hours post-intervention, the majority of subjects (46, or 76.6%) no longer showed any signs of dehydration. After two weeks of intensive monitoring during home visits, the situation had improved significantly, with the vast majority (52, or 86.7%) of participants displaying no signs of dehydration. After 4 weeks of home visits, all 60 participants (100%) were found to be well hydrated upon re-examination. Dehydration status improved significantly after 24 hours, 2 weeks, and 4 weeks post-intervention, suggesting the combination of WHO-ORS and zinc is extremely effective in the treatment of diarrhoea in children younger than five. Therefore, PHC health professionals should use a combination of therapies rather than relying on just one to treat dehydration.
这项研究评估了世卫组织联合治疗方案在尼日利亚奥约州初级卫生保健中心就诊的五岁以下儿童中通过脱水管理预防腹泻的有效性。该研究采用准实验设计,包括对单个组进行前测试和后测试。在整个招生过程中,随机选择了60名符合入选标准的人。符合纳入和排除标准并在指定的初级保健中心住院的3个月至60个月腹泻儿童是该研究的参与者。干预后24小时、2周和4周的康复率采用世卫组织观察性检查表的标准化工具来评估联合治疗方案的疗效。采用描述性统计和推断性统计对数据进行分析。本研究结果表明,参与者的中位年龄范围为13至24个月(21;35.0%), 3至12个月(18;30.0%), 25至36个月(12;20.0%), 36至60个月(9;15.0%)。本样本中男性32人,女性28人(53.3% vs 46.7%)。然而,在到达时(基线),47人(78.3%)已经有些脱水。然而,在干预后24小时内,大多数受试者(46人,或76.6%)不再表现出任何脱水迹象。在家访期间进行了两周的密集监测后,情况有了显著改善,绝大多数(52人,或86.7%)的参与者没有出现脱水迹象。经过4周的家访,所有60名参与者(100%)在再次检查时发现水分充足。脱水状况在干预后24小时、2周和4周后显著改善,这表明WHO-ORS和锌联合治疗5岁以下儿童腹泻极为有效。因此,初级保健专业人员应该使用多种治疗方法,而不是仅仅依靠一种来治疗脱水。
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引用次数: 0
Reported Effects of Coronavirus Disease Pandemic on Provision of Skilled Antenatal and Delivery Care Among Nurses and Midwives in Ibadan, Nigeria 据报道,冠状病毒大流行对尼日利亚伊巴丹护士和助产士提供熟练产前和分娩护理的影响
Pub Date : 2022-04-15 DOI: 10.37745/ijnmh.15/vol8n43044
Omotayo O. Adetunji, M. Akinwaare, G. Ogbeye
The World Health Organization has declared Coronavirus Disease 2019 (COVID-19) pandemic a global public health emergency. However, documentation on its implication on the provision of skilled care during pregnancy and childbirth in low and middle-income countries like Nigeria is limited. Therefore, this study assessed the reported effect of the pandemic on the provision of skilled antenatal and delivery care among nurses and midwives in Ibadan, Nigeria. A descriptive study was conducted using a quantitative approach. A validated questionnaire was used to collect data from randomly selected 121 nurses and midwives in the selected hospitals. Data were analyzed using SPSS version 25.0. Descriptive analysis was done using percentages, and Pearson correlation was used to assess the association between respondents’ years of experience and the perceived influence of COVID-19 on the provision of maternal health services.Findings showed 82.6% and 53.7% of the respondents reported a reduced number of antenatal visits and shorter services hour respectively. Also, 57.9% and 66.1% of the respondents reported restricted interaction with clients and reduced patronage respectively. Also, 66.9% of the respondents reported limited admission facilities during labor. There is no significant relationship between the years of experience of the respondents and the perceived influence of COVID-19 on the provision of antenatal/delivery care with a correlation coefficient (r = 0.137) and significant value of (p-value = 0.068). The outbreak of the COVID-19 pandemic affected the provision of skilled care during pregnancy and childbirth. Accessibility to skilled antenatal and delivery care was reduced among pregnant women.
世界卫生组织宣布2019冠状病毒病(COVID-19)大流行为全球突发公共卫生事件。然而,关于其对尼日利亚等低收入和中等收入国家在怀孕和分娩期间提供熟练护理的影响的文件有限。因此,本研究评估了报告的大流行对尼日利亚伊巴丹护士和助产士提供熟练产前和分娩护理的影响。采用定量方法进行描述性研究。采用一份有效的问卷,从随机选择的121名护士和助产士中收集数据。数据分析采用SPSS 25.0版本。使用百分比进行描述性分析,并使用Pearson相关性来评估受访者的经验年数与COVID-19对提供孕产妇保健服务的感知影响之间的关联。调查结果显示,82.6%和53.7%的受访者分别表示产前检查次数减少和服务时间缩短。此外,57.9%和66.1%的受访者分别表示与客户的互动受到限制,并减少了光顾。此外,66.9%的受访者表示分娩期间入院设施有限。被调查者的经验年数与新冠肺炎对提供产前/分娩护理的感知影响之间无显著关系,相关系数(r = 0.137)和显著值(p值= 0.068)。COVID-19大流行的爆发影响了妊娠和分娩期间熟练护理的提供。孕妇获得熟练产前和分娩护理的机会减少。
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引用次数: 0
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International Journal of Nursing, Midwife and Health Related Cases
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